Many people applying for residency, work permits, immigration, or long-term visas are required to submit a Police Clearance Certificate or Criminal Record Certificate from the countries where they have lived. For individuals who have lived in or have records connected to Lithuania, this document is issued by the Information Technology and Communications Department under the Ministry of Interior of the Republic of Lithuania.
This article explains the purpose of the PDF application form, how to complete it correctly, payment details, and why most applicants download this file.
What Is the Lithuania Police Clearance Certificate?
A Police Clearance Certificate (PCC) is an official document that confirms whether a person has any criminal record registered in Lithuania. It is also referred to as an Extract from the Register of Suspects, Accused and Convicts.
This certificate is commonly required for:
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Residency permits in EU countries
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Immigration applications
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Work visas
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Study visas
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Permanent residency or citizenship applications
The certificate verifies your background and is often requested by immigration authorities, embassies, or foreign governments.
Purpose of the PDF Application Form
The PDF file that most users download is the official request form used to apply for:
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A Police Certificate, or
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An Extract from the Lithuanian Criminal Records Register
This form must be completed accurately and submitted to the relevant Lithuanian authority along with the required payment.
People usually download this PDF to:
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Apply from abroad
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Apply electronically
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Ensure their application meets official requirements
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Avoid delays or rejection due to incorrect formatting
Who Can Use This Form?
This application form can be used by:
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Foreign nationals
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Former residents of Lithuania
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Individuals applying from outside Lithuania
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Applicants who need the certificate for visa or residency purposes
The form can also be completed by a legal representative if the applicant cannot apply personally.
How to Fill Out the Application Form (Step-by-Step)
1. Applicant Information
You must enter your personal details clearly and in capital letters, including:
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Full name
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Residential address
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Phone number
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Email address
This information ensures that the authorities can contact you if clarification is required.
2. Certificate Request Details
In this section, you must specify whether you are requesting:
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A Certificate, or
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An Extract from the Register
Write clearly which document you are requesting to avoid processing errors.
3. Personal Data Section
You must provide:
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Full name and surname
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Personal code (if applicable)
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Date of birth
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Place of birth
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Previous surname (if applicable)
All information must match your passport or official documents.
4. Purpose of the Request
This section is mandatory and very important. You must clearly state why you need the certificate, for example:
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“For Portugal residency”
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“For employment”
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“For immigration purposes”
Providing a clear purpose helps authorities process your request faster.
5. Delivery Method
You can choose how you want to receive your certificate:
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By registered mail
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Personally from the department
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Electronically (recommended)
Most applicants select electronic delivery, as it is faster and internationally accepted.
6. Number of Copies
You must mention how many copies of the certificate you need. Some immigration authorities require multiple originals, so choose carefully.
7. SMS Notification (Optional)
You can request an SMS notification to be informed when your certificate is ready. This is optional but helpful for tracking progress.
8. Signature and Date
Finally, the applicant or authorized representative must:
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Sign the form
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Write the date and place of application
Unsigned forms may be rejected.

Payment Details and Fees
The application requires a government fee, which must be paid before processing.
Payment can be made by bank transfer using the following details:
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Beneficiary Name: Informatikos ir rysiy departamentas
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Company Identification Number: 188774822
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IBAN: LT317300010099475423
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Bank: AB Swedbank
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Bank Code: 73000
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SWIFT Code: HABALT22
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Payment Purpose: TP
Payment can also be completed through the Electronic Services Portal, which is convenient for international applicants.
Always keep your payment receipt as proof.

Why Most People Download This PDF
This PDF is essential because:
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It is the official government application form
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Incorrect or unofficial forms may be rejected
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It ensures compliance with Lithuanian legal requirements
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It helps applicants apply from anywhere in the world
Most applicants download it to avoid mistakes, delays, or rejections.
Download Application Form (PDF)
Important Notes for Applicants
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Always write in capital letters
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Ensure details match your passport
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Clearly mention the purpose of the certificate
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Keep a copy of the completed form and payment proof
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Electronic delivery is faster and more reliable
Final Thoughts
The Lithuania Police Clearance Certificate is a critical document for anyone applying for residency, immigration, or employment abroad. By downloading and correctly completing this PDF application form, applicants can ensure a smooth and efficient process.
This guide is designed to help you understand every section of the form and submit your request with confidence. Completing the form carefully will save time and help avoid unnecessary delays in your application.