Screening Request for Licensed entities in Georgia for employment

Instructions
ALERT! Due to new enhancements you are no longer required to upload the IONS Screening Request Form.


Completed

  • Agency Information
  • Agency User
  • Where to Send
  • Person to be Screened
  • Current Address
  • Finish

Agency Information

Agency User Information

Address to send the screening results

Address Line 1
Address Line 2
City
County
State
Zip

Person to be screened

Current Addresses

Previous Addresses

Address1Address2CityStateZipCounty 

Attach Documents

(The agency letterhead is required)

Type Name  
By checking this box I affirm that I am a representative of the agency or person requesting information from Investigation Outcome Notification System (IONS) and that the information I provided is true. I understand that obtaining information from IONS under false pretenses is punishable by law.

Please check information being submitted for accuracy before selecting "Finish"


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