Georgia corrections criminal driver history consent 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full name in the designated fields for Last, First, and Middle names.
  3. Fill in your address, including Street, City, State, and Zip code.
  4. Provide your telephone number where you can be reached during business hours (8:00 am to 4:00 pm), along with your home and work telephone numbers.
  5. Enter your Driver's License number and Social Security number in the respective fields.
  6. Complete the personal information section by filling in your Date of Birth, Race, Place of Birth, Sex, Height, Weight, Eye color, and Hair color.
  7. Sign and date the form at the bottom to authorize the Georgia Department of Corrections to access your criminal history information.

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CRIMINAL HISTORY REQUEST Information Center (GCIC) National Criminal Information Center (NCIC). This history should reflect any reportable offenses from all local and state criminal justice agencies in Georgia and/or the U.S.A. as per the applicable Purpose Code.
I hereby give my consent for the (Criminal Justice Agency) to receive any Georgia or III criminal history record information pertaining to me, as authorized under state and federal law for individuals seeking employment with a criminal justice agency.
The GCIC Lobby Office provides assistance with criminal history inquires, criminal record restrictions and criminal record inspections. The GCIC Lobby Office is open by Appointment ONLY* for Record Inspections and Fingerprint Services. You may call 404-244-2639 option 1 for an appointment.
While the notification should be in writing, Georgia law 31-9-2 states a person can give consent orally or otherwise. The notification should be in understandable language. The doctor or nurse must answer your questions about the procedure and anything that appears on the consent form.
I hereby authorize to conduct a Criminal History Background inquiry for the purpose listed below and receive any Georgia and/or national criminal history record information as authorized by state and federal law.
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