Milton, WV · Cabell County
Personal History Statement and Release Authorization
This sworn personal history statement and records-release authorization is for applicants submitting an original employment application to the City of Milton Police Department.
At a glance
- Issued by
- City of Milton · Milton, Cabell County, West Virginia
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- cityofmiltonwv.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- 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 form confirms that the applicant's personal history statement is correct and authorizes the Milton Police Department to review and disclose records, including education, financial, medical, and employment records. It states that the completed statement becomes part of the original application and that misrepresentation or omitted information may affect appointment or continued employment with the department.
Who needs it
Applicants for employment with the City of Milton Police Department use this form to certify their personal history statement and authorize a background records review.
Why it needs a notary
The applicant signs the sworn statement before the notary, who completes the subscribed-and-sworn jurat with the date, signature, seal, and commission expiration.
How to get this notarized
- 1
Download The Form
Get the City of Milton Police Department personal history statement and release authorization.
- 2
Complete The Statement
Fill in the applicant details and review the certification and records-release language.
- 3
Book An Online Notary
Arrange a remote notarization and check that the department accepts it.
- 4
Sign On Video
Sign and swear to the statement before the notary during the remote session.
- 5
Submit To The City
Return the completed form with your original application to the City of Milton Police Department.
Preview the form
The blank PDF straight from Milton. 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 personal history release?
- Complete the statement and applicant information, then sign before a notary. The notary fills in the jurat, date, signature, seal, and commission expiration.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat stating that the applicant signed and swore to the statement before the notary.
- Can I use an online notary for this form?
- West Virginia authorizes remote online and remote ink notarization by eligible notaries. A commissioned online notary must be separately registered to perform remote acts. Confirm the department accepts the notarized form before booking.
- Where do I submit the completed form?
- The form says it is part of the original application to the City of Milton Police Department. Confirm submission details with the department; confirm with the city or county clerk if unsure.