Grand Rapids, MN · Itasca County
Informed Consent Release of Criminal History Data
This form authorizes the Grand Rapids Police Department to release specified criminal history and predatory offender registry information to the City of Grand Rapids for the person who signs it.
- 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 contains two separate consent sections: one for information in the National Computerized Criminal History Database or Interpol, and one for information in the National Predatory Offender Registry. Each authorization is valid for 12 months from the signature date and includes a notary signature and stamp area. Complete the applicable section or sections and submit the form to the City of Grand Rapids as directed by the city.
Who needs it
A person asked to authorize the Grand Rapids Police Department to release their criminal history or predatory offender registry information to the City of Grand Rapids needs this form.
Why it needs a notary
Each consent section has a notary signature and stamp block; the person giving consent signs the applicable section before a notary.
How to get this notarized
- 1
Download the Form
Get the Informed Consent Release of Criminal History Data form from the City of Grand Rapids.
- 2
Fill In the Requested Details
Print legibly and provide the identifying information requested. Complete the consent section or sections the city requires.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary and have identification ready.
- 4
Sign on Video
Sign the applicable consent section during the live video session so the notary can complete its signature and stamp block.
- 5
Submit to the City
Send the completed form to the City of Grand Rapids as directed by the city.
Preview the form
The blank PDF straight from Grand Rapids. 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 criminal history consent form?
- Print legibly, provide the requested identifying details, and sign the applicable consent section before a notary. The form includes separate authorizations for criminal history and predatory offender registry information.
- Do I need to complete both consent sections?
- The form has separate sections for criminal history database or Interpol information and predatory offender registry information. Complete the section or sections the city requests; confirm with the city if unsure.
- Can I sign this form with an online notary?
- Minnesota allows a commissioned online notary to perform remote notarizations. You sign during a live video session, and the notary completes the applicable notary block.
- How long is each authorization valid?
- The form states that each authorization is valid for 12 months from the date of signature.