Gordon, GA · Wilkinson County
Criminal History Consent Form
This consent form lets a person authorize the City of Gordon to receive their Georgia criminal history record information.
What this form is
The form authorizes the City of Gordon to receive criminal history record information about the signer from state or local criminal justice agencies in Georgia. It asks for identifying details, a signature and date, and applicable employment provisions for work with people who are mentally disabled, older adults, or children. It also includes choices about authorization validity and periodic background checks during employment.
Who needs it
A person asked to authorize the City of Gordon to receive their Georgia criminal history record information completes 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 and dated without a notary; it identifies no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Criminal History Consent Form PDF.
- 2
Complete The Form
Enter the requested identifying details, mark applicable employment provisions and authorization choices, then sign and date the form.
- 3
Check For Attachments
The form text does not identify any required attachments.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the Criminal History Consent Form authorize?
- It authorizes the City of Gordon to receive the signer’s Georgia criminal history record information from state or local criminal justice agencies.
- What information does the form ask for?
- It requests the signer’s name, address, sex, race, date of birth, last four Social Security number digits, signature, and date. It also includes employment-related choices.
- Do I need a notary for the Criminal History Consent Form?
- No. The signer signs and dates this document without a notary; it identifies no notarized or sworn attachment or related step.
- 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.