Mableton, GA · Cobb County

No notary required

Name-Based Criminal History Record Information Consent/Inquiry Form

This form authorizes a criminal history inquiry for city licensing requirements and is completed by an applicant seeking a covered license or permit.

What this form is

Applicants use this form to authorize the City of Mableton to conduct a criminal history inquiry for licensing requirements. It asks for identifying information, recent arrest or conviction details, probation or parole status, and confirmation that the applicant received and read the licensing ordinance. The applicant certifies the information is complete and true and signs and dates the authorization.

Who needs it

Applicants subject to the city’s licensing requirements use this form to authorize a criminal history inquiry for the applicable license or permit.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the Name-Based Criminal History Record Information Consent/Inquiry Form.

  2. 2

    Complete The Form

    Enter your identifying information, answer the history questions, and certify that your information is complete and true.

  3. 3

    List Relevant Details

    If applicable, list arrests from the last five years, regardless of the disposition, with the requested offense, agency, date, and disposition.

  4. 4

    Sign And Date

    Sign and date the authorization.

  5. 5

    Submit To The City

    Submit the form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Mableton criminal history consent form for?
It authorizes the city to conduct a criminal history inquiry for licensing requirements and collects the applicant’s identifying information and relevant history.
Who completes this form?
Applicants subject to Mableton licensing requirements complete the form, provide the requested information, and certify that their answers are complete and true.
Do I need a notary for the criminal history consent form?
No. The applicant signs and dates this form without a notary; the document does not identify an attachment or related step that must be notarized or sworn.
How do I submit the criminal history consent form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Name-Based Criminal History Record Information Consent/Inquiry Form doesn’t need a notary — but if you have another Mableton form that does, a commissioned online notary can help.