Chatham County, GA · Chatham County
Request to Restrict Arrest Record
Applicants use this form to request restriction of an arrest record for an arrest before July 1, 2013, through the arresting agency and prosecutor.
At a glance
- Issued by
- City of Chatham County · Chatham County, Chatham County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- cccdn.blob.core.windows.net
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form is for requesting restriction of a Georgia arrest record for an arrest before July 1, 2013. The applicant completes Section One; the arresting agency completes Section Two and forwards the form to the prosecutor, who completes Section Three. If approved, the application may be sent to the Georgia Crime Information Center (GCIC); the instructions list a $25 GCIC processing fee. Arrests on or after July 1, 2013 have no application process described here.
Who needs it
A person seeking restriction of a Georgia arrest record for an arrest before July 1, 2013, starts the request with the arresting agency.
How to submit it
Apply at the arresting agency, which forwards the completed form to the prosecutor for approval or denial. If approved and the prosecutor does not enter the restriction directly, send the approved form and a $25 money order or certified check payable to the Georgia Bureau of Investigation to GCIC Record Restrictions, P.O. Box 370808, Decatur, Georgia 30037-0808.
About notarization
This form is signed without a notary; the applicant signs and dates Section One, and the form lists no notarized or sworn attachment.
How to submit this form
- 1
Download the Form
Download the Request to Restrict Arrest Record form and agency instructions.
- 2
Complete Section One
Provide the requested applicant and arrest details, then sign and date the form. Use a separate request for each arrest date.
- 3
Have the Agency Complete Section Two
Apply at the arresting agency; it completes Section Two and forwards the form to the prosecutor.
- 4
Follow the Prosecutor’s Decision
If approved and not entered directly by the prosecutor, send the approved application and required fee to GCIC at the address in the instructions.
Frequently asked questions
- Do I need a notary for the Request to Restrict Arrest Record?
- No. The form has no notary block or notarized attachment; the applicant signs and dates Section One.
- How do I submit the Request to Restrict Arrest Record?
- Apply at the arresting agency first. If the prosecutor approves and does not enter the restriction directly, send the approved form and the $25 fee to GCIC at the address in the instructions.
- Which arrests can use this application?
- The form is for arrests before July 1, 2013. The instructions say there is no application process for arrests on or after that date.
- What information does the applicant provide?
- Section One asks for applicant details, arresting agency, arrest date, and offenses, along with the applicant’s signature and date. Each request may cover only one arrest date.