Georgia 5579 Template in PDF

The Georgia 5579 form is a crucial document for individuals seeking employment in residential child care facilities. Alongside this form, several other documents play an important role in the application process. Each of these documents serves a specific purpose, ensuring that all necessary information is collected and verified. Below is a list of five commonly used forms and documents related to the Georgia 5579 form.

• Affidavit of Disclosure: This document must accompany the Georgia 5579 form. It requires the applicant to disclose any arrests, charges, or convictions, excluding minor traffic violations. This affidavit ensures transparency and assists in the background check process.
• Live Scan Request Form: This form is used to request fingerprinting services. It is essential for conducting a criminal background check. The Live Scan process captures the applicant's fingerprints electronically and submits them to the appropriate authorities for review.
• Background Check Authorization Form: This document grants permission for the Department of Human Resources to access an applicant's criminal history. It is a critical step in verifying the applicant's suitability for working in a child care environment.
• Power of Attorney Form: When applying for certain positions, having the authority to make decisions on behalf of someone can be vital, such as with a smarttemplates.net form, ensuring all necessary legal backing is in place.
• Employment Verification Form: This form is used to confirm an applicant's previous employment history. It typically includes details such as job titles, dates of employment, and reasons for leaving. This information helps assess the applicant's experience and reliability.
• Child Care Facility License Application: If the applicant is applying for a new license for a residential child care facility, this form must be completed. It provides essential details about the facility, including its location, ownership, and compliance with state regulations.

Each of these documents is integral to the application process for residential child care positions in Georgia. Together, they help ensure that individuals working with children are qualified, trustworthy, and compliant with state regulations. Properly completing and submitting these forms can significantly impact the success of an application.

Understanding the Georgia 5579 form is crucial for anyone involved in residential child care. However, several misconceptions exist that can lead to confusion. Here are ten common misunderstandings:

1. It can be completed without notarization. All applications must be notarized. This is a mandatory step that ensures the authenticity of the information provided.
2. Only employees need to fill out the form. The form must be completed by directors, managers, owners, and employees with criminal histories. Each applicant type must check the appropriate box.
3. Initials are acceptable for names. Full names, including maiden names, must be printed. Initials are not allowed, as they can lead to identification issues.
4. Criminal history disclosure is optional. Applicants must disclose any arrests, charges, or convictions, except for minor parking violations. This disclosure is a legal requirement.
5. Height and weight can be approximated. Accurate height and weight must be provided. This information is important for identification purposes.
6. Mailing address can be omitted if it’s the same as the facility address. Even if the mailing address is the same as the facility address, it must still be clearly printed on the form.
7. The form can be submitted before fingerprinting. The form must be submitted after the fingerprinting process is completed at the designated locations.
8. All applicants can use any pen for filling out the form. A ballpoint pen is required. Using a different type of pen may result in legibility issues.
9. There’s no need to check the licensing status. Applicants must indicate whether the facility is currently licensed or applying for an initial license. This is crucial for processing the application correctly.
10. Submission of the form is the last step. The form must be mailed to the Office of Investigative Services for processing. Failure to do so will delay or prevent receipt of the determination letter.

By clarifying these misconceptions, individuals can ensure a smoother application process for the Georgia 5579 form.

Things to Do When Filling Out the Georgia 5579 Form:

• Use a ballpoint pen and print legibly to ensure clarity.
• Provide your full name, including your maiden name, and avoid using initials.
• Indicate your status as a director, manager, or owner clearly.
• Ensure all information is complete and accurate before submission.
• Have the application notarized and sign as you would on a bank check.

Things Not to Do When Filling Out the Georgia 5579 Form:

• Do not abbreviate any descriptions, such as eye or hair color.
• Do not forget to attach the required affidavit regarding any criminal history.
• Do not submit the form without verifying all information with the director or owner.
• Do not have the Live Scan done before submitting the application package.
• Do not leave any sections blank; incomplete applications may delay processing.

The Georgia 5579 form serves as a crucial document for individuals applying for positions within residential child care facilities. Its purpose is to facilitate a background check process, ensuring the safety and well-being of children in care. Several other documents share similar functions or processes. Below is a list of six documents that are comparable to the Georgia 5579 form, along with a brief explanation of their similarities:

• California Live Scan Form: This form is used in California for background checks, particularly for those working with vulnerable populations. Like the Georgia 5579, it requires personal information and consent for criminal history checks.
• Texas Background Check Application: In Texas, this application is essential for individuals seeking employment in child care settings. It parallels the Georgia 5579 in that it collects similar identifying information and authorizes a criminal history review.
• Florida Child Care Background Screening Application: This document is necessary for those applying to work in child care facilities in Florida. It shares the same goal of ensuring safety through background checks and requires personal disclosures similar to those on the Georgia 5579.
• Florida Loan Agreement Form: For securing funds legally, consider the necessary Loan Agreement details to ensure all terms are clearly outlined.
• New York State Child Care Background Check Form: This form is required for child care providers in New York. It functions similarly by collecting personal data and obtaining consent for criminal history checks, much like the Georgia 5579.
• Illinois Child Care Employee Background Check Application: This application is vital for anyone looking to work in child care in Illinois. It mirrors the Georgia 5579 by gathering personal information and authorizing criminal history investigations.
• Ohio Child Care Background Check Form: In Ohio, this form is used for background checks in child care settings. It resembles the Georgia 5579 in that it requires detailed personal information and consent for accessing criminal records.

What is the purpose of the Georgia 5579 form?

The Georgia 5579 form, also known as the Residential Child Care Records Check Application, is designed to facilitate background checks for individuals applying for positions within residential child care facilities. This includes directors, owners, and employees, particularly those with a history of criminal activity. By completing this form, applicants authorize the Department of Human Resources to access their criminal history records, ensuring that those working with children meet safety and legal standards.

Who needs to fill out the Georgia 5579 form?

Any individual seeking employment or a management position in a residential child care facility in Georgia must fill out the Georgia 5579 form. This includes directors, owners, and employees, especially those with prior criminal histories. It is crucial for maintaining the safety and well-being of children in these facilities that all personnel undergo thorough background checks.

What information is required on the form?

The form requires detailed personal information from the applicant, including their full name (including maiden name), date of birth, sex, race, social security number, and place of birth. Additionally, physical characteristics such as height, weight, eye color, and hair color must be provided. The applicant must also include their home address and telephone number. This comprehensive data collection is necessary for accurate background checks.

Is notarization required for the Georgia 5579 form?

Yes, notarization is a mandatory step in the application process. The applicant must sign the form in the presence of a notary public, who will then verify the signature. This step adds an extra layer of authenticity and accountability to the application, ensuring that the information provided is truthful and accurate.

What happens after submitting the Georgia 5579 form?

Once the form is completed and submitted, it will be used to initiate a background check. The results of this check will be mailed to the address provided on the form. It is essential to ensure that the mailing address is accurate to avoid delays in receiving the determination letter. If the form is not submitted correctly or on time, the applicant may not receive the necessary results.

Where should the Georgia 5579 form be submitted?

The completed form must be submitted to the Office of Investigative Services (OIS) at the specified address in Atlanta, Georgia, before the fingerprinting process occurs. If the Live Scan is conducted at a COGENT/GAPS location, the form must be mailed to the OIS. Timely submission is crucial, as failure to do so may result in not receiving a determination letter regarding the background check.