Form CAS-25 (PD407-159) "Authorization for Release of Information" - New York City

What Is Form CAS-25 (PD407-159)?

This is a legal form that was released by the New York City Police Department - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the New York City Police Department;
  • 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 CAS-25 (PD407-159) by clicking the link below or browse more documents and templates provided by the New York City Police Department.

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Download Form CAS-25 (PD407-159) "Authorization for Release of Information" - New York City

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AUTHORIZATION FOR RELEASE
CAS - 25
OF INFORMATION
PD 407-159 (Rev. 02-17)
Character Assessment Section
235 E. 20th St.
New York, N.Y. 10003
Tel: (718) 312-4226
NY0303000
___________________________________
Date
AUTHORIZATION FOR RELEASE OF INFORMATION
I, _________________________________________, do hereby authorize the Veterans
Administration;United States Army; Navy; Air Force; Marines; Coast Guard; Military Reserves; all Law
Enforcement Agencies;City, State, and Federal Tax Bureaus; Welfare and Unemployment Services;
Credit Bureaus; Schools;Universities; Physicians; Hospitals and Institutions; all State, City and County
Civil Service Commissions; and all Federal, State, City and Local Courts, including those records relating
to a Youthful Offender Adjudication, including those pursuant to NYS CPL § 720.35; to furnish the New
York City Police Department with any and all available information and copies of records as well as
current and past civil service standings and the outcome of any investigations ongoing or discontinued
regarding me. This information will be used to determine my suitability for possible appointment as a
Police Offi cer or Civilian Employee with the New York City Police Department.
I authorize the New York City Police Department to make inquiry of my present and past employers
regarding my character, integrity, and reputation. (Make note if you do not wish to have your present
employer contacted, and provide an explanation below.)
I acknowledge by this authorization that I release you from any obligation or liability in the
disclosure of the contents of such fi les and the professional observations or opinions contained
therein.
Yes, you may contact my present employer.
No, I do not want my present employer contacted.
Explain:_____________________________________________________________________________
____________________________________________________________________________________
Note:
A photocopy of this authorization shall be considered as effective and valid as the original.
___________________________________
___________________________________
Signature of Applicant
Print Name
Sworn to me this _________________
day of _________________, 20 _____
_______________________________
Notary Public
AUTHORIZATION FOR RELEASE
CAS - 25
OF INFORMATION
PD 407-159 (Rev. 02-17)
Character Assessment Section
235 E. 20th St.
New York, N.Y. 10003
Tel: (718) 312-4226
NY0303000
___________________________________
Date
AUTHORIZATION FOR RELEASE OF INFORMATION
I, _________________________________________, do hereby authorize the Veterans
Administration;United States Army; Navy; Air Force; Marines; Coast Guard; Military Reserves; all Law
Enforcement Agencies;City, State, and Federal Tax Bureaus; Welfare and Unemployment Services;
Credit Bureaus; Schools;Universities; Physicians; Hospitals and Institutions; all State, City and County
Civil Service Commissions; and all Federal, State, City and Local Courts, including those records relating
to a Youthful Offender Adjudication, including those pursuant to NYS CPL § 720.35; to furnish the New
York City Police Department with any and all available information and copies of records as well as
current and past civil service standings and the outcome of any investigations ongoing or discontinued
regarding me. This information will be used to determine my suitability for possible appointment as a
Police Offi cer or Civilian Employee with the New York City Police Department.
I authorize the New York City Police Department to make inquiry of my present and past employers
regarding my character, integrity, and reputation. (Make note if you do not wish to have your present
employer contacted, and provide an explanation below.)
I acknowledge by this authorization that I release you from any obligation or liability in the
disclosure of the contents of such fi les and the professional observations or opinions contained
therein.
Yes, you may contact my present employer.
No, I do not want my present employer contacted.
Explain:_____________________________________________________________________________
____________________________________________________________________________________
Note:
A photocopy of this authorization shall be considered as effective and valid as the original.
___________________________________
___________________________________
Signature of Applicant
Print Name
Sworn to me this _________________
day of _________________, 20 _____
_______________________________
Notary Public