Edit, Download, and Sign the Chamblee Police Department Criminal History Consent Form
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How do I fill this out?
To fill out this form, you will need to provide your personal information and specify the purpose code. Ensure that all required fields are completed accurately. Your signature and the date are also necessary.
How to fill out the Chamblee Police Department Criminal History Consent Form?
1
Print your full name.
2
Enter your address, sex, race, date of birth, and social security number.
3
Check the appropriate employment provision boxes.
4
Indicate the validity period by circling the appropriate number.
5
Sign and date the form.
Who needs the Chamblee Police Department Criminal History Consent Form?
1
Employers needing to conduct background checks on potential hires.
2
Care facilities verifying the background of employees working with vulnerable populations.
3
Individuals seeking to obtain their own criminal history record.
4
Companies performing periodic criminal history background checks for current employees.
5
Volunteers working with children, mentally disabled, or elderly individuals.
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What are the instructions for submitting this form?
To submit this form, complete all required fields and ensure accuracy. You can submit the form in person or by mail to the Chamblee Police Department at their office address. Alternatively, the form can be faxed to their official fax number or submitted through their online submission portal if available. Always keep a copy for your records and verify submission receipt with the department.
What are the important dates for this form in 2024 and 2025?
The form must be submitted within 90 to 180 days from the date of signature.
What is the purpose of this form?
The Chamblee Police Department Criminal History Consent Form is designed to allow individuals to authorize the release of their Georgia criminal history record information. This form is crucial for employers, care facilities, and individuals who need to verify criminal backgrounds for various purposes. Ensuring the proper completion and submission of this form helps maintain safety and compliance with state regulations.
Tell me about this form and its components and fields line-by-line.
- 1. Full Name: The applicant's full legal name must be printed clearly.
- 2. Address: The current address of the applicant must be provided.
- 3. Sex: The applicant's gender must be marked.
- 4. Race: The applicant's race must be specified.
- 5. Date of Birth: The applicant's date of birth must be entered in MM/DD/YYYY format.
- 6. Social Security Number: The applicant's social security number must be provided.
- 7. Signature: The applicant must sign and date the form.
- 8. Special Employment Provisions: The applicant must check the relevant purpose codes for the type of employment background check required.
What happens if I fail to submit this form?
Failure to submit this form can result in the inability to complete necessary criminal background checks. This can affect employment eligibility and compliance with legal requirements.
- Employment Delays: Without the form, employers cannot proceed with background checks, potentially delaying hiring decisions.
- Non-Compliance: Care facilities and companies may face non-compliance issues without proper background verification.
How do I know when to use this form?
- 1. New Employment: Employers need this form to conduct background checks on new hires.
- 2. Care Facility Employment: Facilities must verify the background of employees working with vulnerable individuals.
- 3. Personal Record Check: Individuals may request their own criminal history for personal reasons.
- 4. Periodic Background Checks: Companies may need to conduct regular background checks on current employees.
- 5. Volunteer Work: Volunteers working with children, the elderly, or the mentally disabled require background verification.
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What information do I need to fill out the form?
You will need your full name, address, sex, race, date of birth, social security number, and the purpose code for employment.
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