Rule 590-3-1-.21 - Certification of Forms(1) At least thirty (30) days prior to using any new form each entity subject to the provisions of the Act and the Rules and Regulations shall file, in a format prescribed by the Secretary, a listing of new preneed forms including a fully executed certificate of compliance. Any such listing and the applicable certificate of compliance must be prepared individually for each contract and/or forms.(2) Elements of Certification. The elements of certification as determined by the Secretary which must be included in all forms are as follows: (a) The name of the entity;(b) A statement that the officer signing the certification form is knowledgeable of the information contained in each preneed contract and/or forms, whichever is being certified;(c) A statement that the officer signing the certification form has carefully reviewed the preneed contracts and/or forms which are attached to the certification;(d) A statement that the officer signing the certification has read and understands each applicable law, regulation and policy statement as it pertains to the new forms; and(e) A statement that the officer signing the certification form certifies that:1. For the Listing of New Preneed Forms that the certifying officer has reviewed the proposed contracts and/or agreements and to the best of the officer's good faith, knowledge and belief, the preneed contracts and/or agreements identified on the listing of new policy forms are in full compliance with all Georgia cemetery laws and rules and regulations;2. The name and title of the officer signing the certification form and the date the certification form is signed;3. The original signature of the officer. Signature stamps, photocopies or a signature on behalf of the officer will not be accepted. Electronic signatures must be in compliance with the rules and regulations.Ga. Comp. R. & Regs. R. 590-3-1-.21
O.C.G.A. Sec. 10-14-14.
Original Rule entitled "Certification of Forms" adopted. F. May 19, 2005; eff. June 8, 2005.