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User Interface P O Resume Atlanta, GA
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Title User Interface P O
Target Location US-GA-Atlanta
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GEORGIA BUREAU OF INVESTIGATIONGEORGIA CRIME INFORMATION CENTERAGENCY INSTRUCTIONS FOR REQUEST TO RESTRICT (EXPUNGE) ARREST RECORD for Arrests Prior to Street Address /01/20131. O.C.G.A. Street Address -3-37 provides for the restriction of certain criminal history records for non-criminal justice purposes when approved by the prosecuting attorney.For arrests prior to July 1, Street Address  the applicant is required to apply for restriction at the arresting agency. Arresting agencies may require a processing fee not to exceed $50.00 as authorized per 35-3-37.The REQUEST TO RESTRICT ARREST RECORD is a three section (page) form.Section One is completed by the applicant. Each request form may contain only one (1) Date of Arrest (there may be multiple charges for that arrest).Section Two is completed by the arresting agency. The entire form is forwarded to the prosecutor for approval/denial.Section Three is completed by the prosecutor. If approved, the prosecutor may enter the appropriate disposition restriction code using the GCIC CCH User Interface and notify the applicant that the restriction is complete. The arresting agency will receive a notification from GCIC that the record has been restricted. If the prosecutor enters the restriction in the CCH User Interface the application and fee should not be forwarded to GCIC.If the prosecutor does not have access to the CCH User Interface, the application may be returned to the arresting agency.The arresting agency should advise the applicant to forward the approved application to GCIC including the GCIC processing fee. Incomplete applications or those missing the required fee will not be processed and will be returned to the applicant. Do not forward the restriction application to GCIC if the request is denied by the prosecutor.Applicants may send the approved Request to Restrict Arrest Record form and $25.00 fee(money order or certified check payable to Georgia Bureau of Investigation) to: Georgia Crime Information Center Record Restrictions P.O. Box 370808Decatur, Georgia 30037-0808GCIC will send a letter to the street address listed on Page 1 of the application when the restriction has been applied to the Georgia criminal history. 2. For arrests occurring July 1, 2013 or later, there is no application process. The prosecutor may approve the restriction at the time of sentencing. If restriction is approved upon sentence completion, it should be noted in the sentencing documentation forwarded to the court. 3. When the restriction has been applied to the Georgia criminal history, access to that specific arrest cycle is restricted for non-criminal justice purposes (Employment/Licensing). However, such information may be available through other sources. GCIC has no control over information provided by local agencies or private vendors.Record Restriction Form Page 1 of 3 Effective Date: 07/01/2013 REQUEST TO RESTRICT ARREST RECORDPrior to 07/01/2013O.C.G.A. 35-3-37One (1) Date of Arrest per RequestSECTION ONE - APPLICANT INFORMATION(Completed by Applicant)Name: Date of Birth: Race: Sex: Social Security Number: Telephone Number: Email: Street Address: City: State: Zip Code: Arresting Agency: Date of Arrest: Offenses(s) Arrested For: Sections One and Two of this form must be completed in their entirety before request may be submitted to the Prosecuting Attorneys Office.I request the arrest record information (Date of Arrest and associated charges) described above pertaining to me be restricted from the record(s) of the arresting agency pursuant to the provisions of O.C.G.A. 35-3-37.Signature: Date: GBI Use OnlyMoney OrderCertified CheckGBI Reference #Record Restriction Form Page 2 of 3 Effective Date: 07/01/2013 SECTION TWO - ARREST INFORMATION(Completed by Arresting Agency)Date Request Received: Applicants State Identification Number (SID): GA Offender Tracking Number (OTN): Arresting Agency Name: Arresting Agency ORI Number: Case / Citation / Docket Number: Date of Arrest: Arrest appears on Georgia and/or FBI criminal history record? Yes No If arrest does not appear on either state or federal record, the record restriction cannot be processed. Arrest Charge Tracking Number(s) and Charges:Disposition of Arrest:Disposition appears on Georgia criminal history record? Yes No If No, attach official documentation containing disposition information. If official documentation is not available, please provide explanation and request for exception in Prosecutors Comments, e.g., No Further Action Anticipated. (Without a disposition on file, official documentation, or g., No Further Action Anticipated. (Without a disposition on file, official documentation, or request for exception, this request cannot be processed.)Prosecuting Attorney/Court Case Referred To: Official Completing Form:Title:Name: Telephone Number: Signature: Email: Record Restriction Form Page 3 of 3 Effective Date: 07/01/2013 SECTION THREE  PROSECUTING ATTORNEY(Completed by Prosecuting Attorney)Date Request Received: Judicial Circuit / County: Prosecuting Agency ORI Number: District Attorney / Solicitor General: Prosecutor Assigned to Case: Case / Citation / Docket Number: Please select one of the following actions:Approved - Record Restriction Meets Statutory Requirements No Information Available; Record Restriction Forwarded Without Objection Approved - No Further Action AnticipatedNo Information Available at Prosecutors Office; Returned to Arresting Agency for Further Research. DO NOT FORWARD RESTRICTION FORM TO GCIC. Denied - Restriction Does Not Meet Statutory Requirements DO NOT FORWARD RESTRICTION FORM TO GCIC.If additional Charges from same Arrest Date, other than those identified on Page 2, are also approved for record restriction, list the Arrest Charge Tracking Number(s) and Charges in Prosecutor Comments.Prosecutor Comments:Prosecutor Completing Form:Name: Telephone Number: Signature: Email:

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