Verification Letter of Service Hours Request Form

Verification Letter of Service Hours

Request Form
Thank you for choosing to complete your required community service hours at Another Chance of Atlanta, Inc.

Please review and confirm your hours within the Hands On Atlanta system to ensure your time has been recorded accurately.

Hands On Atlanta is the platform you used to sign up for volunteer dates. All completed hours are tracked within that system and can be viewed by logging into your profile. Before submitting a request for a verification letter, please carefully review your recorded hours. The total reflected on your verification letter will be generated directly from the Hands On Atlanta system.

We are only able to verify hours that were completed at Another Chance of Atlanta, Inc. If you completed service hours with another organization, you will need to contact that organization directly to obtain verification.
Please select the option that applies to you:*

I am NEW to this agency and I am looking to complete the mandatory Community Service Information Form prior to me starting any service work with Another Chance of Atlanta as required.I need a Verification of Hours Letter for hours that I have ALREADY completed with Another Chance of Atlanta.
You scanned the wrong QR code. Please scan the large QR code in the center of the poster to access the correct form.

The QR code in the center links to our mandatory Community Service Information Form. That form must be completed by all new community service workers working at our agency.

This is the wrong form. Please go back and scan the correct QR Code as you will not be able to submit this particular form.
Today's Date*

MonthDayYear
Date
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Community Service Hours Section
Are you completing service hours for?*
How many Community Service were you mandated to complete?*
How many volunteer hours were you are you expected to complete?*
How many Community Service hours have you completed so far?*
How many volunteer hours have you completed so far?*
How many Community Service hours should be listed on your verification letter?*
How many volunteer hours should be listed on your verification letter?*
Have you verified your hours on the Hands on Atlanta platform? A discrepancy in hours MUST be addressed before a verification of hours letter can be sent.*

YesNo
Are all hours correct on the Hands on Atlanta platform and/or your timesheet?*

YesNo
If there is a discrepancy in your recorded hours, please upload your timesheet(s) if applicable or any supporting documentation so we can review and investigate the issue. Clear photos only.

Cancelof
The photo(s) I am submitting is clear, legible, and not blurry.*

YesNoNot Applicable

Letter Details
What is the name of your probation officer or the name of the person requesting the letter? *

First NameLast Name
What is the name of the person requesting the verification letter?*

First NameLast Name
If it is a business, court system, etc. requesting the verification of hours letter please fill in the box with the appropriate name.
If it is a business, church, school, etc. requesting the verification of hours letter please fill in the box with the appropriate name.
What is their phone number?*
Please enter a valid phone number.Format: (000) 000-0000.
What is their email address?*
example@example.com
Who should the verification of hours letter be addressed to (i.e., who should be listed after “Dear” on the letter)?*
When are you required to have this letter compeleted by? (Cannot be today's date) Must be at least 48 hours later.*

MonthDayYear
Date

Please upload a clear, legible photo of your ID or Driver’s License. We must be able to read all details and verify that the ID belongs to you. The entire ID or Driver’s License must be visible in the image. This is a mandatory requirement in order for us to process and complete any letters verifying service hours.
Upload ID / Driver's License*

Cancelof
Upload ID / Driver's License or School ID*

Cancelof
Please utilize this space if you need to let us know anything.
Verification letters are sent via email within 24–48 hours. You will be copied on the email for your records.

Please note that if there is a discrepancy in your recorded hours, a verification letter will not be issued until the discrepancy has been resolved. Once valid supporting documentation is provided, these matters are typically resolved promptly.

Your signature below confirms that you understand.
Signature*
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Verification Letter of Service Hours

Community Service Hours Section

Letter Details