New Ipswich, NH · Hillsborough County
Criminal Record Release Authorization Form
This form lets an individual authorize release of their criminal conviction record information to the New Hampshire Secretary of State and provide identifying details.
- 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 collects the individual's name, address, date of birth, identifying details, and signatures certifying the information and authorizing release of criminal conviction record information to the New Hampshire Secretary of State. It includes a notarial block for the applicant's signature. The form text does not state when New Ipswich requires it or where a completed form must be submitted, so check with the requesting office for instructions.
Who needs it
An individual asked to authorize release of their criminal conviction record information to the New Hampshire Secretary of State needs to complete this form.
Why it needs a notary
The form carries a notarial jurat stating the applicant signed before the notary; the applicant signs the authorization in the notary's presence.
How to get this notarized
- 1
Download The Form
Download the Criminal Record Release Authorization Form provided by New Ipswich.
- 2
Fill In Your Details
Type or print your identifying information and complete the authorization section.
- 3
Book An Online Notary
Book a commissioned online notary and have identification ready for the appointment.
- 4
Sign On Video
Sign the authorization during the online notary session, as the form requires the applicant to sign before the notary.
- 5
Submit The Form
Follow the requesting office's instructions to submit the completed form to the city or designated recipient.
Preview the form
The blank PDF straight from New Ipswich. 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 the Criminal Record Release Authorization Form?
- Type or print your identifying details, complete the authorization, and sign it before a commissioned online notary. Check with the office requesting the form for submission instructions.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a notarial block stating that the applicant signed before a notary public or Justice of the Peace.
- Can I use an online notary for this form?
- New Hampshire authorizes remote online notarization for its own notaries under RSA 456-B:6-a, effective February 6, 2022. Confirm that the requesting office will accept a remotely notarized form.
- Where do I submit the completed form?
- The form names the New Hampshire Secretary of State as the recipient of the criminal conviction record information, but does not give submission instructions. Confirm with the town/city if unsure.
Other forms in New Ipswich
Criminal Record Release Authorization Form in other New Hampshire cities
Each city publishes its own version of this form. Pick the city where you’re filing.