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www.pacificfingerprintservice.ca Toll Free 1-866-350-0999 Suite
417-15216 North Bluff Rd. White Rock, B.C. V4B 0A7
Instructions for International Clients
1. Have your local police service or accredited fingerprint
agency take your inked fingerprints on the C-216C fingerprint form
below. The agency taking the fingerprints must place their official
stamp in the area designated Fingerprinting Agency/Department and
the official taking your fingerprints should print and sign their
name in the area designated Signature of Official taking
fingerprints.
2. Complete the PFSI Third party consent form including the
applicants biographical information. The Third
Party Consent form must have the applicants right thumb print in
the designated box, along with the signature of the applicant and
the name and address of the person or organization who is to
receive the results. If you want a confirmation receipt when your
fingerprint search is complete please include your email
address.
4. Include a passport style photo with your name, date of the
photo and your date of birth written on the
back of the photo. You can submit your photo directly to PFSI
electronically as a .jpg file to [email protected]
. Name the file using your full name and date of birth and the date
of the photo; ie. John Doe Dob 1985May25 taken 2013 May 25.jpg.
5. 1 x color copy of 2 x pieces of government issued
identification (front and back) certified as a true copy by
the police, notary public, lawyer or Canadian Consulate. One
piece of ID must have a clearly visible picture of the applicant on
it.
6. Complete the PFSI Credit Card Authorization for $147.00
unless otherwise directed. 7. Forward prescribed method of payment
and all the completed original documents to;
Pacific Fingerprint Services Inc. Suite 417
15216 North Bluff Road White Rock, B.C. V4B 0A7
* Incomplete documentation will delay the processing of the
application so please ensure these instructions are followed
precisely.
mailto:[email protected]
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www.pacificfingerprintservice.ca Toll Free 1-866-350-0999, Suite
417-15216 North Bluff Rd. White Rock, B.C. V4B 0A7
Consent to Release Personal Information (Third Party)
I, Full name of applicant
Date of Birth:
require a criminal record verification to obtain a; (Criminal
Record Suspension, Visa, Employment etc)
Identification Presented: 1.
(ID type and number) 2.
Ht: Wt: Eye Colour: Hair Colour: Race:
I understand that I have the right to receive these results
directly from the RCMP and that the assistance of a 3rd Party is
not necessary to obtain these results. I hereby authorize the RCMP
central repository of criminal records to release my Criminal
Record Search Results to;
Name of Individual/Agency
Address
City/Country/ Postal Code
I have read and signed this consent form and understand my
rights with regard to obtaining criminal record information.
Applicants signature Date
Applicants Phone # Applicants e-mail Applicants Fingerprint
Right
Thumb
Index
Middle
Ring
Little
Left
Thumb
Index
Middle
Ring
Little
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Acceptable Identification At least one of the following pieces
primary pieces of identification must be provided, along with a
secondary I.D. One of the documents must include the applicants
signature: Acceptable Photo Identification Drivers Licence (issued
by Canadian province or territory) Foreign Drivers Licence Canadian
Passport Foreign Passport Canadian Citizenship Card Permanent
Resident (PR) Card Certificate of Indian Status Firearms
Acquisition Certificate (FAC) Canadian National Institute of the
Blind (CNIB) Identification Card Federal, Provincial or Municipal
Identification Card Military Family Identification Cad (MFID) Note:
Birth Certificates, Health Cards (issued by Canadian Province or
territory) and Social Insurance Number (SIN) are not acceptable as
a primary piece of identification but may be submitted as a
secondary piece of identification.
www.pacificfingerprintservice.ca Toll Free 1-866-350-0999, Suite
417-15216 North Bluff Rd. White Rock, B.C. V4B 0A7
http://www.pacificfingerprintservice.ca/
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Pacific Fingerprint Services Inc.
Authorized Credit Card Usage Form
At this time we accept VISA or MasterCard There are no refunds
given. Mail, fax or e-mail this form to PFSI.
CREDIT CARD PAYMENTS:
LEGAL NAME: (Surname)
________________________________________________________________________________________
(Given)______________________________________________________
(Middle)_____________________________________________
www.pacificfingerprintservice.ca Toll Free 1-866-350-0999, Suite
417-15216 North Bluff Rd. White Rock, B.C. V4B 0A7
I authorize the use of the following credit card to cover
Pacific Fingerprint Services Inc. fees as follows:
TYPE OF CARD: VISA MasterCard
CREDIT CARD NUMBER:
____________________________________________________________________________________________
EXPIRY DATE: (month)_______/ (year) ________ CARDHOLDERS NAME
(exactly as shown on card):
_____________________________________________________________________________________________________________________
I hereby authorize the following amount to be applied against
this credit card $______________________.
Signature of Cardholder:
____________________________________________________________________
Date Signed: ________________________________ CARDHOLDERS PHONE
NUMBER: ( __________) ________________________________
http://www.pacificfingerprintservice.ca/
