Blank Georgia 5579 Form

1. What is the purpose of the Georgia 5579 form?

   The Georgia 5579 form is a Residential Child Care Records Check Application. It is used to request a background check for individuals who will be working in residential child care facilities in Georgia. The form ensures that potential employees, directors, and owners undergo a criminal history check to promote the safety and well-being of children in care.

2. Who needs to complete the Georgia 5579 form?

   Individuals who are applying to be directors, managers, owners, or employees at a residential child care facility must complete this form. Specifically, employees with a criminal history are also required to submit this application. It is essential for all applicants to provide accurate information to facilitate the background check process.

3. What information is required on the form?

   The form requires various personal details, including:

   • Full name, including maiden name
   • Date of birth
   • Gender and race
   • Social Security Number
   • Place of birth
   • Height and weight
   • Eye and hair color
   • Home address and telephone number

   Additionally, the director or owner of the facility must provide details about the facility, including its name and address, and indicate the current licensure status.

4. Is notarization required for the Georgia 5579 form?

   Yes, notarization is a mandatory requirement for the Georgia 5579 form. The applicant must sign the form in the presence of a notary public. This step ensures the authenticity of the information provided and confirms that the applicant consents to the background check.

5. What should I do after completing the form?

   After completing the form, it must be submitted along with a Live Scan fingerprinting appointment. If the Live Scan is performed at a designated location, the completed form should be mailed to the Office of Investigative Services Background Investigations Unit at the specified address. It is important to ensure that the form is sent before the fingerprinting process to avoid delays in receiving the determination letter.

6. What happens if the form is not submitted correctly?

   If the Georgia 5579 form is not submitted correctly or if it is missing any required information, the application may be delayed or rejected. To avoid this, applicants should carefully follow the instructions and ensure that all sections are completed accurately before submission.

7. How will I receive the results of the background check?

   The results of the background check will be mailed to the address provided on the form. It is crucial to print the mailing address clearly and ensure it is complete. This way, applicants can receive their determination letters without unnecessary delays.

8. Can I keep a copy of the Georgia 5579 form?

   Yes, applicants are encouraged to duplicate the form and keep a copy for their records. Retaining a copy can be helpful for future reference or in case any issues arise during the background check process.

Filling out the Georgia 5579 form can be a straightforward process, but many people make common mistakes that can delay their application. One significant error is failing to check the correct applicant type. It’s essential to indicate whether you are a director, owner, or employee. If you hold multiple roles, you should check both applicable boxes. Neglecting this step can lead to confusion and potential rejection of your application.

Another frequent mistake involves not printing your full name clearly. The form requires your complete name, including your maiden name if applicable. Using initials or omitting parts of your name can cause issues later in the verification process. Always ensure that your name is printed legibly to avoid any misunderstandings.

Many applicants also overlook the importance of providing accurate personal details. This includes your date of birth, sex, race, and Social Security number. Each piece of information must be correct and match your identification documents. Errors in this section may lead to delays in processing your application.

Not providing complete physical descriptions is another common mistake. The form asks for specific details such as height, weight, eye color, and hair color. Avoid abbreviations and ensure that you describe your features clearly. Incomplete or vague descriptions can lead to further inquiries, prolonging the process.

Another critical error is failing to notarize the application. All applications must be notarized to be valid. Skipping this step can result in immediate rejection of your application. Make sure you have a notary public sign your document before submission.

Some applicants neglect to provide the correct mailing address for the results. It is crucial to print the address clearly and ensure it matches the one associated with your residential child care facility. Incorrect addresses can lead to lost correspondence and unnecessary delays in receiving your determination letter.

Additionally, applicants often forget to check the correct box regarding the licensing status of their facility. This section is vital for the processing of your application. Ensure that you accurately indicate whether your facility is currently licensed or applying for a new license.

Lastly, many individuals fail to submit the form before undergoing the Live Scan process. It’s essential to turn in your application package before fingerprinting. If the Office of Investigative Services does not receive your application in time, you will not receive a determination letter, which can significantly impact your ability to work in residential child care.

The Georgia 5579 form is an important document used for conducting background checks on individuals involved in residential child care facilities. Along with this form, several other documents and forms are often required to ensure compliance with state regulations. Here are six key documents that you may encounter in conjunction with the Georgia 5579 form:

• Affidavit of Criminal History: This document is essential for applicants to disclose any arrests, charges, or convictions. It must be attached to the Georgia 5579 form to provide a complete background check.
• Live Scan Fingerprint Form: This form is used to collect fingerprints electronically. It is crucial for the background check process and must be completed before the application is submitted.
• Application for Child Care License: This form is necessary for individuals or organizations seeking to operate a residential child care facility. It includes details about the facility and its operators.
• Background Check Consent Form: This form authorizes the release of criminal history information to the Department of Human Resources. It is a critical step in the background check process.
• Verification of Employment History: This document provides a history of the applicant's previous employment, particularly in child care settings. It helps verify the applicant's qualifications and experience.
• Health and Safety Compliance Certificate: This certificate confirms that the residential child care facility meets health and safety regulations. It is often required to ensure the well-being of children in care.

Having these documents ready can streamline the application process and help ensure that all necessary information is provided. This can lead to a quicker approval for those looking to work in or operate a residential child care facility in Georgia.

The Georgia 5579 form is a crucial document for individuals involved in residential child care facilities. It serves as an application for a background check, ensuring the safety and well-being of children in these environments. Here are four other documents that share similarities with the Georgia 5579 form:

• Child Care Provider Background Check Form: Like the Georgia 5579, this form is used to collect personal information and authorize background checks for individuals working in child care settings. Both documents aim to ensure that caregivers meet safety standards and have no disqualifying criminal history.
• Employment Application for Child Care Positions: This application gathers personal details, including work history and references. Similar to the Georgia 5579, it often requires the applicant to disclose any criminal history, focusing on the safety of children in care.
• Foster Care License Application: This document is essential for individuals seeking to become foster parents. It requires background checks and personal information, paralleling the requirements found in the Georgia 5579 form to ensure that potential foster parents are suitable for caring for children.
• Child Abuse Registry Check Application: This application is designed to screen individuals for any history of child abuse. Like the Georgia 5579, it involves a formal request for background checks and aims to protect children by ensuring caregivers are free from harmful histories.

When filling out the Georgia 5579 form, it is crucial to adhere to specific guidelines to ensure that the application is processed efficiently. Below is a list of actions to take and avoid during this process.

• Do use a ballpoint pen and print legibly throughout the form.
• Do include your full name, including your maiden name, and avoid using initials.
• Do provide complete information for all required fields, including height, weight, and personal identifiers.
• Do ensure that the application is notarized before submission.
• Don’t abbreviate any colors when describing your eyes or hair; use full terms instead.
• Don’t forget to check the appropriate box regarding your role (Director/Manager, Owner, or Employee).
• Don’t submit the Live Scan before turning in your application package.
• Don’t leave any sections blank; incomplete applications may delay processing.

Here are eight common misconceptions about the Georgia 5579 form, along with clarifications for each:

1. Only employees need to fill out the form. Many believe that only employees must complete the Georgia 5579 form. In reality, it is required for directors, managers, and owners as well.
2. The form does not need to be notarized. Some think that notarization is optional. However, all applications must be notarized to be considered valid.
3. Previous criminal history is not relevant. A misconception exists that past criminal history does not need to be disclosed. The form explicitly requires applicants to disclose any arrests, charges, or convictions, excluding minor parking violations.
4. The mailing address is not important. Many underestimate the importance of providing a complete and accurate mailing address. The results of the background check will be mailed to this address, so it must be correct.
5. Live Scan can be done before submitting the form. Some applicants believe they can complete the Live Scan before submitting the form. This is incorrect; the form must be submitted first.
6. Any pen can be used to fill out the form. It is a common belief that any writing instrument is acceptable. In fact, a ballpoint pen must be used, and the applicant should print legibly.
7. Initial applications do not require verification. Some think that initial applications do not need verification by the director or owner. This is not true; the director or owner must verify the information provided.
8. Only Georgia residents need to apply. There is a misconception that only residents of Georgia need to fill out the form. However, anyone seeking employment in a Georgia residential child care facility must complete it, regardless of their state of residence.

Filling out the Georgia 5579 form is a crucial step for individuals involved in residential child care. Here are key takeaways to ensure a smooth application process:

• Understand Your Role: Clearly identify whether you are a director, manager, owner, or an employee with a criminal history. This will guide how you complete the form.
• Provide Complete Information: Print your full name, including your maiden name, and ensure all personal details, such as date of birth and social security number, are accurate.
• Follow Instructions Carefully: Use a ballpoint pen, print legibly, and avoid abbreviations for physical descriptions like eye and hair color.
• Notarization is Mandatory: All applications must be notarized. Make sure to sign your name as it appears on official documents.
• Licensure Status: Indicate whether your residential child care facility is currently licensed or applying for a new license. This is essential for processing your application.
• Mailing Address Matters: The results of the background check will be sent to the address you provide. Ensure it is complete and accurate.
• Submit Before Live Scan: Do not have the Live Scan done before submitting your application package. This is a critical step in the process.
• Timely Submission Required: If the Criminal Records Check Application is not received by the Office of Investigative Services, you will not receive a determination letter.

By keeping these points in mind, you can navigate the application process more effectively and ensure compliance with Georgia’s regulations for residential child care facilities.