Clearlake, CA · Lake County
Clearance Letter Request
This form lets people who lived in Clearlake request a clearance letter from the Clearlake Police Department by providing residence dates and personal details.
What this form is
Use this request to ask the Clearlake Police Department for a clearance letter. The form asks for the dates you lived in the city, your name and identifying information, contact details, delivery preference, signature, and date. If you have never lived in Clearlake, the form says to contact the agency with jurisdiction over your residence.
Who needs it
People requesting a clearance letter who have lived in Clearlake can complete this form and bring it to the Clearlake Police Department.
How to submit it
Bring the completed request to the Clearlake Police Department at 14050 Olympic Dr, Clearlake. The form lists a $10 cash-only fee.
About notarization
This request is signed and dated without a notary; the form lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Request
Download the Clearance Letter Request form.
- 2
Complete The Form
Fill in your Clearlake residence dates, personal and contact details, delivery preference, signature, and date.
- 3
Gather Attachments
The form does not list any attachments to gather.
- 4
Submit To The Police Department
Bring the completed request to 14050 Olympic Dr, Clearlake. The form lists a $10 cash-only fee.
Frequently asked questions
- Who can use the Clearance Letter Request?
- People who lived in Clearlake can use this form to request a clearance letter from the Clearlake Police Department. People who never lived in the city are directed to contact the agency with jurisdiction over their residence.
- How do I submit the Clearance Letter Request?
- Bring the completed request to the Clearlake Police Department at 14050 Olympic Dr, Clearlake. The form lists a $10 fee, payable in cash only.
- What information does the request ask for?
- It asks for the dates you resided in Clearlake, your name, aliases, date of birth, Social Security number, driver's license number, contact details, preferred delivery method, signature, and date.
- Do I need a notary for the Clearance Letter Request?
- No. The form is signed and dated without a notary, and it lists no notarized attachment or sworn step.
Need something notarized?
This Clearance Letter Request doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.