POLICE RECORD CHECK REVIEW DECLARATION
VOLUNTEER NAME: ___________________________________________________
VOLUNTEER POSITION:________________________________________________
It is a requirement of this position that a current Police Record Check (PRC) be witnessed. —
The PRC was witnessed and approved by:
Witness Name: ______________________________
(please print name)Witness Signature: ___________________________
Date: _____________________
WHEN YOU HAVE COMPLETED THIS FORM, PLEASE RETURN IT TO:
POLICE RECORD CHECK REVIEW DECLARATION
VOLUNTEER NAME: ____________________________________________________
VOLUNTEER POSITION:_________________________________________________
It is a requirement of this position that a current Police Record Check (PRC) be witnessed. —
The PRC was witnessed and approved by:
Witness Name: ______________________________
(please print name)Witness Signature: ___________________________
Date: _____________________
WHEN YOU HAVE COMPLETED THIS FORM, PLEASE RETURN IT TO: