Last updated: 7/11/2012
Consent Form
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Description
Print Form RE: ADOPTION FILE NO. ______________________ CONSENT FORM I hereby authorize Judge , of the Superior Court of Gwinnett County, to receive any criminal history record information pertaining to me which may be in the files of any State of local criminal justice agency in Georgia. ____________________________________ Full Name Printed _____________________________________ _____________________________________ _____________________________________ Address _____ Sex ______ Race ________________ Date of Birth _____________________________________ Social Security Number _____________________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com Signed in the presence of: