Form Bc 300 PDF Details

In order to ensure the safety of British Columbians, the provincial government has announced that all drivers will be required to have FORM BC 300 on hand while driving. The FORM BC 300 is a declaration of residency in B.C. that proves you are a legal resident of the province. Drivers without this form may be pulled over and questioned by police. The new requirement came about as a response to recent changes in immigration policy that have seen an influx of refugees crossing into Canada from the United States. Officials say the FORM BC 300 will help them track down illegal immigrants and keep our communities safe. If you're a driver in B.C., make sure you get a copy of FORM BC 300 today!

QuestionAnswer
Form NameForm Bc 300
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrequester census search, census bc pdf, bc 300, form bc 300

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FORM BC-300 (2-4-2016)

U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

CERTIFICATION OF IDENTITY

PRIVACY ACT STATEMENT

In accordance with 15 CFR Section 4.24(d), the U.S. Census Bureau requires you provide us with sufficient information

to identify you when you submit requests by mail or otherwise not in person under the Privacy Act of 1974, 5 U.S.C. Section 552a. We take this step to ensure that we do not wrongfully disclose the records of individuals who are the subject of U.S. Census Bureau systems of records. Providing this information is voluntary, however, if you do not provide it we will be unable to take action on your request. If you provide false information on this statement you may be subject to criminal penalties under 18 U.S.C. Section 1001 and/or 5 U.S.C. Section 552a(i)(3).

REQUESTER INFORMATION

1.

Full name of requester/

Last – Please print or type

First – Please print or type

 

Middle – Please print or type

 

 

Subject of record(s) sought

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place of Birth – Please print or type

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Current address

Address – Number and street – Please print or type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City – Please print or type

 

 

State

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address – Please print or type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Requester status

 

 

Self

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mark (X) appropriate box.

 

 

Guardian of individual whose record(s) is sought – Enclose copy of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

appointing document,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent of minor child whose record(s) is sought

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Information being

Please print or type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

requested – Please

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

describe in as much

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

detail as possible.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Declaration

 

I declare under penalty of perjury under the laws of the United States of America that the foregoing

 

 

 

 

is true and correct, and that I am the person named above, and I understand that any falsification

 

 

 

 

of this statement is punishable under the provisions of 18 U.S.C. Section 1001 by a fine of not

 

 

 

 

more than $10,000 or by imprisonment of not more than five years or both, and that requesting or

 

 

 

 

obtaining any record(s) under false pretenses is punishable under the provisions of 5 U.S.C.

 

 

 

 

552a(i)(3) by a fine of not more than $5,000.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Signature of Requester

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Authorization to

 

a. If you are authorizing information relating to yourself to be released to another person –

 

 

release information to

 

 

 

Please fill in the information below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

another person.

 

 

 

Name of authorized recipient – Please print or type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Use Only

b. Further pursuant to 5 U.S.C. Section 552a(b), I authorize the U.S. Census Bureau to release

the above-described information relating to me.

 

PA/FOIA Control #

Original Signature of Requester

Date

 

 

 

 

 

 

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Step no. 1 of filling in bc 300

2. Your next stage is usually to fill in all of the following blanks: Requester status, Mark X appropriate box, Information being, requested Please describe in as, Declaration, Self Guardian of individual whose, Please print or type, I declare under penalty of perjury, Original Signature of Requester, Date, Authorization to, release information to another, a If you are authorizing, Please fill in the information, and Name of authorized recipient.

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Part number 3 of submitting bc 300

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