FVIP Provider Certification
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What is required to apply for Initial FVIP Provider Certification?
Watch the FVIP Rules Certification Primer to view an overview of the Program Certification process.
Program Mission Statement
Owner Background Information
Disclosure of Business Ventures
Program Locations
Class Times
Class Fee Schedule
Indigent Fee Reduction Plan
General Liability Insurance ($1,000,000)
Victim Liaison Contract (current)
Principles of Practice (signed)
Background information and background check authorization
Curriculum
Participation in Task Force
Application fee ($250 per judicial circuit)
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When can you apply for FVIP Provider Certification?
FVIP
Provider applications
are accepted January 1st and July 1st annually. -
When will you be added to the certified provider list?
Once GCFV staff has reviewed your application and all requirements are met. Usually takes 2 weeks from receipt of application.
- All required documents are submitted.
- Pass the background check.
- A certified facilitator has been identified to conduct classes.
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Once certified, when do you have to renew certification?
Providers must recertify every 2 years from the date of initial certification. The same requirements must be met for recertification.
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Where do I find the initial provider certification application and how do I apply?
Program applications
are accepted on January 1 and July 1 annually.Due to mail delays, we request that you send an electronic copy of your application to
Carol Chateau [email protected] if your program is in the following judicial circuits: (Alapaha, Atlanta, Blue Ridge, Chattahoochee, Cherokee, Cobb, Conasauga, Cordele, Coweta, Dougherty, Douglas, Griffin, Houston, Lookout Mountain, Macon, Pataula, Paudling, Rome, South Georgia, Southern, Southwestern, Tallapoosa, Tifton, Towaliga)
Timothy Griffin [email protected] if your program is in the following Judicial Circuits: (Alcovy, Appalachia, Atlantic, Augusta, Bell- Forsyth, Brunswick, Clayton, Columbia, Dublin, Eastern, Enotah, Flint, Gwinnett, Middle, Mountain, Northeastern, Northern, Ocmulgee, Oconee, Ogeechee, Piedmont, Rockdale, Stone Mountain, Toombs, Waycross, Western)
Initial
Provider Certification Application
Background Check forms (Submit forms with application. GCFV will process your background check.)
Applicant
Privacy Rights Signature Form
Georgia
Driver's History Consent Form
Name
Based Criminal Consent Form
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What is required for FVIP Provider Recertification?
Watch the FVIP Rules Certification Primer to view an overview of the Program Certification process.
Program Mission Statement
Owner Background Information
Disclosure of Business Ventures
Program Locations
Class Times
Class Fee Schedule
Indigent Fee Reduction Plan
General Liability Insurance ($1,000,000)
Victim Liaison Contract (current)
Principles of Practice (signed)
Background information and background check authorization (Please complete additional forms)
Curriculum
Participation in Task Force
Application fee ($250 per judicial circuit)
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Where do I find the recertification provider certification application and how do I apply?
Provider
Recertification Application
Carol Chateau [email protected] if your program is in the following judicial circuits: (Alapaha, Atlanta, Blue Ridge, Chattahoochee, Cherokee, Cobb, Conasauga, Cordele, Coweta, Dougherty, Douglas, Griffin, Houston, Lookout Mountain, Macon, Pataula, Paudling, Rome, South Georgia, Southern, Southwestern, Tallapoosa, Tifton, Towaliga)
Timothy Griffin [email protected] if your program is in the following Judicial Circuits: (Alcovy, Appalachia, Atlantic, Augusta, Bell- Forsyth, Brunswick, Clayton, Columbia, Dublin, Eastern, Enotah, Flint, Gwinnett, Middle, Mountain, Northeastern, Northern, Ocmulgee, Oconee, Ogeechee, Piedmont, Rockdale, Stone Mountain, Toombs, Waycross, Western)
An invoice will be sent to you to pay with a credit card. If you would like to pay with a check, mail payment to:
Georgia Commission on Family Violence
Attn: FVIP Provider Recertification Certification
2 Martin Luther King Jr. Drive, Ste 866 East Tower
Atlanta, Ga 30334
Background Check forms (Submit forms with application. GCFV will process your background check.)
Applicant
Privacy Rights Signature Form