Form CJSTC 58 at a glance
What it is: Form CJSTC 58 is the Authority for Release of Information (Background Investigation Waiver) of the Florida Department of Law Enforcement.
Notary: The notary lines are STATE OF, COUNTY OF, day of, year, By, Print, Type, or Stamp Commissioned name of Notary Public, Personally Known OR Produced Identification, and Type of Identification Produced.
Having made application for certification or employment as a law enforcement, correctional, or correctional probation officer within the state of Florida, you authorize for one year, from the date of execution, any authorized representative of a Florida criminal justice agency or a Regional Criminal Justice Selection Center bearing this release to obtain any information pertaining to your employment, credit history, education, residence, academic achievement, personal information, work performance, background investigations, polygraph examinations, any and all internal affairs investigations or disciplinary records, including any files that are deemed to be confidential and/or sealed.
A filled-in Form CJSTC 58 example: an applicant authorizes a background check
How to fill out Form CJSTC 58, box by box
The applicant and the agency requesting background information
Enter the APPLICANT'S NAME, DATE OF BIRTH and LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER, then the AGENCY REQUESTING BACKGROUND INFORMATION and its ADDRESS.
Military records release
Enter after "to:" the one to which the National Records Center, St. Louis, Missouri, or other custodian of your military record is authorized to release information or copies from your military personnel and related medical records, including a copy of your DD 214, Report of Separation, or other official documents from the United States Military denoting discharge status or current active military status.
Applicant's signature, date and address
Enter the Applicant's Address. The Applicant's Signature and Date are sworn to (or affirmed) and subscribed before the Notary Public by means of Physical Presence OR Online Notarization.
More rules for Form CJSTC 58
You also authorize release of any criminal justice records of arrests, citations, detentions, probation and parole records, or any police reports or other police records in which you may be named for any reason, including any files that are deemed to be juvenile and confidential. You direct release of this information upon the request of the bearer, whether in person or by correspondence. You further authorize the bearer to make copies of these records.
Common questions about Form CJSTC 58
What is a CJSTC 58 form?
Form CJSTC 58 is the Authority for Release of Information (Background Investigation Waiver) of the Florida Department of Law Enforcement. This release is executed with the full knowledge and understanding that these records and information are for the official use of a Florida criminal justice agency or Regional Criminal Justice Selection Center in fulfilling official responsibilities, which may include sharing the records or information with other criminal justice agencies, Regional Criminal Justice Selection Centers or the State of Florida or release to third parties as may be required by Florida public records laws. A copy of this form will be as effective as the original.
Does it need a notary?
The OATH, pursuant to Section 117.05(13)(a), Florida Statutes, is sworn to (or affirmed) and subscribed before a Notary Public - State of Florida by means of Physical Presence OR Online Notarization.
Sources
[1] Form CJSTC 58 (3/2025), Authority for Release of Information (Background Investigation Waiver), Florida Department of Law Enforcement (the Official source link on this page).