GCIC Background Check

Registration for 2023 is now open.

Date:

Position Applied For:

Full Name:

Other Names Used:

Race:

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D.O.B.:

Place of Birth:

SSN:

Driver’s License No:

State of Issue:

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Expiration:

Height:

Weight:

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Address:

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List on the line directly below all states in which you have been issued a driver’s license:

List on the line directly below all states in which you have lived:

CONSENT FOR CRIMINAL HISTORY RECORDS INQUIRY

I, , hereby authorize the Fulton County Sheriff’s Office to receive any criminal history record information pertaining to me which may be in the files of any state or local criminal justice agency in Georgia.
Signature: