CANADIAN FINGERPRINT AGENCY
A DIVIDISION OF NEW CANADA LIFE
DOCUMENT CHECKLIST
RCMP CERTIFIED CRIMINAL RECORD CHECK
(Applicant outside Canada)
This document checklist is one of the forms that you need to submit with your application. All listed documents are mandatory (except 4 and 6) Applicants are recommended to read the “Steps to Obtain RCMP Certified Criminal Record†and “Capturing Legible Fingerprints†in this package.
All documents in a language other than English must be translated. Provide both a photocopy of the document and the translation in English.
Important: If you do not provide all the requested information or documents, your application will be refused. You will need to re-submit your application with the missing information or documents.
Gather your documents in order of the checklist and check each item.
I have enclosed the following items:
FORMS LIST: The following forms must be completed, signed, and dated.
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1, The ORIGINAL of a full set of C-216C fingerprint forms taken and certified by the police / law enforcement agency / Consulate where the applicant resides.
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2, The ORIGINAL of the signed CFA 3rd party consent form
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3, The ORIGINAL of the signed RCMP 3rd party consent form
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4, The ORIGINAL of the signed Overseas fingerprint agent information form
DOCUMENTS LIST
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5, A passport size (50 mm X 70 mm) color photo taken within 30 days.
6, A photocopy of a request letter from the relevant Consulate / Immigration Authority / Government Authority
Canadian Fingerprint Agency
15 Wertheim Court, Suite 705
Richmond Hill, ON
Office: 1-905-771-8890
CANADIAN FINGERPRINT AGENCY
A DIVIDISION OF NEW CANADA LIFE
Steps to obtain RCMP certified Criminal Record
Step 1: Have your fingerprints taken
To have your fingerprints taken, you can go to your local police service / law enforcement agency / Consulate.
A full set of fingerprint form must contain:
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The impression of rolled of the applicant's each fingers, the plain impression of the four fingers of the applicant's left and right hand taken simultaneously, and the plain impressions of thumbs with BLACK ink
Certification of the fingerprints must clearly state:
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The name and rank of the person taking the fingerprints;
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The full name and the OFFICIAL STAMP police service / law enforcement agency / Consulate; and
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Where and when the fingerprints were taken;
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Applicant's signature witnessed by the fingerprinting officer who is fingerprinting you at the same time.
Note:
By signing, you certify that the information you have provided is complete, accurate and factual. Fingerprints Submitted that do not clearly show the certification will NOT be accepted
Step 2: Photograph Specifications
Size: 50 mm wide by 70 mm high(2 inches wide by 2¾ inches high)
Photographs must reflect your current appearance taken with a neutral facial expression (eyes open and clearly visible, mouth closed, no smiling).
*The back of the photograph must have:
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your name, date of birth, and your signature
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the date the photograph was taken (within the past thirty (30) days)
Processing Time:
After we receive your original fingerprinting documents, your application will be processed in 24 hours. The RCMP processing of criminal records can often completed within 2-3 weeks for someone without a criminal record.
CONSENT TO RELEASE INFORMATION TO A THIRD PARTY
CONSENTEMENT DIVULGUER DES RENSEIGNEMENTS UN TIERS
I, Je, {{firstName}} {{lastName}} (Full name of applicant) (Nom complet du demandeur) born, require a criminal record verification in order to obtain a n(e) le, demande la vrification de mes antcdents judiciaires en vue dâobtenir un(e)
(YYYYMMDD) (AAAAMMJJ)
(job {specify type}, visa, border crossing card, etc.) (travail {genre}, visa, carte de passage de la frontire, etc.)
I hereby authorize the Royal Canadian Mounted Police national repository of criminal records to release my Criminal Record Search Results to the following party.
J'autorise donc le dp´t national des casiers judiciaires de la Gendarmerie royale du Canada à communiquer les rsultats obtenus à la suite de la varification d'un casier judiciaire me concernant au particulier ou à l'organisme mentionnaci-apra¨s.
Name of individual / agency: CANADIAN FINGERPRINT AGENCY
Nom du particulier/Organisme :
3rd Party Address: 15 WERTHEIM COUR, SUITE 705
Adresse du tiers: RICHMOND HILL, ON, L4B 3H7, CANADA
I understand that I have the right to receive these results directly from the RCMP and that the assistance of a 3rd party is not necessary to obtain these results.
I have read and signed the Informed Consent document and understand my rights with regard to obtaining criminal record information.
Je sais que j'ai le droit d'obtenir ces résultats directement de la GRC et que l'assistance d'une tierce partie n'est pas nécessaire à l'obtention de ces rasultats.
J'ai lu et sign le document sur le consentement clair et je connais mes droits quant à l'obtention de renseignements sur le casier judiciaire.
DCN / NCD :
Applicant Signature: Signature :
This / Le day of / jour de ,
Finger / Doigt:
1
Royal Canadian Mounted Security Classification/Designation
Police Classification/ Désignation sécuritaire
Gendarmerie Royale du Canada
Case No.
THIRD PARTY CONSENT LETTER
IF YOU WOULD LIKE THE STATUS OF YOUR CRIMINAL RECORD VERIFICATION TO BE DIVULGED TO A THIRD PARTY, SUCH AS AN AGENCY, LAWYER, AND FRIEND OR FAMILY MEMBER ACTING ON YOUR BEHALF, YOU MUST PROVIDE WRITTEN CONSENT AUTHORIZING THE RCMP TO RELEASE YOUR STATUS INFORMATION TO THE INDIVIDUAL OR AGENCY INDICATED ON THIS LETTER.
ALL SECTIONS MUST BE COMPLETE FOR THE THIRD PARTY CONSENT TO BE VALID. YOUR INFORMATION (APPLICANT)
(PLEASE PRINT)
I, (LAST NAME) (FIRST NAME) (DATE OF BIRTH) (DCN)
GIVE THE CANADIAN CRIMINAL REAL TIME IDENTIFICATION SERVICES (CCRTIS) CUSTOMER SERVICES PERMISSION TO DIVULGE STATUS INFORMATION REGARDING MY CRIMINAL RECORD VERIFICATION TO:
YOUR THIRD PARTY’S INFORMATION
LAST NAME: ACCREDITED AGENT MS. LIAU
FIRST NAME: CYNTHIA
E-MAIL ADDRESS:
CANADIAN FINGERPRINT AGENCY
RELATIONSHIP, AGENCY, or LAW FIRM: 15 WERTHEIM COURT, SUITE 705, RICHMOND HILL, ON, L4B 3H7
APPLICANT'S SIGNATURE:
DATE:
CANADIAN FINGERPRINT AGENCY
A DIVIDISION OF NEW CANADA LIFE
OVERSEAS FINGERPRINT AGENT INFORMATION
This page shall be completed by the official taking the fingerprints.
Case No.
{{CaseNo}}
Name of Agency / Police Station |
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Address of Agency |
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Name of Person Being Fingerprinted |
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Signature of person Being Fingerprinted |
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ID Type #1 (example Passport) |
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ID Number |
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ID Type #2 (example - Driver's license) |
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ID Number |
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Name of Fingerprint Agent |
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I declare that I am a law enforcement officer or a private fingerprint agent accredited by my country's federal police and have received the appropriate training to do so. In addition, I declare that I have reviewed two pieces of government-issued identification documents and have verified that the individual whose name and signature appears below AND on the fingerprint form is the same person whose fingerprints I have just taken. |
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Signature of Fingerprint Agent |
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Date |
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