Helen, GA · White County

No notary required

Background Consent Form

This form lets an individual authorize an agency or company to request criminal history record information for a stated purpose, including employment-related background checks.

What this form is

The Background Consent Form authorizes a named agency or company to request criminal history record information for a stated purpose. It collects the individual's identifying details, consent and signature, and provides agency-use fields for inquiry details and results; it also includes an option for periodic checks during employment.

Who needs it

An individual asked to authorize a named agency or company to conduct a criminal history inquiry for a stated purpose may need this form.

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 without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Background Consent Form PDF.

  2. 2

    Complete The Consent

    Enter the requested identifying details, select a purpose, and complete the consent section.

  3. 3

    Sign And Date

    Sign and date the form. The agency-use section is for inquiry information and results.

  4. 4

    Submit The Form

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

Frequently asked questions

What does the Background Consent Form authorize?
It authorizes a named agency or company to request criminal history record information for a stated purpose. It also includes consent for periodic background checks during employment.
Who completes the Background Consent Form?
The individual provides identifying information, selects a purpose, and signs and dates the consent. The form also has fields for agency use, including inquiry details and results.
Do I need a notary for the Background Consent Form?
No. This document is signed without a notary; the signer just signs and dates it.
How do I submit the Background Consent Form?
The document does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Background Consent Form doesn’t need a notary — but if you have another Helen form that does, a commissioned online notary can help.