Johns Creek, GA · Fulton County
Name-Based Criminal History Record Information Consent/Inquiry Form
This consent and inquiry form collects personal information and authorization from individuals seeking employment with a criminal justice agency.
What this form is
This form authorizes a criminal justice agency to receive criminal history record information about an individual seeking employment, and it includes an option for periodic background checks during employment. It asks for the individual's identifying details, signature, and date, and provides sections for the inquiry date, purpose code, results, and agency contact information.
Who needs it
Individuals seeking employment with a criminal justice agency use this form to authorize a criminal history record inquiry.
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 form is signed and dated without a notary; it does not identify any attachment or related step as notarized or sworn.
How to submit this form
- 1
Download the Form
Download the Name-Based Criminal History Record Information Consent/Inquiry Form.
- 2
Complete the Form
Enter the requested identifying information and authorization details, then sign and date the form.
- 3
Check for Attachments
The form does not list supporting attachments to gather.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Name-Based Criminal History Record Information Consent/Inquiry Form?
- No. The form calls for a signature and date, not notarization. It does not identify any attachment or related step as notarized or sworn.
- Who uses this criminal history consent form?
- The form is for individuals seeking employment with a criminal justice agency who are authorizing the agency to receive criminal history record information.
- What information does the form request?
- It requests identifying details, a signature, and a date. It also has sections for inquiry details, the purpose code, results, and agency contact information.
- How do I submit the criminal history consent form?
- The form names the Johns Creek Police Department. Submit it to the city department named on the form and 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 Johns Creek form that does, a commissioned online notary can help.
