Moorhead, MN · Clay County
Informed Consent to Release
This notarized consent form lets an individual authorize the City of Moorhead to release specified information about them to a named person or entity.
- 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 when you want the City of Moorhead to release information about you to a specific person or entity. It identifies the information to be released and the consent’s expiration, and explains that the recipient may handle the information under different classifications or policies. The individual authorizing the release signs the form, which includes a notary section.
Who needs it
An individual who wants the City of Moorhead to release specified information about them to a named person or entity needs this form.
Why it needs a notary
The form has a “Subscribed and sworn to before me” jurat; the individual authorizing release signs and swears to the consent before the notary.
How to get this notarized
- 1
Download the Form
Get the City of Moorhead Informed Consent to Release form.
- 2
Fill In the Consent
Identify the recipient, specify the data to release, and state when the permission expires.
- 3
Book an Online Notary
Arrange an online notarization before signing the consent.
- 4
Sign on Video
Sign and swear to the consent before the notary during your video session.
- 5
Submit to the City
Send the completed form to the City of Moorhead.
Preview the form
The blank PDF straight from Moorhead. 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 complete this consent form?
- Name the person or entity receiving the information, specify the data to be released, and describe when the permission expires. Sign before a notary.
- Do I need to sign this form before a notary?
- Yes. The form includes a “Subscribed and sworn to before me” section, so the individual authorizing release signs and swears to the consent before a notary.
- Can I use a commissioned online notary?
- Minnesota authorizes its notaries to perform remote online notarizations under the Remote Online Notarization Act, Minn. Stat. §358.645. Confirm with the city if unsure whether it will accept a remotely notarized form.
- Who receives the information released with this form?
- The form lets you name the person or entity that may receive the specified information from the City of Moorhead.