Affidavits
Affidavit Regarding Police Records Check
A sworn affidavit relating to a police records check — for example confirming identity or explaining a record for an employer, agency, or application. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
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Also known as
- Police Records Check Affidavit
- Background Check Affidavit
- Sworn Statement for a Records Check
+1 more names
- Affidavit for a Vulnerable Sector Check
Affidavit Regarding Police Records Check
WHEREAS, I acknowledge that in order to safeguard vulnerable populations, the ______, ______ mandates that all ______ students demonstrate the absence of criminal convictions or pending criminal charges by submitting a Canadian Police Records Check Vulnerable Sector Check (VSC).
AND WHEREAS, I have not been able to obtain a Vulnerable Sector Check (VSC) pertaining to my Canadian residence by the program's required date.
NOW THEREFORE, as a substitute for providing such a report, I, ______, of ______, solemnly swear that:
1. I have never faced charges for, nor been convicted of, any offence:
• under the Criminal Code (Canada);
• under the Food and Drugs Act (Canada); or
• under the Controlled Drugs and Substances Act (Canada)
2. I have never been charged with, nor received a pardon for, any sexual offence in any jurisdiction.
3. I have never entered into any undertaking or surety to keep the peace in any jurisdiction.
4. No Restraining Orders have ever been issued against me under either the Criminal Code (Canada) or the Family Law Act (Ontario).
5. There are no warrants or pending charges against me in any jurisdiction.
6. I am making this affidavit solely to temporarily satisfy my program's requirement regarding the absence of criminal or other convictions or outstanding charges, and for no other or improper purpose.
7. I will provide a Police Vulnerable Sector Check to ______, ______ Professionalism Office no later than ______. ______ retains the right to take action based on this check if the result is “not clear” in accordance with its Police Records Check Policy.
8. Should I fail to provide a Police Vulnerable Sector Check by ______, ______ retains the right to treat this as equivalent to a breach of the Professional Behaviour Code of Conduct for Undergraduate Learners, with the associated consequences.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Affidavit Regarding Police Records Check
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01Your Information
Full legal name
Program of study
Educational institution name
Affidavit Regarding Police Records Check
WHEREAS, I acknowledge that in order to safeguard vulnerable populations, the ______, ______ mandates that all ______ students demonstrate the absence of criminal convictions or pending criminal charges by submitting a Canadian Police Records Check Vulnerable Sector Check (VSC).
AND WHEREAS, I have not been able to obtain a Vulnerable Sector Check (VSC) pertaining to my Canadian residence by the program's required date.
NOW THEREFORE, as a substitute for providing such a report, I, ______, of ______, solemnly swear that:
1. I have never faced charges for, nor been convicted of, any offence:
• under the Criminal Code (Canada);
• under the Food and Drugs Act (Canada); or
• under the Controlled Drugs and Substances Act (Canada)
2. I have never been charged with, nor received a pardon for, any sexual offence in any jurisdiction.
3. I have never entered into any undertaking or surety to keep the peace in any jurisdiction.
4. No Restraining Orders have ever been issued against me under either the Criminal Code (Canada) or the Family Law Act (Ontario).
5. There are no warrants or pending charges against me in any jurisdiction.
6. I am making this affidavit solely to temporarily satisfy my program's requirement regarding the absence of criminal or other convictions or outstanding charges, and for no other or improper purpose.
7. I will provide a Police Vulnerable Sector Check to ______, ______ Professionalism Office no later than ______. ______ retains the right to take action based on this check if the result is “not clear” in accordance with its Police Records Check Policy.
8. Should I fail to provide a Police Vulnerable Sector Check by ______, ______ retains the right to treat this as equivalent to a breach of the Professional Behaviour Code of Conduct for Undergraduate Learners, with the associated consequences.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Overview
About this document
- 01
What is this affidavit?
It is a sworn statement connected to a police or background records check, such as confirming your identity or addressing information in a record.
It is sworn before a notary public or commissioner for taking affidavits.
- 02
When you might need one
It supports background and records checks.
- An employer or agency requires a sworn statement alongside a records check.
- You must confirm your identity for a check.
- You need to explain information for an application.
- 03
How to notarize a affidavit regarding a police records check in Ontario
After you fill in your affidavit regarding a police records check and download the PDF, do not sign it in advance. A sworn document must be signed in front of a notary public or commissioner for taking affidavits, who administers your oath or solemn affirmation first.
Minute Notary commissions your affidavit regarding a police records check online by secure video, under Ontario's remote commissioning rules (O. Reg. 431/20), or in person in Ottawa. Bring valid government-issued photo identification.
Good to know
Before you fill it in.
Short notes from our notary on this template. Worth a minute before you start.
- 01
Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.
- 02
Fill it in online for free and download a ready-to-sign PDF — no account required.
- 03
Sign in front of the notary, who administers your oath or witnesses your signature and applies the seal.
- 04
Notarize online by video across Ontario, or in person in Ottawa.
Frequently asked
Questions about the Affidavit Regarding Police Records Check
- What is this affidavit for?
- It supports a police or background records check — for example confirming your identity or explaining information for an employer, agency, or application.
- Does it replace the records check?
- No. The records check is issued by the police service; this affidavit supports it where a sworn statement is requested.
- Can I notarize it online in Ontario?
- Yes. You can complete it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
- What identification do I need?
- Bring valid government-issued photo identification so the notary can confirm your identity.
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Fill it out
Ready to sign?
Ready to create your Affidavit Regarding Police Records Check?
Fill it in online, then download a ready-to-sign PDF or an editable Word copy. This document must be signed in person. Not sure what the appointment involves? Read about the Statutory Declarations service first.
