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Online Police Clearance Form Template

Streamline Your Police Clearance Process with Our User-Friendly Template

Completing a police clearance application can be time-consuming and frustrating. This template is designed to help individuals and organizations quickly gather the necessary information for a police verification form, ensuring your application process is smooth and efficient. Enjoy benefits like easy online access, time savings, improved accuracy in submissions, and compliance with relevant regulations. You can use this live template to simplify your police clearance online application.

Use this Template (FREE) Live Preview
Full name (as shown on your primary ID)
Date of birth
Place of birth (city and country)
Nationality / citizenship
Previous legal names or aliases (if any)
Gender
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Email address
Phone number (with country code)
Preferred contact method
Email
Phone
Either
Primary ID number
Issuing country or authority
ID expiry date (if applicable)
Primary ID type
Passport
National ID card
Driver license
Residence permit
Birth certificate
Other
Please Specify:
Current residential address (include street, city, state/province, postal code, country)
Previous residential addresses for the last 5 years (include dates and countries)
Purpose of police clearance
Employment
Immigration or visa
Work permit
Volunteering
Adoption or fostering
Professional licensing
Study or education
Travel
Other
Please Specify:
Requesting organization or authority (if applicable)
Delivery mailing address (only if postal mail is selected)
Preferred certificate delivery method
Email (PDF)
Postal mail
In person pickup
Through requesting organization
Not sure
Have you ever been convicted of a criminal offense?
Yes
No
If yes, provide details (offense, date, jurisdiction, outcome). If no, write N/A.
Do you have any pending charges or ongoing investigations?
Yes
No
If yes, provide details. If no, write N/A.
If yes, provide details (certificate number, issuing authority, date). If no, write N/A.
Have you previously obtained a police clearance certificate?
Yes
No
I authorize the relevant authorities to collect, verify, and disclose my criminal record information for the purpose of this request.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Type your full name as your signature
Signature date
City and country of signature
I declare that the information provided in this form is true, complete, and correct to the best of my knowledge.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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paper art illustration depicting online police clearance form template design for FormCreatorAI article

When to use this form

Use this template as your police verification form to request a police record check from staff, contractors, tenants, or volunteers. It fits pre-employment screening, visa or immigration cases, adoption assessments, licensing, or campus placements. Applicants upload ID, list previous addresses, and consent to verification so you can validate identity and criminal history in one step. HR teams, recruiters, landlords, and registrars benefit from fewer errors and faster approvals. If you work with UK roles, pair it with a DBS Form. For agencies handling classified or restricted projects, add a Security clearance form to capture higher-level vetting. The result: accurate submissions that speed up decisions and reduce back-and-forth.

Must Ask Online Police Clearance Questions

  1. What is your full legal name (as on ID) and any previous names or aliases?

    Exact names ensure the search matches the correct person across jurisdictions. Including former names prevents missed records due to name changes.

  2. What is your date of birth and government ID number (passport or national ID)?

    DOB and an ID number distinguish applicants with similar names, reducing false matches. They also support reliable identity verification before the check.

  3. What are all residential addresses from the past 5 years, with move-in and move-out dates?

    Many police and court searches are location-based. A complete address history directs the request to the right authorities and time frames.

  4. What is the purpose of this request and who is the requesting organization?

    Stating purpose aligns the scope with legal and policy requirements. It also helps prioritize turnaround for employment, licensing, or visas.

  5. Do you consent to the criminal record check and data processing, and will you sign electronically?

    Explicit consent provides a lawful basis and audit trail for processing sensitive data. An e-signature confirms intent and reduces disputes about authorization.

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