Record Restriction Registration Form

Solicitor Record Restriction Application

Record Restriction Application

Fields marked are required.

Applicant Information (Completed by Applicant)

Name:

Date of Birth:

Social Security #:

Telephone Number:

Email Address:

Street Address:

Apt / Suite / Other:

City:

State:

Zip Code:

Arresting Agency:

Date of Arrest:

Offense(s) Arrested For:

I have/will provide a copy of my State I.D. (select one)

Email a copy of your State I.D. to Patsy.Austin-Gatson@gwinnettcounty.com .

Fax a copy of your State I.D. to 770-822-8339 .

Mail a copy of your State I.D. to

Attn: Patsy Austin-Gatson
75 Langley Drive
Lawrenceville, GA 30046 .

Please have a copy of your State I.D. ready as PDF document, You can upload it in next screen .

Application Verification Signature

(Check box to indicate acceptance)

I am hereby granting the Gwinnett County Solicitor-General Office to run my Criminal History.

I am hereby granting permission for The Gwinnett Solicitor-General Office and Staff/Volunteer of the Record Restriction Summit to Review my GCIC - Criminal History

Signature (Enter full name)

Date: 05/29/2025 08:26 AM

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Solicitor Record Restriction Application

Record Restriction Application

Applicant Information (Completed by Applicant)

Application Verification Signature

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Solicitor Record Restriction Application

Record Restriction Application

Applicant Information (Completed by Applicant)

Application Verification Signature