New Employee Registration
Please complete this form to register new employees.   

Also, please submit the following items via email to Daphane Evans-Huff (daphane.evans-huff@dcs.ga.gov):

-  Name-Based Criminal History Record Information Consent/Inquiry Form
-  Proof of education or POST Record
-  Acknowledgment of Confidentiality and Orientation on DCS Board Rule 105-2-.09.
-  LMS certificate:  Certificate will read "CJIS Security Policy Awareness & Training/Awareness Statement DGB01G". 
-  FBI Criminal Justice Information Services Security Addendum (private entities only)

If you have questions about the registration process please contact Daphane for assistance.
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Email *
Entity Name *
This form is being submitted by: (your name)
 *
Has this individual been previously registered with MPOU? *
If previously registered, provide details:  Name of entity, registration type, end date (mo/yr) of the prior registration.
Registration Type: *
Is this individual also to be identified as the "5 year PO" per Rule 105-2-.09 (a) 1? *
Date of Hire:  (MM/DD/YYYY) *
Employee:  Last name *
First Name *
Middle Name *
Date of Birth (MM/DD/YYYY) *
Social Security Number (###-##-####) *
Employee Email *
Employee Phone Number (###-###-####) *
Is this a POST Certified Position? *
Provide OKEY number if POST certified.
Submit
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