Record Restriction Registration Form

Applicant Information (Completed by Applicant)

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)

10/17/2021 06:00 AM
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