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-} . <br />REQUEST FOR INFORMATION <br />This form must be completed and notarized! <br />Name: <br />Address: <br />Age: <br />Social Security Number: <br />You are hereby authorized to release and give to the CITY OF NORTH OLMSTED <br />any information which is requested covering: <br />POLICE RECORDS <br />I hereby waive any privilege I may have to said information to the CITY OF NORTH OLMSTED. <br />Signature of Applicant <br />SWORN TO BEFORE ME AND SUBSCRMED IN MY PRESENCE THIS <br />day of <br />20 <br />Notary Public <br />This form is part of the North Olmsted Civil Service testing information request. <br />Test date is: (TESTING DATE LISTED HERE) <br />THIS PAGE MUST BE RETURNED IN YOUR APPLICATION PACKET <br />9 <br />