As part of its annual filings, every insurance company licensed to do business in the State of Georgia is required to publish Form GID-011-RS.
The charge for publishing and processing your Georgia Form GID-011-RS
is $85 per company.
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To begin, click the "download" button at the bottom of this page.
Open the downloaded pdf and look in the upper right hand corner.
If the "Submit Form" button is purple
the online form is compatible with your computer.
The form may be completed and submitted using the "Submit Form" button.
You may also save the form to your computer for submission at a later time.
If the "Submit Form" button is gray
fill in your information, save the form to your computer and
email as an attachment to susan.cooke@statepublishingcompany.com.
2024 GA Form GID-011-RS (pdf)
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