Victoria, VA · Lunenburg County
Authority of Release Information
This form authorizes the Town of Victoria to obtain an applicant’s personal, educational, residential, employment, and other records for official use, including employment consideration.
- 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 Authority of Release Information lets the Town of Victoria request records from schools, employers, residential management agents, criminal justice agencies, and individuals. The applicant directs record custodians to provide the information for the Town’s official responsibilities and releases them from liability related to complying. The form says providing information is voluntary, but incomplete information may affect employment consideration or continued employment with the Town.
Who needs it
An applicant asked to authorize the Town of Victoria to obtain records for official use, including consideration for employment or continued employment, should complete this form.
Why it needs a notary
The applicant signs before a notary, who completes the acknowledgment stating that the applicant personally appeared and acknowledged the signature.
How to get this notarized
- 1
Download the Form
Get the Authority of Release Information form from the Town of Victoria.
- 2
Fill In Your Details
Complete the applicant, contact, and other requested information.
- 3
Book an Online Notary
Arrange an online notarization with a commissioned online notary.
- 4
Sign on Video
Appear by video and sign the form before the notary completes the acknowledgment.
- 5
Submit to the Town
Return the notarized form to the Town of Victoria as instructed.
Preview the form
The blank PDF straight from Victoria. 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
- What does the Authority of Release Information authorize?
- It authorizes the Town of Victoria to request information about the applicant from schools, employers, residential management agents, criminal justice agencies, and individuals for official use.
- Do I need to sign this form before a notary?
- Yes. The form includes an acknowledgment for a notary and says the applicant personally appeared and acknowledged the signature.
- How do I complete this form online?
- Fill in the requested details, book with a commissioned online notary, and sign during the video session. Virginia is widely credited as the first state to authorize remote online notarization, effective July 1, 2012.
- Where do I submit the completed release?
- The form is for the Town of Victoria’s official use. Ask the Town how to return the completed form; confirm with the city, town, or county if unsure.