Lewistown, PA · Mifflin County
Transient Business License Background Investigation Waiver
Applicants for a transient business license in Lewistown use this waiver to consent to a background investigation by the Lewistown Police Department.
What this form is
This waiver gives the Lewistown Police Department consent to investigate an applicant seeking a transient business license. It describes possible driver’s license, criminal history, child abuse history, and public records queries, and states that information will be used to assess license qualification. The applicant provides a name, signature, and date and agrees to indemnify and hold harmless the person receiving the request and their agents and employees.
Who needs it
Anyone applying to conduct business in the Borough of Lewistown with a transient business license should complete this background investigation waiver.
How to submit it
The form lists the Lewistown Police Department at 21 South Brown Street, Suite 1A, Lewistown, PA 17044, and [email protected]. It does not state a submission method.
About notarization
This document is signed without a notary; it asks the applicant to sign and date the waiver and mentions no notarized or sworn attachment.
How to submit this form
- 1
Download the Waiver
Download the Transient Business License Background Investigation Waiver.
- 2
Complete the Applicant Fields
Provide your name, sign the waiver, and enter the date.
- 3
Review the Consent
Read the investigation consent and indemnification language before signing.
- 4
Contact the Police Department
The form lists the Lewistown Police Department’s address and email but does not specify a submission method.
Frequently asked questions
- Do I need a notary for the Transient Business License Background Investigation Waiver?
- No. The waiver has signature and date lines but no notary block. The signer just signs and dates it; the document mentions no notarized or sworn attachment.
- How do I submit the background investigation waiver?
- The form lists the Lewistown Police Department at 21 South Brown Street, Suite 1A, Lewistown, PA 17044, and [email protected], but does not specify how to submit it.
- What background checks may the waiver cover?
- The form says the investigation may include a driver’s license query, Pennsylvania and federal criminal history queries, a child abuse history query, and other public records.