All resident and non-resident insurance carriers must obtain a Name Approval Acceptance Letter from the Department for their legal names and dba names. Need to fill out a form?Please click on the form below that you need to submit. Forms shall be submitted in the same manner as any other form filing through the SERFF filing system with applicable filing fees submitted electronically. As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. The purpose of this form is for small employers in Georgia to request a SHOP eligibility determination that can be. If you write a letter, include your name, claim number, and health insurance ID number. Find health insurance forms for customers including medical and dental claims forms, authorization forms, appeals, pharmacy forms, and more. Small Business Health Insurance Guide. Large Group Or National Accounts.