APPLICATION FORM – COMMISSIONER FOR OATHS
NEWFOUNDLAND LABRADOR
□
□
Date of Application: ____________________
New
Renewal
Surname: ______________________________ Given Name(s):
Home Address: ________________________ Town/City:
Prov.: ____________ Postal Code: _______________ E-Mail Address:
Occupation: __________________________________________________________________________
(If applicable, please include rank/title.)
Employer: ___________________________________________________________________________
Employer’s full mailing address: _________________________________________________________
_____________________________________________________________________________________
Phone Nos.: ___________________ (home) ________________________ (business)
Signature of Applicant
(Nos. 1 & 2 – New Applicants Only)
1. Briefly explain purpose for which appointment is being sought:
_________________________________________________________________________________
_________________________________________________________________________________
2. Two references required. Please list their names, addresses and telephone numbers:
(i.)
____________________________________________________________________________
____________________________________________________________________________
(ii.) ____________________________________________________________________________
____________________________________________________________________________
3. Renewal Applicants only – Certificate no.: ___________ Expiry Date: _____________________
4. Payment method:
Cheque
Money Order
Credit Card
In person at Central Cash
(a) Cheques or money orders should be made payable to the Newfoundland Exchequer. Payment
and completed applications should be forwarded to: Department of Justice & Public Safety, Attn:
Joann Duke, P.O. Box 8700, St. John’s, NL A1B 4J6.
(b) Credit card payments only – Payment may be arranged by contacting Central Cash at 729-3042.
The completed application may be mailed to the address noted above, or faxed to (709) 729-2129.
Receipt No.
Payment Date
.
(c) If payment is made in person at Central Cash, the application should be delivered to Civil
th
Division, Department of Justice & Public Safety, 4
Floor, East Block, Confederation Building.
5. Please note that the fee for new and renewal applications is $50.00.
6. All certificates will be mailed to your employer’s mailing address unless otherwise specified.
7. Processing time – Please allow 30 days from date of receipt at the Department of Justice &
Public Safety.
If further clarification is required, please call 729-0555. Thank you.