Sample Consent Form*

Here is a sample consent form for individuals to grant law enforcement consent to view their social media profiles. This sample is adapted from Facebook Law Enforcement Guidelines to illustrate a working example.

Consent to Release Private Facebook Information

I, (LEGAL NAME), am an account holder with Facebook, Inc. My account name is (FACEBOOK USERNAME) and my login email address is: . I do hereby voluntary authorize Facebook to release the reasonably available data as check-marked below, from my Facebook account profile for the period of (mmdd/yyyy to mmldd/yyyy) or 2 years from present date.

I hereby indemnify Facebook, Inc. against all claims for damages, compensation and/or costs in respect to damage or loss to a third party caused by, or arsing out of, or being incidental to release of my data.

My data should be released to: (CONTACT NAME, PHONE NUMBER, FAX NUMBER, ADDRESS and E-MAIL
ADDRESS)

• Profile
• Status Updates
• Notes
• Mini-feed
• Shares
• Wallposts
• Deleted Wallposts
• Old (over 180 days) Wallposts
• Friends List
• Deleted Friends List (deleted by user)
• Groups
• Events
• Videos
• Recent IP Address Logins
• Applications
• Facebook Message Box
• Photos
  

_______________ ______________________
Affiant’s Signature Date

Notary Public/Individual Duly Authorized to Administer Oath: ____________________________