Criminal Record Request Form

Personal Information

Surname/FamilyName/OnlyName

First Name

Second Name

Date Of Birth

Please note: Applicants must be at least 14 years old.

Gender

Male Female

Email (Why this is Required?) ?

× We need your email to send you a link to book your appointment if you're not ready to book now. This link will be sent regardless, so you can schedule at a later time if needed.

Phone (Why this is Required?) ?

× The Phone is required to receive a PIN to book the appointment online.

Address Information

This address will be used for all people in this submission.

Google Address Lookup

Street Number

Street Name

Apt/Unit

City/Town

Province/State

Postal Code/ZIP Code

Reason for Application

Reason

Identification

You must provide 2 pieces of a VALID, Government issue Identification

Identification #1 Type

Identification #1 Number

Identification #2 Type

Identification #2 Number

You must bring the above Identification to your appointment.