Completing the following form requests access to the Georgia Crime Information Center’s Sex Offender Registry Web Service. This form is to be completed and signed by all parties indicating that they are aware of all policies governing the use of this service.

Please provide the following vendor information.
Contact Number

Please designate someone who will perform testing of this connection.
Phone

 

Please designate someone who will provide technical details of the environment.

Phone
Port Test Port Type
Port Production Port Type