Criminal Profile Template Details

Do you need to create a criminal report, but don't know where to start? Whether you're new to law enforcement or just looking for a better way to format your reports, a blank criminal report template can be a valuable tool. In this post, we'll provide an overview of what goes into a criminal report, as well as some tips for making the process easier. We'll also provide links to several different blank criminal templates that you can use as starting points.

Here's some information that will help you identify the time it takes to complete the blank criminal report template.

QuestionAnswer
Form NameBlank Criminal Report Template
Form Length2 pages
Fillable?Yes
Fillable fields53
Avg. time to fill out11 min 10 sec
Other namesblank criminal profile template, criminal records template, criminal file template, criminal report template

Form Preview Example

Personal History Summary and

Consent to Criminal Record Search

Liquor Control and Licensing Form LCLB004

INSTRUCTIONS:

After completing this consent form, please submit it, along with your application and other required documents, to the Liquor Control and Licensing Branch Head Office. You may complete this form at your computer, then print. If you are completing this form by hand, please print clearly using dark ink.

If you have any questions about completing this form, call the branch toll-free at: 1-866-209-2111.

LCLB forms and supporting materials referred to in this document can be found at: www.pssg.gov.bc.ca/lclb

Location of (proposed) licensed establishment, liquor manufacturer or liquor agency:

StreetCityProvince Postal Code

Legal Entity Name:

 

Licence or Job #:

 

 

 

 

 

 

 

 

(i.e. sole proprietor, partnership, private corporation, society)

(not applicable if application is not already in progress)

 

 

 

 

 

Full Name:

 

Gender (Please check): M

 

(last / first / middle)

 

F

BIRTHDATE:

(year / month / day)

Birthplace:

Last name at birth:

Other last names used:

Residence Address:

 

 

 

Have you used any other names? (Please check): Yes

No

 

 

 

If yes, please provide name details below:

 

 

 

 

 

 

First and middle names at birth:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other first and middle names used:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

City

Province / Country

Postal Code

Business Tel with area code:

Personal Tel with area code:

Business Fax with area code:

Business e-mail:

1.Do you reside in B.C. for the majority of the year (i.e., more than 6 months)? Yes If NO, please provide details of where you reside for the remainder of the year:

No

2.

Are you a permanent resident who has resided in Canada for less than the past five years? Yes

No

 

 

If yes, attach a copy of your "Record of Landing" (Form IMM1000, Permanent Resident Card or equivalent documentation), as

 

provided by Citizenship and Immigration Canada when you entered the country, and a statutory declaration signed by a lawyer,

 

Notary Public or Commissioner for Taking Affidavits stating that you have not been charged with, discharged, or convicted of a

 

criminal or drug/alcohol-related offence; or providing details of any past charges, discharges, convictions or sentences outside of

 

Canada. (For further information and to review a sample statutory declaration, refer to this LCLB web page:

 

 

http://www.pssg.gov.bc.ca/lclb/LLinBC/criminal_record_search.htm

 

 

3.

Are you either living outside of Canada or a refugee who has been in Canada for less than five years?

Yes

No

If yes, please attach a statutory declaration signed by a lawyer, Notary Public or Commissioner for Taking Affidavits stating that you have not been charged with, discharged or convicted of a criminal or drug/alcohol-related offence; or providing details of any past charges, discharges, convictions or sentences outside of Canada. To review a sample statutory declaration, refer to this LCLB web page: http://www.pssg.gov.bc.ca/lclb/LLinBC/criminal_record_search.htm

4. Have you ever held, or do you presently hold, an interest in a liquor licence?

Yes

No

If yes, provide details of licence(s) or application(s): date, location, name of establishment, licence type, current status, etc.):

(Attach a separate sheet to this application if additional space is required.)

5. Do you currently hold a Rural Agency Store appointment from the Liquor Distribution Branch (LDB)? Yes

No

 

 

 

 

LCLB004 (Last updated 15 May 2012)

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Personal History Summary and Consent to Criminal Record Search

Note: If you are submitting an application for an agent's or manufacturer's licence, please select “N/A” for questions 6 and 7. All other applicants must answer “Yes” or “No” for questions 6 and 7.

6.Have you agreed with anyone to sell the liquor of a manufacturer to the exclusion of another liquor manufacturer?

Yes

No

N/A

If yes, provide details:

 

 

 

 

 

 

 

 

7.Do you or your immediate family members have any association with, or financial interest in, a liquor manufacturer, a liquor

importer, or the agent of a liquor manufacturer/importer? Yes

No

N/A

If yes, provide details:

 

 

 

 

 

 

 

 

8.Have you entered into a Shareholder Agreement, Profit Sharing Agreement or other similar agreement with anyone not named in the

licence application? Yes

No

If yes, provide details (including percentage of interest shared with others):

 

 

 

 

 

 

9.Have you received any alcohol-related driving infractions in the past five (5) years in Canada or under the laws of any other country

or state? Yes

No

If yes, provide one of the following:

(a)For driving infractions in Canada, provide a copy of your driver's abstract (driving record) for the past five (5) years. For information on how to acquire a copy of your BC driver's abstract, visit www.icbc.com/driver-licensing/driving-record or call in Victoria 250-978-8300 or elsewhere in BC 1-800-950-1498. For information on how to acquire a copy of your driver's abstract for any other Canadian jurisdiction, contact that jurisdiction directly.

(b)For driving infractions outside of Canada, provide a statutory declaration signed by a lawyer, Notary Public or Commissioner for Taking Affidavits that details the infraction, the date and the sentence or fine. (if not required on Question 3) For further information and to view a sample statutory declaration, refer to this LCLB web page: http://www.pssg.gov.bc.ca/lclb/

LLinBC/criminal_record_search.htm

10.Have you ever been charged with, discharged or convicted of, a criminal or drug/alcohol related offence under the laws of any

country or the laws or bylaws of any provincial, state or local government? Yes

No

If yes, provide the following:

(i)a statutory declaration signed by a lawyer, Notary Public or Commissioner for Taking Affidavits providing details (i.e. date, disposition and sentence or fine, if applicable) of any charges, discharges, convictions or sentences inside or outside of Canada. For further information and to view a sample statutory declaration, refer to this LCLB web page: http://www.pssg.gov.bc.ca/ lclb/LLinBC/criminal_record_search.htm

(ii)a copy of your driver's abstract (driving record) for the past five (5) years. For information on how to acquire a copy of your BC driver's abstract please visit www.icbc.com/driver-licensing/driving-record or call in Victoria 250-978-8300 or elsewhere in BC 1-800-950-1498. For information on how to acquire a copy of your driver's abstract for any other Canadian jurisdiction, please contact that jurisdiction directly.

If you have been issued a driver's licence outside Canada in the past five (5) years, provide a statutory declaration signed by a lawyer, Notary Public, or Commissioner for Taking Affidavits that states you have or have not received any alcohol-related driving infractions in the past five years. If you have received any alcohol-related infractions, provide details of the infraction, the date, sentence or fine if applicable.

11.Attach a legible (colour preferred) photocopy of your driver's licence, passport or any other government-issued photo ID.

12.Attach completed "Consent for Disclosure of Criminal Record Information" form (RCMP GRC3584)

DECLARATION AND AUTHORIZATION

My signature below indicates I understand and acknowledge that :

1.All the information given is true and complete to the best of my knowledge. Section 15(2) of the Liquor Control and Licensing Act states "A person applying for the issue, renewal, transfer or amendment of a licence who fails to disclose a material fact required by the form of application or makes a false or misleading statement in the form of application, commits an offence."

2.If the Liquor Control and Licensing Branch grants a licence as a result of this application, it will be granted only to the person(s) named in the application, or to a private corporation containing the principal shareholders and executive officers named in the application or to a public corporation or society containing the executive officers named in the application.

3.My signature authorizes the Royal Canadian Mounted Police to inquire into, and determine whether or not I may have a criminal record and report their findings to the Liquor Control and Licensing Branch. If necessary, I will provide my fingerprints to verify whether or not I may have a criminal record.

4.I understand I must provide a copy of my driving record for the past five (5) years if requested by the general manager.

Signature of Individual:

 

Date signed:

 

 

 

 

 

 

 

Freedom of Information and Protection of Privacy Act - the information for a liquor licence is collected under the authority of the Liquor Control and Licensing Act (RSBC 1996, c.267, s.15). The information is collected for the purpose of determining your eligibility for a liquor licence. Information may also be used by the Liquor Distribution Branch to determine your eligibility to purchase liquor. If you have any questions about the collection, use or disclosure of this information, please contact the Liquor Control and licensing Branch.

LCLB004

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Personal History Summary and Consent to Criminal Record Search

How to Edit Blank Criminal Report Template

The printable criminal profile template filling out course of action is easy. Our PDF editor allows you to work with any PDF form.

Step 1: Choose the button "Get form here" to get into it.

Step 2: At the moment, you can update your printable criminal profile template. This multifunctional toolbar makes it possible to add, eliminate, change, highlight, and also perform other sorts of commands to the words and phrases and areas inside the file.

Fill in the printable criminal profile template PDF and enter the content for each section:

filling out criminal report template part 1

Note the necessary information in the area Street, City, Province / Country, Postal Code, Business Tel with area code:, Business Fax with area code:, Personal Tel with area code:, Business e-mail:, If NO, and If yes.

Filling in criminal report template stage 2

It is crucial to provide specific details in the space If yes, Do you currently hold a Rural, Yes No, (Attach a separate sheet to this, LCLB004 (Last updated 15 May 2012), and 1 of 2.

Entering details in criminal report template stage 3

In box Have you agreed with anyone to, If yes, Do you or your immediate family, Yes No N/A, If yes, Have you entered into a, If yes, and Yes No, specify the rights and responsibilities.

Filling in criminal report template part 4

Finish by reading the next sections and filling them out accordingly: Signature of Individual:, Date signed:, Freedom of Information and, LCLB004 Personal History Summary, and 2 of 2.

criminal report template Signature of Individual:, Date signed:, Freedom of Information and, LCLB004 Personal History Summary, and 2 of 2 fields to insert

Step 3: After you have hit the Done button, your form will be available for transfer to every electronic device or email address you identify.

Step 4: In order to avoid any sort of challenges in the long run, you will need to generate minimally two or three copies of your form.

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