Madison, WI · Dane County
Consent for Release of Confidential Juvenile Records
This form authorizes the Madison Police Department to release an applicant’s juvenile and other records to the Madison Alcohol License Review Committee for review of an alcohol license application.
- 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 gives the Madison Police Department and its records custodians permission to share the signer’s records, including juvenile investigations and arrests, with the Madison Alcohol License Review Committee and its members and staff. A person applying for a city alcohol license uses it to authorize that review. The form also includes statements about consent, confidentiality, and responsibility for releasing the records.
Who needs it
A person applying for a Madison alcohol license who must authorize release of confidential juvenile and other records to the city’s review committee needs this form.
Why it needs a notary
The form includes a jurat stating it was subscribed and sworn before a notary; the person authorizing release signs in the notary’s presence.
How to get this notarized
- 1
Download the Form
Get the Consent for Release of Confidential Juvenile Records form from the City of Madison.
- 2
Fill In Your Information
Complete the identifying details and the alcohol license type. Wait to sign until you meet with the notary.
- 3
Book an Online Notary
Schedule an online notarization with a commissioned online notary and have your identification ready.
- 4
Sign on Video
Join the video session and sign the form before the notary, who completes the jurat.
- 5
Submit to the City
Send the notarized form to the City of Madison as directed for your alcohol license application.
Preview the form
The blank PDF straight from Madison. 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 juvenile records release form?
- Fill in your identifying information and license type, then sign the form before a notary. Submit the completed form to the Madison Alcohol License Review Committee as directed by the city.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a jurat stating that it was subscribed and sworn before a notary, so sign it during the notarization.
- Can I notarize this form online?
- Wisconsin permits remote online notarization for eligible documents through a commissioned online notary. Check with the City of Madison about its submission requirements; confirm with the city or village if unsure.
- What records does this form authorize the city to review?
- It authorizes the Madison Police Department and its records custodians to release records about the signer, including juvenile investigations and arrests, to the Madison Alcohol License Review Committee and its members and staff.