This service benefits clients needing an RCMP certified background check that are currently living overseas.

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1 Commissionaires BC is able to create applications for Criminal Record Checks which we can submit to the RCMP for processing. Criminal Record Checks are processed through the National Canadian Police Information Centre (CPIC) database, providing results in as fast as 48 hours, with results being mailed to anywhere in North America in as little as a week. Information is collected and disclosed according to section 29(1) and 32 of the Municipal Freedom of Information and Protection of Privacy Act and the Police Services Act, R.S.O. 1990, c.p.15. This service benefits clients needing an RCMP certified background check that are currently living overseas. Step 1 CPIC Form The CPIC (Criminal records check form) must not be altered. All forms will be filled out and signed in the presence of a Canadian Embassy official. If a Canadian Embassy/Consulate is not located in your vicinity, a local notary and/or lawyer will suffice. Form provided on page 3. NOTE: we cannot process the transaction if there is no signature AND printed name. Step 2 Identification A) Include notarized photocopies of both sides of TWO pieces of valid government-issued identification. At least ONE must bear a photograph. B) All photocopies of documentation must have the notary/embassy seal affixed Examples of identification which can be used: - Passport - Citizenship card or permanent resident card - Immigration document (i.e. landing papers) Expired documents are not acceptable. List of acceptable identification on page 4. 1

2 Step 3 3 rd Party Waiver If you would like results to be via courier or to any address other than your home address, complete the 3 rd party waiver and place your left thumbprint in the box provided. This authorizes the RCMP to send results to our office, enabling us to courier the results to you or any other requested address via FedEx at cost. Form provided on page 5. Step 4 Payment Authorization Our processing fee is $99.00 CAN plus taxes. The only acceptable form of payment will be MasterCard or Visa and will be charged to your account prior to shipment. Form provided on page 6. Step 5 Return Address The certificate issued from RCMP will be couriered along with all documents to the address provided. The credit card information provided will be used for the return courier fees. Form provided on page 7. Step 6 Courier all documents to: Commissionaires BC Fingerprinting Services Howe Street Vancouver, BC V6C 2T5 Canada Telephone Ext 2354 NOTE: Please ensure that documents are couriered and not sent by Regular Mail, as the package will contain your highly sensitive and confidential information. Additional Information: Commissionaires BC will not accept responsibility in any way if the any documents supplied by the client for processing are incomplete or altered. Please take care to follow instructions, as incomplete documents will delay the process 2

3 Application for Police Record Check Current Date: (MM/DD/YYYY) Commissionaires Division: Serial Number: Name of Commissionaire/Corps Number: Reason for Police Record Check: Name of Applicant: Surname: Given Name 1: Given Name 2: Maiden Name (if applicable): Date of Birth: (MM/DD/YYYY): Place of Birth: (City/Province/Country) Current Address: Address (Street No., Apt): City/Town: Province/State: Postal/ZIP Code: Previous Address: Address (Street No., Apt): City/Town: Province/State: Postal/ZIP Code: Personal Appearance: Eye Colour: Hair Colour: Sex (M/F): Height: Weight: Complexion: Consent for Disclosure of Criminal Record Information: I hereby authorize the Charlottetown Police Services to conduct a CPIC search of the National Repository for Criminal Records in Canada for criminal convictions and/or outstanding criminal charges pertaining to me for the purpose of obtaining a Police Clearance for the reason mentioned above. I also authorize the Charlottetown Police Services to release the results of this check directly to Commissionaires. Signature of Applicant: Date: (MM/DD/YYYY) Phone No. Consent for Disclosure of Criminal Record Information to a third party. I authorize the office of Commissionaires to disclose the results of this CPIC check directly to: Surname: Given Name: Title (if applicable: Address (No. Street, Apt): City/Town: Province/State: Postal/ZIP Code: Address: Phone No. (include area code): Fax Number (include area code): Signature of Applicant: Date: (MM/DD/YYYY) For completion by contributing agency: Identification Presented: ID Number: Photo (yes/no): Identification Presented: ID Number: Photo (yes/no): Method of Delivery: Signature of Official: Date (MM/DD/YYYY): For completion by Police Department conducting records check. Type of check conducted: CPIC (Name and date of birth only). No record found: Fingerprints required: Data Entry Operator initials: 1

4 Acceptable Forms of Identification Identification required for digital fingerprinting and CPIC police checks are: Two pieces of Federal, Provincial or Municipal identification (must have photograph) Photo Identification (Primary ID): *Must provide full name and date of birth Non-Photo Secondary Identification (Secondary ID) *Must provide full name and date of birth Provincial Drivers License Government Employment Card Military Service Card Military Family Identification Card (MFID) National Defense Record of Service Card Age of Majority Card (BCID) Indian Status Card International Student Card Permanent Resident Card Firearms Acquisition Certificate Canadian Citizenship Card BCID Card Canadian Passport Nexus Card Birth Certificate Baptismal Certificate Hunting License Fishing License Government Issued Marriage Certificate Provincial Vehicle Registration Outdoors Card Hospital Admission Card Canadian Blood Donor Card Canadian Immigration Documents University/College Student ID BC CareCard (number covered) Ontario Health Card (number covered) Note: Social Insurance Number (SIN) cards cannot be accepted as a form of identification. Visit our website at:

5 Third Party Waiver: I, (full name), born (MM/DD/YYYY), hereby authorize the Royal Canadian Mounted Police central repository of criminal records to release my Criminal Record search results to the following third party: I fully understand that I am entitled to receive this information personally, and my refusal to consent to disclosure of this information to the above person or company will not have any negative consequences on my request. Signature: Date: Place LEFT thumbprint in the box above (flat impression) Commissionaires BC Fingerprinting Services Howe St. Vancouver BC, Canada, V6C 2T Ext

6 Payment Authorization Credit Card Type (please select one option): MasterCard Visa Name of Cardholder: Credit Card Number: Expiration Date: CVD (3 or 4 digit verification number): I authorize Commissionaires BC to charge the processing fee of $99.00 CAD (plus GST) and all appropriate shipping fees. I authorize submission of my application to the Charlottetown Police. Signature: Date: 4

7 Return Address Upon Commissionaires BC receiving your RCMP certified document, please confirm the return address, which will be sent by courier at your cost. Name: Address: City: Postal Code: Country: Phone #: 5

8 Checklist: Completed CPIC Form Third Party Consent Form Notarized copies of 2 pieces of valid identification Payment Authorization Form Return Address form 6