Fitchburg, MA · Worcester County
Personal Massachusetts Criminal Record Request
This form lets an individual request a copy of their own Massachusetts criminal record and submit it to the Criminal History Systems Board with the required fee or a fee-waiver affidavit.
- 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
Use this form to request your own Massachusetts criminal record from the Criminal History Systems Board. The request form says to sign before a notary public, then mail it with a $25 check or money order and a self-addressed stamped envelope; walk-in service is unavailable. The packet also includes an affidavit of indigency and a supplement for applicants seeking a fee waiver, which may require supporting information.
Who needs it
An individual seeking a copy of their own Massachusetts criminal record uses this request form and may include the packet’s fee-waiver documents if seeking waiver of the $25 fee.
Why it needs a notary
The request form has an acknowledgment block stating that the requestor appeared before the notary and acknowledged their signature; the requestor signs before the notary.
How to get this notarized
- 1
Download the Request Packet
Download the personal criminal record request form and its included fee-waiver documents.
- 2
Complete the Request
Fill in the requestor information and decide whether to include the packet’s indigency affidavit and supplement.
- 3
Book an Online Notary
Schedule an appointment with a commissioned online notary to acknowledge your signature.
- 4
Sign on Video
Appear for the remote notary session and sign the request form as directed.
- 5
Mail the Request
Send the notarized form to the Criminal History Systems Board with the required payment and self-addressed stamped envelope, or include fee-waiver materials.
Preview the form
The blank PDF straight from Fitchburg. 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 submit this personal criminal record request?
- Complete and notarize the request, then mail it to the Criminal History Systems Board at the address printed on the form with a $25 check or money order and a self-addressed stamped envelope. Walk-in service is unavailable.
- Do I need to have the request form notarized?
- Yes. The form instructs requestors to sign in front of a notary public and includes an acknowledgment block for authentication of the requestor’s signature.
- Can I request a fee waiver?
- The packet includes an affidavit of indigency and a supplement. It describes eligibility information and supporting materials that may be required; review the form’s instructions before submitting a waiver request.
- Can I use remote online notarization for this form?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024. Ask the receiving agency whether it will accept your remotely notarized form; confirm with the city or town clerk if unsure.