Do I need a notary for the criminal information consent form?

No. The form has a signature and date line but no notary block; the signer just signs and dates it.

What information does the form ask for?

It asks for your name, address, date of birth, driver's license number, Social Security number, sex, phone number, conviction details if applicable, and the business connected to the request.

East Peoria, IL · Tazewell County

No notary required

Release of Criminal Information Statement of Consent Form

This form lets a person applying for a secondhand dealer license consent to an East Peoria Police Department criminal history background check.

What this form is

The form records a person's voluntary consent for the East Peoria Police Department to check criminal history and release the information to the Mayor and/or City Clerk for secondhand dealer licensing. It asks for identifying and contact details, any criminal convictions and their details, and the business connected with the request. The signer also releases the police department and city from liability as stated on the form.

Who needs it

A person whose background check is requested in connection with an application for a secondhand dealer business license needs to complete this consent 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 signed without a notary; the signer just signs and dates it.

How to submit this form

1
Download the Form
Download the Release of Criminal Information Statement of Consent Form PDF.
2
Complete Your Information
Provide the requested identifying and contact details, conviction information if applicable, and the business name.
3
Review and Sign
Read the consent and release statements, then sign and date the form.
4
Submit to the City
The form does not specify where to submit it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the criminal information consent form?: No. The form has a signature and date line but no notary block; the signer just signs and dates it.
How do I submit the criminal information consent form?: The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
What information does the form ask for?: It asks for your name, address, date of birth, driver's license number, Social Security number, sex, phone number, conviction details if applicable, and the business connected to the request.
Why is this consent form used?: It authorizes the East Peoria Police Department to check criminal history and release the information to the Mayor and/or City Clerk for secondhand dealer licensing.

Need something notarized?

This Release of Criminal Information Statement of Consent Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.