Who can request a background or clearance letter?

The form says the local record check is for current or former residents of Dublin only. It requests personal details and Dublin address history.

What should I include with the request?

The form requires all fields to be completed and a copy of a driver’s license or passport. It states that a $45 fee is payable when the request is made.

Do I need a notary for the Background/Clearance Letter Request Form?

No. This form is completed without a notary; the signer just signs and dates it. It requires a copy of a driver’s license or passport.

How do I submit the Background/Clearance Letter Request Form?

Submit it to the city department named on the form; check the city website for current contact details. The form states that the fee is payable at the time of the request.

Dublin, CA · Alameda County

No notary required

Background/Clearance Letter Request Form

Dublin residents and former residents use this form to request a local record check and a letter documenting its results from Dublin Police Services.

What this form is

Dublin Police Services uses this form to conduct a local record check for current or former Dublin residents and document the results in a letter. The form requests identifying details, contact information, and current and past Dublin addresses with move-in and move-out dates. It requires a copy of a driver’s license or passport, and the form states a $45 fee is payable when the request is made.

Who needs it

Current or former Dublin residents who want Dublin Police Services to conduct a local record check and provide a letter documenting the results need this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is completed without a notary; the signer just signs and dates it, and the form requires a copy of a driver’s license or passport.

How to submit this form

1
Download The Form
Download the Background/Clearance Letter Request Form.
2
Complete The Form
Complete all fields, including your identifying details, contact information, and Dublin address history.
3
Gather The Required Copy
Include a copy of your driver’s license or passport, as required by the form.
4
Submit The Request
Submit it to the city department named on the form; check the city website for current contact details. The form lists a $45 fee payable at the time of the request.

Frequently asked questions

Who can request a background or clearance letter?: The form says the local record check is for current or former residents of Dublin only. It requests personal details and Dublin address history.
What should I include with the request?: The form requires all fields to be completed and a copy of a driver’s license or passport. It states that a $45 fee is payable when the request is made.
Do I need a notary for the Background/Clearance Letter Request Form?: No. This form is completed without a notary; the signer just signs and dates it. It requires a copy of a driver’s license or passport.
How do I submit the Background/Clearance Letter Request Form?: Submit it to the city department named on the form; check the city website for current contact details. The form states that the fee is payable at the time of the request.

Need something notarized?

This Background/Clearance Letter Request Form doesn’t need a notary — but if you have another Dublin form that does, a commissioned online notary can help.