Upson County, GA · Upson County
Non-Criminal Justice Applicant Privacy Rights and Consent Form
This form explains privacy rights and authorizes fingerprinting and a background investigation for a person applying for an alcoholic beverage license in Upson County.
At a glance
- Issued by
- City of Upson County · Upson County, Upson County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- upsoncountyga.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The document provides privacy rights information for people subject to a fingerprint-based criminal history check and includes a consent form for an alcoholic beverage license application. The signer authorizes fingerprinting and a background investigation and acknowledges receiving the privacy rights and Privacy Act Statement. It asks for applicant and business details, owner or employee status, and a signature and date.
Who needs it
A business owner or employee applying for an alcoholic beverage license in Upson County who must authorize fingerprinting and a background investigation needs this form.
How to submit it
The form says investigation findings are reported to the Upson County Board of Commissioners Office, listed at 106 East Lee Street, Suite 110, Thomaston, GA 30286.
About notarization
This document is signed without a notary; the applicant signs and dates the consent form and acknowledges receipt of the privacy notices.
How to submit this form
- 1
Download the Form
Download the Non-Criminal Justice Applicant Privacy Rights and Consent Form PDF.
- 2
Complete Applicant Details
Provide the requested applicant and business information and indicate whether the applicant is a business owner or employee.
- 3
Review the Privacy Notices
Read the privacy rights and Privacy Act Statement included with the document.
- 4
Sign and Date
Sign and date the consent form to authorize fingerprinting and a background investigation.
- 5
Submit to the County Office
The form names the Upson County Board of Commissioners Office as the recipient of investigation findings.
Frequently asked questions
- What does the Upson County applicant privacy rights form do?
- It explains privacy rights for a fingerprint-based criminal history check and includes consent to fingerprinting and a background investigation for an alcoholic beverage license application.
- Who completes the consent form?
- The business owner or employee applying for an alcoholic beverage license signs and dates the consent form and acknowledges receiving the privacy rights and Privacy Act Statement.
- Do I need a notary for the Upson County applicant privacy rights form?
- No. This document is signed without a notary; the applicant signs and dates the consent form and acknowledges receipt of the privacy notices.
- How do I submit the Upson County applicant privacy rights form?
- The form names the Upson County Board of Commissioners Office as the recipient of investigation findings and lists its address at 106 East Lee Street, Suite 110, Thomaston, GA 30286.