Atkinson, NH · Rockingham County
Criminal Record Release Authorization Form
This form lets an individual authorize the release of their criminal record conviction information to a named person or firm, with Section II completed for specified mailed requests.
- 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 identifying details and the purpose for a criminal record request, then allows the signer to authorize release of conviction information to a named recipient. The form says Section II must be completed if the record is mailed to the signer or received by someone else; requests for another person's conviction information require a notarized authorization. The instructions state that each request requires a $15 fee.
Who needs it
An individual authorizing release of their conviction record information to another person or firm should complete Section II and have the authorization notarized.
Why it needs a notary
Section II has a notary signature, date, seal, and commission-expiration block; the individual authorizing release signs before the notary.
How to get this notarized
- 1
Download the Form
Get the Criminal Record Release Authorization Form from the Atkinson town document page.
- 2
Complete the Form
Type or print clearly and complete Section I; fill in Section II when the record is mailed to you or received by someone else.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary to notarize the Section II authorization.
- 4
Sign on Video
Sign the authorization during the online notary session and complete the required notary block.
- 5
Submit the Request
Send the completed form and the stated $15 fee to the Criminal Records Central Repository using its current submission instructions.
Preview the form
The blank PDF straight from Atkinson. 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?
- Fill out Section I with your identifying details and request purpose. Complete Section II when the record is mailed to you or received by someone else, then sign its authorization before a notary.
- Do I need to notarize this form?
- Section II includes a notary block, and the form says a notarized authorization is required when someone requests another person's conviction information. It also requires Section II for specified mailed requests.
- Can I use a commissioned online notary?
- New Hampshire authorizes remote online notarization for its own notaries under RSA 456-B:6-a, effective February 6, 2022; RSA 456-B:4 recognizes notarial acts by another state's notary or authorized officer.
- Where do I send the completed form and fee?
- The form is for the New Hampshire State Police Criminal Records Central Repository. It states that each request requires a $15 fee; confirm the current submission instructions with the town/city if unsure.
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.