Form DCF-2125 "Authorization for Local Police Records Search" - Connecticut

What Is Form DCF-2125?

This is a legal form that was released by the Connecticut State Department of Children and Families - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Connecticut State Department of Children and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DCF-2125 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Children and Families.

ADVERTISEMENT
ADVERTISEMENT

Download Form DCF-2125 "Authorization for Local Police Records Search" - Connecticut

1189 times
Rate (4.6 / 5) 71 votes
Department of Children and Families
AUTHORIZATION FOR LOCAL POLICE RECORDS SEARCH
DCF-2125
6/17 (Rev.)
Page 1 of 1
DATE:
TO:
Enter the Name and Address of Local Police Department:
FROM
DCF Worker:
Please Select DCF Office
DCF Office Address:
DCF Worker Phone #
I hereby authorize the Police Department to release information about police calls to my address or police
activity concerning me to the Department of Children and Families.
LAST Name
FIRST Name:
Middle:
BIRTH Name:
AKA:
DOB:
Place of Birth
Social Security Number:
Race
Ethnicity
Please Select One
Please Select One
Signature:
Date:
Please Return to:
(If different from above)
Please Select DCF Office
ATTN:
Department of Children and Families
AUTHORIZATION FOR LOCAL POLICE RECORDS SEARCH
DCF-2125
6/17 (Rev.)
Page 1 of 1
DATE:
TO:
Enter the Name and Address of Local Police Department:
FROM
DCF Worker:
Please Select DCF Office
DCF Office Address:
DCF Worker Phone #
I hereby authorize the Police Department to release information about police calls to my address or police
activity concerning me to the Department of Children and Families.
LAST Name
FIRST Name:
Middle:
BIRTH Name:
AKA:
DOB:
Place of Birth
Social Security Number:
Race
Ethnicity
Please Select One
Please Select One
Signature:
Date:
Please Return to:
(If different from above)
Please Select DCF Office
ATTN: