Burrillville, RI · Providence County
BCI Waiver Authorization
This form authorizes the Burrillville Police Department to obtain an applicant’s criminal record and release the information to a company, firm, or individual named by the applicant.
- 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
This one-page form directs the Burrillville Police Department to obtain the applicant’s criminal record from the Rhode Island Bureau of Criminal Identification. It also authorizes the department to release that information to a company, firm, or individual identified on the form, and includes the applicant’s waiver of claims related to the release. Use it when making this authorization to the department.
Who needs it
An applicant who wants the Burrillville Police Department to obtain their criminal record and release it to a company, firm, or individual should complete this form.
Why it needs a notary
The form includes a subscribed-and-sworn jurat; the applicant signs before the notary, who completes the jurat and commission-expiration fields.
How to get this notarized
- 1
Download The Form
Get the BCI Waiver Authorization from the Burrillville town website.
- 2
Fill In The Form
Enter your applicant details and the company, firm, or individual authorized to receive the information.
- 3
Book An Online Notary
Arrange an online notarization before signing the sworn form.
- 4
Sign On Video
Sign the form while connected with the notary, who completes the jurat.
- 5
Submit To The City
Send the completed authorization to the Burrillville Police Department.
Preview the form
The blank PDF straight from Burrillville. 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 and submit the BCI Waiver Authorization?
- Fill in your personal details and the recipient’s company, firm, or individual information. Sign before a notary, then submit the completed form to the Burrillville Police Department.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat, so sign it before the notary and have the notary complete the notary information.
- Can I sign the form with an online notary?
- Rhode Island permits a commissioned online notary to notarize for a remotely located individual under R.I. Gen. Laws §§42-30.1-12.1 and 42-30.1-12.2. Check that the receiving office accepts the completed form.
- What if I’m unsure where to submit the form?
- The form directs the applicant to authorize the Burrillville Police Department to obtain and release the criminal record. Confirm submission instructions with the city or town clerk if unsure.
BCI Waiver Authorization in other Providence County cities
Each city publishes its own version of this form. Pick the city where you’re filing.