Form B - Declaration Of Criminal Record printable pdf download

Form B - Declaration Of Criminal Record

FORM B – Declaration of Criminal Record

Applicants should not declare a conviction for which the applicant has received:

•

A Pardon in accordance with the Criminal Records Act

•

A conviction where the Applicant was a “young person” under the Youth Criminal

Justice Act

•

An absolute or conditional discharge pursuant to section 730 of the Criminal Code

•

An Offence for which the Applicant was not convicted

•

Any provincial or municipal offence

•

Any charges dealt with outside of Canada.

Declaration of Criminal Record does not constitute a Certified Criminal Record by the RCMP.

Declaration of Criminal Record may not contain all criminal record convictions. A certified

Criminal Record can only be issued by CCRTIS based on the submission of fingerprints to

the RCMP National Repository of Criminal Records.

I declare the following conviction(s) for offences under Federal Law.

Date of Sentence

Place of

Charge

Sentence

I hereby declare that the information provided on this form is true and correct to the best of

knowledge and belief. I acknowledge that this is not a Certified Criminal Record.

___________________________________

Signature of Applicant

Date

Form B - Declaration Of Criminal Record