Employee Leasing Companys Election Of Cash Deposit Surety Bond Or Securities {DOL-12B}

DOL-12B - EMPLOYEE LEASING COMPANY’S ELECTION OF CASH DEPOSIT, SURETY BOND OR SECURITIES. This is a Georgia Department of Labor (GDOL) form required under O.C.G.A. § 34-8-172 for leasing companies that have elected to report leased employees as their own under the Employee Leasing Company Election (Form DOL-11B). This document allows the company to select and post one of three forms of financial security—cash deposit, surety bond, or approved securities—to guarantee payment of unemployment insurance taxes owed to the state. The form must include the company’s legal name, business and mailing addresses, and the amount of the required surety. If a cash deposit is chosen, certified funds must accompany the submission. For a surety bond, it must be executed for a minimum of one full calendar year by a bonding company licensed to operate in Georgia. If securities are selected, only those authorized under O.C.G.A. §§ 53-8-3 and 34-8-172 are acceptable, including U.S. Treasury obligations, Georgia state bonds, and federally insured deposits. Approved securities must be deposited in a state or national bank with an executed Power of Attorney and receipt provided to GDOL. www.FormsWorkflow.com