Waterloo, IN · DeKalb County
Police Background Report Request Form
This form authorizes the release of an applicant’s police record to the Waterloo/Grant Township Fire Department for consideration of an application for a position.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form lets the Waterloo/Grant Township Fire Department request a copy of a named applicant’s police record and have it sent or faxed to the contact listed by the Fire Chief. The applicant provides identifying details and signs an authorization; a parent or guardian signs if the applicant is a minor. The form also includes a notarial acknowledgment and spaces for police records and an officer’s information.
Who needs it
A person applying for a position with the Waterloo/Grant Township Fire Department completes the form to authorize the release of their police record.
Why it needs a notary
The form carries an acknowledgment before a notary public; the applicant signs the release authorization, and a parent or guardian signs if the applicant is a minor.
How to get this notarized
- 1
Download the Form
Get the Police Background Report Request Form from the Waterloo website.
- 2
Complete the Applicant Details
Enter the requested identifying information and complete the release authorization.
- 3
Book an Online Notary
Arrange an online notarization and check with the Fire Department about accepting a remotely notarized form.
- 4
Sign on Video
Sign the authorization before the notary during your online appointment; a parent or guardian signs if the applicant is a minor.
- 5
Submit the Form
Send the completed form to the Waterloo/Grant Township Fire Department as directed.
Preview the form
The blank PDF straight from Waterloo. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I request release of my police record?
- Complete the applicant details and authorization on the form, then submit it to the Waterloo/Grant Township Fire Department as directed.
- Do I need to sign the form before a notary?
- Yes. The form has an acknowledgment for a notary public. Sign the release authorization as directed, and wait to sign before the notary.
- Can I use a commissioned online notary?
- Indiana permits its notaries with a remote notary public endorsement to perform remote online notarizations. Ask the Fire Department whether it accepts this notarized form remotely; confirm with the city or town if unsure.
- What if the applicant is a minor?
- The form includes a signature line for a parent or guardian if the applicant is a minor.