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Removal of Fingerprints Request

To Whom It May Concern:
Please be advised I would like my fingerprints and photographs 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 – send an email to dqs@haltonpolice.ca

Eligibility for Destruction

Withdrawn/Dismissal/Not Guilty	30 day waiting period from final court date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. RESULTS WILL BE RETURNED TO THE CLIENT ONLY.

Last Name:

First Name:

Middle Name:

Street Address:

Town/City:

Province:

Postal Code:

Date of Birth (yyyy/mm/dd)

Telephone Number:

Email Address:

Final Court Date:

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Withdrawn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)

Signature:

Clear

Date Completed

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Removal of Fingerprints Request