Minneapolis Police Department
Data Privacy Advisory
The Minnesota Data Practices Act requires that you be advised of the following information:
As an applicant for a
You may refuse to provide this information. However, should you refuse, our investigation cannot be completed and will result in your application not being processed.
The information you provide is public and will be used by the Minneapolis Police Department, License Inspection Unit and/or the Minneapolis Division of Licenses and Consumer Services, the Minneapolis City Council, and the general public.
Authorization for Release of Information
(Only print or type legibly)
This Authorization for Release of Information will expire two years from the date you signed it.
____I have read and understand the above data practices advisory.
Last Name First Name Middle Name
Also Known As ______________________________________Date of Birth: __________________________
Driver’s License Number _______________________________Expiration Date ________________________
Last updated Jul 22, 2020