Criminal History Record Check Authorization Form

Please fill in all required information below. All data fields with an * next to it are required fields and must be filled out.

Attention Delaware drivers, once all required fields have been completed, the system will automatically pull Gender, Height, Weight, Eye color, Residential and Mailing address from the State DMV system based on your driver’s license. Please click SUBMIT to submit your application.

All information provided for this request shall be used for a criminal history record check to process CDL endorsement request by the Delaware Department of Motor Vehicles. Click here to view School Bus "S" Endorsement Requirements and here to view information about State Bureau of Identification

Residential Address
Mailing Address
AUTHORIZATION TO RELEASE INFORMATION:

As an applicant I authorize release of any and all information that you have concerning me, including CRIMINAL HISTORY RECORD INFORMATION and other information of a confidential or privilege nature. I hereby release you, your organization, the State of Delaware and others from any liability or damage, which may result from furnishing this information:

NOTIFICATION:

If mandated by state statute, your fingerprints will be used to check the criminal history records of the FBI. You will be given the opportunity to complete or challenge the accuracy of the information contained in the FBI criminal history record by the official to whom you have authorized this information be disseminated.

By submitting this application, I agree with above conditions.

Date:9/24/2021

USE OF CRIMINAL HISTORY RECORD INFORMATION IS RESTRICTED BY LAW AND SHALL BE LIMITED TO THE PURPOSE FOR WHICH IT WAS GIVEN. MISUSE CONSTITUTES A CRIMINAL VIOLATION.