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My State

Submit Required Forms / Proctor Affidavits to Provider:

Independent Insurance Agents of Georgia
Education Department
3186 Chestnut Dr Connector
Doraville, GA 30340
phone: (770) 458-0093 x-105
fax: (770) 458-8007

Stacie King
Director of Education & Industry Relations
sking@iiag.org

Schonna McKinney
Education Coordinator
smckinney@iiag.org

ACSR Designation (You must have a proctor for your exam if you are taking this course for the ACSR designation.)
ACSR Module 1 Proctor Affidavit ACSR Module 5 Proctor Affidavit ACSR Module 9 Proctor Affidavit
ACSR Module 2 Proctor Affidavit ACSR Module 6 Proctor Affidavit ACSR Module 10 Proctor Affidavit
ACSR Module 3 Proctor Affidavit ACSR Module 7 Proctor Affidavit ACSR Module 11 Proctor Affidavit
ACSR Module 4 Proctor Affidavit ACSR Module 8 Proctor Affidavit ACSR Module 12 Proctor Affidavit
E&O Verification Form for Loss Control Credit
CLICK HERE to Download the E&O Verification Form for Loss Control Credit