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Authorization release form

Waiver information 2026

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4.8 out of 5

85 votes

The document outlines the Waiver & Authorization for Release of Information required by the Michigan Commission on Law Enforcement Standards for individuals applying for employment with law enforcement agencies, enrollment in law enforcement academies, or licensing processes. It includes instructions for completing the form, sections for personal information and authorization to release background information, and emphasizes the confidentiality of certain data.

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Click ‘Get Form’ to open the Waiver & Authorization for Release of Information in the editor.
In Section A, type or print your Last Name, First Name, Middle Name, Suffix, Social Security Number, Date of Birth, Phone Number, Gender, Residence Address, Driver's License Number, Race, Highest Degree, Issuing State, and Email. Ensure all fields are filled accurately.
Proceed to Section B. Here, the hiring agency must enter their name in the provided space. Sign and date this section to authorize the release of your background information.
If you are a current or previously licensed officer, complete Section C by entering your former agency's name and signing it. This authorizes them to provide necessary records regarding your employment history.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (85 Votes)

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