Minneapolis, MN · Hennepin County
Authorization to Release Private Data
This form authorizes Minneapolis to release private data about an individual to a named recipient; the data subject completes and submits it to the city.
- 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 authorize Minneapolis to release private data about you to a named person or entity. The data subject completes the requested-data and recipient fields, then signs the declaration; the city says the form must be completed before a notary unless a copy of valid government-issued ID is provided. Depending on the request, the city may require additional documents to show the recipient is authorized to receive the data.
Who needs it
A person requesting that Minneapolis release their private data to someone else must complete this form and provide any additional documents the city requires.
Why it needs a notary
The form carries a “Signed and sworn (or affirmed) before me” jurat; the person authorizing release signs before the notary unless providing valid government-issued ID instead.
How to get this notarized
- 1
Download the Form
Download Minneapolis’s Authorization to Release Private Data form.
- 2
Complete the Form
Enter your information, identify the data requested, and name the person or entity authorized to receive it.
- 3
Book an Online Notary
Arrange an online notarization if you are using the notary option rather than providing a copy of valid government-issued ID.
- 4
Sign on Video
Sign the authorization during your video session so the notary can complete the sworn-or-affirmed block.
- 5
Submit to the City
Submit the form and any required supporting documents in person or coordinate a secure electronic upload with city staff.
Preview the form
The blank PDF straight from Minneapolis. 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 authorize Minneapolis to release my private data?
- Complete the form with your information, the data requested, and the recipient’s name. Sign before a notary or provide a copy of valid government-issued ID, then submit the form and any required supporting documents to the city.
- Do I need a notary for this form?
- The form says to complete it in the presence of a notary public. It also allows you to submit a copy of valid, government-issued ID instead; additional documents may be required depending on the request.
- Can I complete the notary step online?
- Minnesota law authorizes remote online notarization by a commissioned online notary under Minn. Stat. § 358.645. The form’s notary block requires the signature to be sworn or affirmed before the notary.
- What supporting documents might the city require?
- Requirements depend on who is requesting the data and their authority. The form lists examples such as proof of a relationship, a court order, a guardianship appointment, or documents relating to a deceased person; confirm with the city if unsure.