Middletown, RI · Newport County
Permission for Release of Information for Criminal Records
This form authorizes the Middletown Police Department to obtain and release an applicant’s criminal record for employment or personal reasons, with the applicant’s signature witnessed by a notary.
- 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
Use this form to give the Middletown Police Department permission to obtain and release your criminal record for employment or personal reasons. It identifies the person whose record is requested and names the Town of Middletown HR Office as the recipient. The applicant signs the permission in front of a notary; the form does not state when the department requires it or provide a submission deadline.
Who needs it
Anyone giving the Middletown Police Department permission to obtain and release their criminal record for employment or personal reasons needs to complete this form.
Why it needs a notary
The form has a notary-public seal and commission-expiration block; the applicant must sign the permission form in the notary’s presence for witnessing.
How to get this notarized
- 1
Download the Form
Get the Middletown permission form for release of criminal-record information.
- 2
Fill In Your Information
Complete the requested personal details and review the recipient information.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary before signing.
- 4
Sign on Video
Sign the permission form during the online notary session so the notary can witness your signature.
- 5
Submit the Form
Send the completed form to the Middletown Police Department as directed.
Preview the form
The blank PDF straight from Middletown. 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 Middletown criminal-record release form?
- Fill in the requested personal information, then sign the permission form in front of a notary. The form authorizes the Middletown Police Department to obtain and release your criminal record.
- Do I need to sign this form in front of a notary?
- Yes. The form says the applicant’s signature must be witnessed by a notary and includes a notary-public seal and commission-expiration block.
- Can I use a commissioned online notary?
- Rhode Island authorizes remote online notarization under R.I. Gen. Laws §§42-30.1-12.1 and 42-30.1-12.2. Check with the receiving department if you are unsure whether it accepts an online-notarized form.
- Where should I send the completed form?
- The form authorizes the Middletown Police Department to send the record to the Town of Middletown HR Office. For questions about where to submit the form, confirm with the city or town clerk if unsure.