Records Release Requests

Records Release Requests

Complete this request form to submit your Authorization for Release of Records form to CDE. This electronic form replaces the need to mail the form to our office. You should keep the original form in your possession until after the request has been full-filled by our office.

Please note that the Authorization for Release of Records form that you will upload here, must be notarized.

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Attorneys - If you have a paralegal in your office, please list them where asked and we will be happy to coordinate with them. Your paralegal can make the request on your behalf using this online submission. We often work with paralegals in payments and how we transfer the documentation to your office.

What is the name of the applicant or credential holder?*

This is the name of the person you are requesting records on. If you are seeking records on yourself, enter your name here and in the Requestor's Name (next).

Requestor's Name*

Enter the name of the person submitting this request.

If you are a paralegal submitting this request on the behalf of an attorney, enter your name here. The Requestor's name on the Authorization for Release of Records form can either be you or the attorney you support.

Request is being made on behalf of a:*

If you are requesting the records on yourself, select "Self."

Select

Attorney/Paralegal eLicensing Account?*

To make this request process as efficient as possible, we will be setting up or confirming that you have an eLicensing account where payments can be made as well as instructions for retrieving the records.

Typically we work with a paralegal, but the account can be set up however you wish. This account only needs to be created one time and will be used from here on out for records requests.

Please select one from the following options. If you select option 1 or 2, we will collect some necessary information next.

Option 1: Please set up the account using our paralegal as the primary contact.

Option 2: Please set up the account using me as the primary contact.

Option 3: Either myself or our paralegal already has an eLicensing account under the name used here.

Or, I am not sure, can someone advise?

Title*

Your Name*

eMail Address*

This is or will be the email address that we will associate to your eLicensing account.

Phone Number*

This is or will be the phone number we will associate to your eLicensing account.

Phone

Business/School District Name and Mailing Address*

This is or will be the address we will associate to your eLicensing account.

eLicensing Account eMail*

We will notify you via email with an invoice for the total amount due for the records you are requesting. Payments will be made via your eLicensing account with a credit or debit card.

List the email address you have associated to your eLicensing account. We will only release records to you if this email matches this email address. If you need to update your email in your eLicensing account, login and update that BEFORE submitting this request.

Also, make sure that we have a current phone number to reach your regarding this request in your eLicensing account.

File Upload*

Upload the completed Authorization for Release of Records form here. Ensure that it has been notarized.

Drag and drop files here or

Send me a copy of my responses

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