Criminal Record Check (CRC)

Last Name     Given Name 1  
Given Name 2     Given Name 3  
Sex Date of Birth (YYYY/MM/DD)
Previous Last Name(s) Maiden Name  
* Failure to include all names ever used will result in longer wait times *
  Alias / Nickname  
             
Apt. No.     Address  
City     Province  
Country Postal Code
Tel. Number
(include area code)
    Applicant’s Email  
        Re-enter Applicant’s Email  
* This is how we will communicate with you.
Please check your inbox and junk folder *
             
Reason for Request    
Name of Organization   Description of Position 

** If you are not using an Ontario Drivers Licence or an Ontario Photo Identification Card,
you will also need to provide proof of Durham Region address (Bank statement, rental agreement, bill, paystub etc.).**

Photo Id Type    * MUST BE VALID *
Photo Id Number  
Other Id Type    * MUST BE VALID *
Other Id Number  
     
 
Please be advised that pick up options are no longer available. MAIL ONLY.
Divisional Pick-up Options

 
 
 
 
 
 
 
 
 
 
Note: No refunds will be issued    
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