GCIC Background Check

GCIC Background Check

    Date:
    Position Applied For:
    Full Name:
    Other Names Used:
    Race:
    Sex:
    D.O.B.:
    Place of Birth:
    SSN:
    Driver’s License No:
    State of Issue:
    Class Type:
    Expiration:
    Height:
    Weight:
    Eye Color:
    Hair Color:
    Address:
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    Home Phone:
    Other Phone(s):


    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: