SOP_NUMBER: 227.05-att-4
TITLE: GCIC/NCIC Consent Form for Visitors of GDC Facilities
REFERENCE_CODE: IIB01-0005
DIVISION: Unknown
TOPIC_AREA: Facilities Conditions of Confinement
EFFECTIVE_DATE: 2018-02-21
WORD_COUNT: 97
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105723
URL: https://gps.press/sop-data/227.05-att-4/

SUMMARY:
This is a consent form that visitors to Georgia Department of Corrections facilities must sign to authorize background checks. The form allows GDC to access criminal history and driver's license information from state and local criminal justice agencies. Once completed, the form is filed in the offender's institutional record and maintained according to standard retention schedules.

KEY_TOPICS: visitor consent, background check, GCIC, NCIC, criminal history, visitor screening, facility visitation, authorization form, visitor information

ATTACHMENTS:
  1. Offender Visitation Register
     URL: https://gps.press/sop-data/227.05-att-1/
  2. Application for Visitation Privilege
     URL: https://gps.press/sop-data/227.05-att-2/
  3. Offender Visitation Room Log
     URL: https://gps.press/sop-data/227.05-att-3/
  4. GCIC/NCIC Consent Form for Visitors of GDC Facilities
     URL: https://gps.press/sop-data/227.05-att-4/
  5. Facility/Center Visitation List
     URL: https://gps.press/sop-data/227.05-att-5/
  6. GDC Attorney Visitation Request Form
     URL: https://gps.press/sop-data/227.05-att-6/

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FULL TEXT:
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Attachment 4

SOP 227.05

2/21/18


**GCIC/NCIC CONSENT FORM FOR VISITORS OF GDC FACILITIES**

I hereby authorize the Georgia Department of Corrections to receive any criminal/driver's license history
information, at any time, pertaining to me which may be in the files of any state or local criminal justice
agency.

Full Name (Printed)

Address

Sex Race DOB Social Security Number

Date Signature

___________________________________
Notary


Retention Schedule: Once signed by the visitor and the background check is completed, this form shall be placed in the
offender’s institutional file and shall be maintained according to the official retention schedule for that file.