Rnc Form 062 PDF Details

Navigating the process for obtaining a Criminal Records Screening Certificate can seem daunting, but the RNC 062 form simplifies this task significantly. Required by individuals needing clearance for various reasons—such as employment, adoption, working or volunteering with vulnerable groups, and for certain travel or work abroad—this form is a crucial step in vetting and ensuring personal accountability. A non-refundable fee of $20 accompanies the submission to the Royal Newfoundland Constabulary (RNC) Cash Office, with the clear instruction that processing will take at least one week, excluding weekends and holidays. Applicants must present two pieces of valid identification, ensuring at least one is government-issued, embedding crucial details such as the applicant's name, date of birth, photo, and signature. The form also outlines personal responsibility in the disclosure of the certificate's results, emphasizing the importance of honesty in disclosing past convictions or legal prohibitions related to firearms or explosives. Furthermore, it sets the stage for a thorough review by possibly extending searches to include current investigations and pending charges, especially for applicants aiming to work or volunteer with vulnerable groups. Importantly, it also introduces a pathway for recourse should an applicant be denied a search certificate, underscoring the form's comprehensive approach to both applicant rights and societal safety.

QuestionAnswer
Form NameRnc Form 062
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescode of conduct nl online, letter of conduct nl, vulnerable sector check nl, rnc code of conduct

Form Preview Example

APPLICATION FOR

CRIMINAL RECORDS SCREENING CERTIFICATE

Please complete this form and submit with a $20.00 fee (non-refundable) to the RNC Cash Office, at 1 Fort Townsend off Parade Street. Interac is available for your convenience.

Cash Office is open from 9:00 - 4:30 weekdays. Summer hours are 9:00 – 4:00 weekdays.

Processing will take a minimum of ONE WEEK, excluding weekends and holidays.

An Applicant must provide: two (2) valid pieces of identification, one of which must be government-issued and include the Applicant’s name, date of birth, signature and photo.

SECTION 1

(a)I hereby request that a search of your records be conducted to determine if there are any criminal convictions or criminal findings of guilt related to me in your records.

(b)I hereby agree that no liability attaches to the Royal Newfoundland Constabulary in relation to this search. I further agree that the Royal Newfoundland Constabulary is not responsible for any inaccuracies resulting from the search.

(c)With the exception of SECTION 2 of this application, I understand that any certificate that may be issued in relation to the search is issued to me only for my own use. If I reveal the search certificate to any person or body I do so of my own free will. If I reveal the search certificate to any person or body, I agree to hold the Royal Newfoundland Constabulary harmless for any use that person or body makes of the information.

(d)The disclosure of any information resulting from this search is my responsibility.

Last Name:

 

 

 

 

 

 

 

Maiden Name:

 

 

 

Name (Proper birth names required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

Second

Third

Home Phone#

 

 

 

 

 

 

 

 

 

 

Work Phone #

 

 

 

Date of Birth:

 

 

 

 

 

 

 

 

City/Town and Province of Birth:

 

 

 

 

 

Year

Month Day

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Street Address:

 

 

 

 

 

 

City/Town:

 

 

 

Province:

 

 

 

 

 

 

 

 

 

 

Postal Code:

 

 

 

Gender:

 

Height:

 

 

Weight:

 

 

 

Eye Colour:

 

 

 

APPLICANT’S SIGNATURE:

 

DATE:

 

 

 

 

 

If you answer “yes” to any of the following question, please attach details.

1. Have you been convicted of any offence in Canada or the United States?

YES

0 NO 0

If yes, Details:

2. Have you ever changed your name?

YES 0 NO 0 Previous Name:

First Second Last

3.Have you ever been prohibited by any court from possessing any firearm, ammunition, or explosive substance?

YES

0 NO 0

If yes, Details:

RNC #062

 

Revised 20120906

Page 1 of 2

-2-

Searches will only be completed for the following purposes:

Please check the purpose(s) that apply to your request:

0

0

0

0

0

0

0

0

0

Required by statute or regulation:

Statute:

Regulation:

Required for foreign work or travel

Required by agency or group dealing with children, elderly, physically, or mentally challenged persons &

volunteers. (complete Section 2 below)

Required for adoption (complete Section 2 below)

Required for licence: Licence Type:

Required for education institution:

Education Institution:

Required for employment

Required for Pardon

Other

If you are a young person (under 18 years), you agree that you are making this application for disclosure of any record you may have pursuant to the YOUTH CRIMINAL JUSTICE ACT. Should you be denied a search certificate, you may, in writing, request a Criminal Record Screening Certificate Record Endorsement from Provincial Court. This Certificate will be subject to the same terms and conditions set out previously in this application.

SECTION 2

This Section is to be only completed by those applying to work or volunteer with agencies or groups dealing with children or young persons (under 18 years), elderly, physically or mentally challenged persons.

Name of Agency or Group:

 

 

 

 

 

 

 

 

Address:

 

 

City/Town:

 

 

 

Postal Code:

 

 

Contact Person:

 

 

 

 

Telephone:

 

 

Position volunteering for:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In making this application for a Criminal Record Screening Certificate, I agree to allow the Royal Newfoundland Constabulary to:

(a)extend the search to include current investigations and present and or pending charges;

(b)notify the institution or agency of any inability to obtain a Criminal Record Screening Certificate; and

(c)notify the agency or group representative of any present or pending charges against me.

Signature of Applicant:

 

Date:

(Sign only if completing Section 2)

 

**Please attach authorization letter for volunteer applications.**

Office Use Only

CPIC Check:

 

 

Court Check:

 

PIRS Check:

 

 

 

Other Check:

 

ICAN Check:

 

 

Certificate Number:

 

 

 

 

Receipt Number:

 

Signature Records Staff:

 

 

 

 

Date:

 

RNC Form #062

Page 2 of 2

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4. This next section requires some additional information. Ensure you complete all the necessary fields - This Section is to be only, Name of Agency or Group, Address, CityTown, Postal Code, Contact Person, Telephone, Position volunteering for, In making this application for a, extend the search to include, notify the institution or agency, notify the agency or group, Signature of Applicant Sign only, Date, and Please attach authorization letter - to proceed further in your process!

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