Consent To Assume Internet/Email Identity
I,
_____________________________________,
hereby
voluntarily
authorize
______________________________________, to take over control of and use the “internet
identity” used by me in the social networking site __________________ (or) email account
_________________________. This will include all sending and receiving messages, opening
and responding to emails pertaining to ____________________________. The following are
the passwords and email addresses associated with my social networking and email sites
pertaining to this investigation.
___________________________ _________________________ ______________________
My internet service provider is: _______________________________________
I consent to the use of my (or child’s (name) ___________________________) presence on the
internet for any purpose relating to an official investigation by the above law enforcement
authority, including (but not limited to) sending and receiving e-mails, text, voice mail,
accessing stored information, and using and disclosing such communication or information. I
understand and acknowledge that by signing the consent form, I relinquish all present and
future claims to the use of these accounts. I understand that law enforcement authorities may
change the password(s) to this account so that I will no longer have access.
I give this consent freely and voluntarily, without fear, threats, coercion, or promises of any
kind. I have been advised of my right to refuse to allow the assumption of my (or my child’s)
phone, and I hereby voluntarily waive this right.
Signature_________________________
Witness__________________________
Name (printed)____________________
Name (printed)____________________
Date______________
Signature of Parent/Guardian___________________________
Name (printed)_____________________
Date___________