Archdale, NC · Randolph County

Authorization for Release of Personal Information to Law Enforcement Agencies

This authorization lets a law-enforcement employment applicant request release of personal, employment, education, medical, financial, and other records to the police department or sheriff’s office conducting an investigation.

Standard form~15 min to notarize
  • 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 authorizes listed institutions and individuals to provide records to a police department or sheriff’s office investigating an applicant’s suitability for employment or certification. It also includes releases of liability, a waiver of the right to inspect or review compiled information, and permission to share information with specified agencies. The authorization remains valid for one year or until the application or investigative process is complete, whichever is later.

Who needs it

A person applying for a position with a police department or sheriff’s office who is asked to authorize a background investigation may need to complete this form.

Why it needs a notary

The form has a subscribed-and-sworn jurat; the applicant signs and swears to the authorization before the notary, who completes the date and commission details.

How to get this notarized

  1. 1

    Download the Form

    Get the Authorization for Release of Personal Information to Law Enforcement Agencies form.

  2. 2

    Complete the Applicant Details

    Enter the requested personal information and review the authorization and releases before signing.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary and check whether the agency will accept the notarization.

  4. 4

    Sign on Video

    Sign and swear to the authorization during the notary session so the notary can complete the jurat.

  5. 5

    Submit to the Agency

    Send the completed authorization to the police department or sheriff’s office handling your application, following its submission instructions.

Preview the form

The blank PDF straight from Archdale. Look it over, then upload your filled copy to start the notary session.

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Info

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 and notarize this release?
Fill in the applicant and agency details, but wait to sign until you meet with a commissioned online notary. The notary administers the oath and completes the jurat.
Do I need to sign this form in front of a notary?
Yes. The form includes a subscribed-and-sworn jurat, so the applicant must sign and swear to the authorization before a notary.
Can I use an online notary for this Archdale form?
North Carolina’s remote electronic notarization program has not launched. Emergency video notarization requires both signer and notary to be in North Carolina and is not remote online notarization. Confirm with the city or town if unsure whether the agency will accept your notarization.
Where do I submit the completed authorization?
The form authorizes release of records to the police department or sheriff’s office conducting the investigation. Ask the agency handling your application how it wants the completed form submitted.

Ready to notarize your Authorization for Release of Personal Information to Law Enforcement Agencies?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.