Required fields are marked with asterisks (*)

Third Party Request for Removal of Fingerprints

To Whom It May Concern:
Please be advised I am requesting that my client's fingerprints and photographs be removed from the National Repository of Criminal Records for the following offence(s). I acknowledge that I will be notified in writing when the process has been completed. I understand that this process can take up to ONE YEAR.

This form is used ONLY for individuals who have NON-CONVICTIONS (not guilty). Individuals with any outstanding charges must wait for completion of court and a final disposition. Individuals with CONVICTIONS must apply for a Record Suspension (previously Pardon).

FEE: $33.90 PER REQUEST - NO REFUNDS WILL BE ISSUED

If you have questions before you apply, please send an email to dqs@haltonpolice.ca.

Eligibility for Destruction

Withdrawn/Dismissal/Not Guilty	60 day waiting period from final court date
Absolute Discharge	1 year waiting period from disposition date
Conditional Discharge	3 year waiting period from disposition date
Stayed	1 year waiting period from disposition date
Peace Bond	Must be expired
Firearm Prohibition Order	Must be expired

APPLICATIONS RECEIVED FROM THIRD PARTY COMPANIES REQUIRE A SIGNED AUTHORIZATION FROM THE CLIENT.

Business Information

Business Name

First Name

Last Name

Business Address

Town/City

Postal Code

Preferred Phone Number

Email Address

Consent Required - Please upload a PDF of the signed authorization or consent form by your client.

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Allowed extensions pdf

*If authorization is not received, the application will be automatically closed and not processed

Client Information

First Name

Last Name

Middle Name

Date of Birth (yyyy/mm/dd)

Home Address

City/Town

Postal Code

Preferred Phone Number

Sex

Male

Female

Other

Court Information

Final Court Date (yyyy/mm/dd)

Offence

What is your desired method of communication regarding your request?

Telephone

How would you like the decision delivered to you when complete?

Mail (Canada Post)

Please provide your signature in the box below.

Clear

Date Completed (yyyy/mm/dd)

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Third Party Request for Removal of Fingerprints

Business Information

Client Information

Court Information