Gun Barrel City, TX · Henderson County

Authority To Release Information Waiver

This waiver authorizes release of an applicant’s employment, military, credit, education, or medical records for official use by the Gun Barrel City Police Department or its authorized representatives.

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

This form authorizes the named recipient and its representatives to obtain specified records, and directs record custodians to provide them for official use. It also releases record custodians from liability related to complying with the request. An applicant completes it when asked to authorize a records check connected with an application; the form allows the release to be used within one year of its date.

Who needs it

An applicant asked to authorize access to employment, military, credit, education, or medical records for official use by the Gun Barrel City Police Department needs this form.

Why it needs a notary

The form has a sworn-to-and-signed-before-me jurat; the applicant signs before the notary, who completes the county, date, signature, seal, printed name, and commission-expiration fields.

How to get this notarized

  1. 1

    Download The Form

    Get the Authority to Release Information Waiver from the Gun Barrel City website.

  2. 2

    Fill In The Form

    Complete the recipient and applicant details requested on the waiver. Leave the notary section for the notarial appointment.

  3. 3

    Book An Online Notary

    Schedule a session with a commissioned online notary and have identification ready.

  4. 4

    Sign On Video

    Sign the waiver during the online session when directed by the notary, who completes the jurat.

  5. 5

    Submit To The City

    Return the notarized waiver to the city as instructed.

Preview the form

The blank PDF straight from Gun Barrel City. 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

What records does this waiver cover?
It authorizes release of employment, military, credit, education, and medical records, including related academic, attendance, personal history, disciplinary, and credit information.
How do I complete the information release waiver?
Fill in the applicant and recipient information, then sign the waiver before a notary. The notary completes the jurat and notarial fields, including the seal and commission expiration.
Do I need to sign the waiver in front of a notary?
Yes. The form includes a jurat stating it was sworn to and signed before a notary, so sign it in the notary’s presence.
Can I use an online notary for this form?
Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Ask the city whether it accepts this form notarized online; confirm with the city if unsure.

Authority To Release Information Waiver in other Texas cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Authority To Release Information Waiver?

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