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).

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Withdrawn/Dismissal/Not Guilty	60 day waiting period from final court date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

Signing Authority - Please upload a PDF of the signed authorization or consent form by your client

Browse…

Allowed extensions pdf

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

Section A The above offence(s) disposition was | Check all that apply

Peace Bond

Stayed

Not Applicable

For which I understand a $33.90 processing fee applies.

NOTE: Selecting an option other than Not Applicable will direct you to our online payment page.

Section B The offence disposition was | Check all that apply

Absolute Discharge

Conditional Discharge

Diversion

Not Guilty

Withdrawn

Dismissed

Unknown

If only dispositions in this area are checked, I understand there is no fee.

If it is found that the offence(s) were such that a fee would apply and payment was not submitted, you will be notified and the process will be stopped until the payment has been received

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)

Form Builder

Third Party Request for Removal of Fingerprints

Business Information

Client Information

Court Information