6676e – Consent for Certified Criminal Record Checks – Other Purposes
Request DocumentJurisdiction: Country: Canada | Province/State: Federal
What is a 6676e – Consent for Certified Criminal Record Checks – Other Purposes?
This form gives the federal criminal records authority your written permission to run a certified criminal record check on you and to release the result. “Certified” means the check is based on your fingerprints, not only your name and date of birth. The form also lets you direct where the result goes, and for what purpose it may be used.
You use this form when a person or organization asks for a certified criminal record check for a purpose that is not a vulnerable sector check. Common purposes include employment, licensing, immigration, visas, foreign work permits, adoption, name changes, international volunteer placements, professional registration, or court-related matters. The form is standardized, so your consent is clear, traceable, and easy for the receiving authority to verify.
A certified criminal record check is the most reliable way to confirm identity. Name-only checks can flag false matches if you share a name or birth date with someone else. Fingerprints remove doubt. The system either confirms no record or reports criminal convictions held in the national repository, subject to disclosure rules. Youth records and record suspensions are protected and are not released except where allowed by law. Non-conviction police information is not part of a certified criminal record check.
Who typically uses this form?
You do, as the applicant. You sign to authorize the check. A fingerprinting agency or local police service helps capture your prints and forwards your application. Employers, licensing bodies, schools, and immigration authorities often ask you to complete it. Sometimes you also name a third party on the form to receive the result directly. That avoids you handling sealed results meant for the requester.
Why would you need this form?
Because no certified check can proceed without your informed consent. The federal privacy regime requires clear, purpose-specific consent to collect fingerprints and to disclose sensitive information. The form also helps you target the release. You can limit it to a single recipient and purpose. If another organization needs a copy later, you can sign a new consent tailored to that need.
Typical usage scenarios:
- You accept a job offer with a security requirement. The employer asks for a certified criminal record check. You complete this form, book a fingerprint appointment, and direct the results to the employer’s HR contact.
- A professional regulator wants a certificate for your licensing file. You consent and instruct the authority to send the results to the regulator.
- You are applying for a foreign work visa. The consulate requires a certified check. You complete the form and arrange for your fingerprints to be captured and submitted.
- You are changing your legal name. The provincial authority needs a certified check to rule out identity conflicts. You sign this form and have the results sent back to you or the authority.
This form is not a vulnerable sector check. That is a different process through local police. It also is not a general “police information check.” It is focused on the national criminal records database and depends on fingerprints to confirm identity.
When Would You Use a 6676e – Consent for Certified Criminal Record Checks – Other Purposes?
You use this form when a requester specifies a certified criminal record check, or when a name-based check produced a possible match and you need fingerprints to clear it. Many employers now write “certified criminal record check required” in conditional offer letters. Licensing bodies for security guards, real estate, finance, aviation, health, and trades often require certified results at first application or renewal. Colleges and universities may ask international students or clinical placement students for a certified check to meet partner site rules. Adoption agencies, name change authorities, and some court processes also rely on certified checks for identity assurance. If you have lived, studied, or worked outside Canada, a foreign government or consulate may ask for a certified check as part of immigration, residency, or work authorization.
If you have a common name, or your name matches someone with a record, a name-only check can be inconclusive. The organization may then ask you to provide a certified check to resolve the match. The fingerprint-based result will either confirm no record or confirm the record belongs to you. That protects you from delays and repeated screening.
Typical user
- Job applicants
- Employees moving to roles with higher trust
- Independent contractors on sensitive projects
- Business owners seeking permits
- Students entering clinical or co‑op placements
- Volunteers in non‑vulnerable roles
- Licensed professionals renewing credentials
- Individuals applying for visas, waivers, or name changes
Landlords rarely ask for certified checks, but some high-security residential settings may. If a landlord or private party asks, ensure the use is necessary and proportionate. You control where the result goes. You can direct it to yourself first and share it at your discretion unless the requester insists on direct delivery.
You also use this form if you need your own certified results for personal records or for legalization and authentication. Some international processes require you to submit a sealed certificate for apostille or legalization. The consent form lets you have the result sent to you so you can complete those steps. If your personal details changed recently, such as a name change, a certified check can demonstrate continuity of identity for banks or foreign authorities.
Legal Characteristics of the 6676e – Consent for Certified Criminal Record Checks – Other Purposes
This consent is legally binding because it authorizes the collection of your biometric and personal information and its disclosure for a defined purpose. It meets core consent standards: it is informed, specific, and voluntary. The form explains what will be collected, how it will be used, and to whom it will be released. Your signature and date show agreement. The fingerprinting process includes identity verification with government-issued ID. An official records the ID details, which supports the integrity of the consent.
Enforceability rests on clear identification, purpose limitation, and documented authorization. The form ties your identity to the fingerprints through biographical data and verified ID. It names the recipient and the purpose. It includes acknowledgements that you understand the use and limits. The submission creates a traceable record with control numbers. Only authorized collection sites can capture and submit your fingerprints. The federal repository rejects incomplete or non-compliant submissions. That control protects the system and your rights.
General legal considerations are practical. The consent covers one check for one purpose. It does not grant open-ended release. If you need to send the result to a different organization later, you complete a new consent. You can withdraw consent before submission or before the check is processed. Once the result is issued, withdrawal does not retract a release already made. If you are under the age of majority, a parent or legal guardian may need to sign. If you have a legal representative with proper authority, they can assist, but you must still be identified and fingerprinted.
The content of the result follows disclosure rules. Adult criminal convictions in the national repository can be disclosed. Absolute and conditional discharges drop off after set periods. Record suspensions are not disclosed, except in limited cases set by law that do not apply to this form’s “other purposes.” Youth records are protected. Non-conviction information and local police occurrences are outside the scope of a certified criminal record check. The report often states either that no record was found or that a record exists, with certified details where applicable. The format is standardized, and it includes a unique document number.
Your privacy rights apply. Your data is collected and used for the stated purpose. The form advises that results are released only to you or the named third party. Retention follows federal records management rules. You have a right to access your own information through established processes. If you believe the record is inaccurate, you can seek correction through the appropriate channels. If the check is for immigration or foreign purposes, the receiving authority may retain a copy under its local rules. Plan for that and keep a copy of your consent and submission details.
Finally, do not alter a result. Alterations void the certification. If an organization needs an original, make a fresh request. Some recipients accept certified electronic delivery. Others require a sealed paper certificate. The consent form lets you specify delivery preferences where available.
How to Fill Out a 6676e – Consent for Certified Criminal Record Checks – Other Purposes
Follow these steps to complete the form accurately and avoid delays.
1) Confirm the requirement
- Ask the requester to confirm “certified criminal record check” and not another type of screening.
- Get written instructions. Note any file number, deadline, and delivery preference.
- Decide whether the result should go to you or directly to the requester.
2) Gather your documents
- Prepare two valid IDs. One must be government-issued photo ID.
- Collect your full legal name, previous names, and aliases.
- List all current and prior addresses for the last five years.
- Have the recipient’s full mailing address and contact info.
- If you have a purpose letter, keep it ready to attach.
3) Complete the applicant information section
- Enter your legal surname, given names, and any middle names.
- List all previous names, maiden names, and common aliases.
- Provide your date of birth, place of birth, and sex/gender as requested on the form.
- Record your height, weight, eye colour, and hair colour if the form asks.
- Provide your current address, plus previous addresses for the last five years.
- Add your phone number and email for contact about the submission.
Tip: Use block letters if completing by hand. Match the spelling on your ID. Do not use initials unless your ID does.
4) State the purpose and recipient
- Select “Other Purposes” as the reason category.
- In the space provided, describe the purpose, such as employment, licensing, immigration, visa, adoption, or name change.
- Include any reference or file number supplied by the requester.
- Choose where the result should be sent. You can select “To Applicant” or “To Third Party.”
- If sending to a third party, provide the organization name, department, contact person, full mailing address, and email if electronic delivery is allowed.
Tip: Be specific. “Employment with ABC Corp, HR file 12345” is better than “employment.”
5) Read the privacy notice and consent clauses
- Review the clauses that explain how your information will be collected, used, and disclosed.
- Confirm that you understand the limits of the release and the single-purpose nature of the consent.
- If the form includes checkboxes to acknowledge specific statements, initial or tick them as required.
6) Verify identification
- Present your IDs to the fingerprint technician or police clerk.
- They will record the ID types, numbers, issuing authorities, and expiry dates on the form.
- They will confirm that your appearance matches the photo ID.
Note: You cannot self-verify. An authorized official must complete this part.
7) Provide fingerprints
- The technician will capture your fingerprints electronically or with ink.
- They will ensure quality and completeness. All fingers, rolled and flat, are usually required.
- The submission will be tagged with reason and transaction numbers that link to your form.
Tip: If your fingerprints are hard to read due to wear, moisturize your hands in advance and avoid hand creams on the day. The technician may take multiple attempts.
8) Sign and date the consent
- Sign within the designated signature box. Use your usual legal signature.
- Date the form. Your signature date should match the fingerprinting date whenever possible.
- If you are under the age of majority or lack capacity, your parent, guardian, or authorized representative signs in the designated space. Their relationship to you must be stated.
9) Complete the official-use section
- The fingerprinting site fills out its information: agency name, address, operator ID, and contact details.
- They will add the submission or control number that links your form to the fingerprint transaction.
- They will sign to certify that they verified your identity and captured your fingerprints.
You do not complete this section yourself.
10) Attach supporting documents
- Attach any letter that explains the purpose or lists specific instructions.
- For name changes, attach proof of former and current names if requested.
- If you need the result legalized or translated for a foreign process, note those needs for your records. The consent form itself does not perform those steps, but you may need the original certificate later.
11) Choose delivery method and pay fees
- Confirm whether the result will be mailed to you, emailed (if permitted), or mailed to a third party.
- Verify the mailing address format. Include suite or unit numbers and postal codes.
- Pay the required fees for fingerprinting and processing. Keep receipts.
12) Submit the package
- The authorized site will submit your fingerprints and form to the federal repository.
- They may give you a reference number. Record it. You can use it to confirm status later.
- You do not mail the form yourself unless instructed by the authorized site.
13) Track and receive the result
- Typical processing takes days to weeks, depending on volume and whether a record exists.
- If the recipient is a third party, confirm they received the result before your deadline.
- If you receive the result, store the sealed certificate safely. Do not alter it. Make copies if allowed.
14) If something is wrong
- If there is a spelling error or incorrect demographic data on the result, contact the fingerprinting site promptly. You may need to resubmit with corrected information.
- If you believe the criminal record content is inaccurate, ask about the correction process. You may need to supply court documents or other proof.
Common mistakes to avoid
- Leaving former names blank. This causes delays and false matches.
- Writing an incomplete recipient address. That leads to lost mail.
- Using nicknames instead of full legal names.
- Signing the form before final review and then making changes after signing.
- Submitting old forms or copies. Use a current original form and original signature.
Parties and roles
- You, the applicant, are the data subject and the consenting party.
- The fingerprinting site verifies ID, captures prints, and submits the package.
- The federal criminal records authority conducts the check and issues the certified result.
- The named third party, if any, receives the result for the stated purpose.
Schedules and attachments
- Treat your purpose letter and any special instructions as Schedule A.
- Treat proof of former names or identity documents as Schedule B.
- Treat delivery details or courier authorization as Schedule C if the requester requires it.
You do not need to label attachments as “schedules” on the form unless it provides those labels. This structure simply helps you organize your package. Keep a complete copy of everything you submitted, including your signed consent, ID list, receipts, and any reference numbers.
By completing these steps carefully, you give clear consent, protect your privacy, and speed up processing. The result will be ready for your employer, licensing body, or other requester without back-and-forth or missed deadlines.
Legal Terms You Might Encounter
- Consent means you give written permission to collect your fingerprints and release your certified criminal record results. This form captures that permission. Without your clear consent, the check will not proceed, and no results will be released.
- A certified criminal record check is a fingerprint-based search of the national criminal record repository. It confirms whether a record exists under your identity. The result is certified and linked to your fingerprints, which reduces the risk of mistaken identity.
- Name-based check refers to a search using only your name and date of birth. This form is not for name-only checks. It is designed for certified results that require fingerprints. If a third party asked for a name-only check, confirm the requirement before you proceed.
- Fingerprints in this context are flat or rolled impressions taken electronically or on paper. The prints confirm your identity against the national database. The form ties your consent to a specific fingerprint submission for a specific purpose.
- Identity verification is the process of confirming who you are using acceptable government-issued identification. It usually requires one piece with a photo and a second supporting ID. The details must match the identification you present and the information you write on the form.
- Third-party recipient is the person or organization you authorize to receive your results. You must name them on the form and give a complete delivery address. If you want results sent to you instead, say so clearly and include your own address.
- Purpose of check is the reason you need the certified result, such as licensing, employment screening, or foreign work permits. This form covers “other purposes,” not vulnerable sector screening or immigration-specific processes. State the purpose clearly and accurately in the space provided.
- Disclosure is the act of releasing your certified results to the recipient you named. Disclosure is limited to the scope of your consent. If you want your results shared with another party, you must give new consent.
- Retention and destruction refer to how long fingerprints and related documents are kept and when they are removed. The fingerprinting agency and the repository follow set retention rules. You can ask about their timelines and how destruction works after the check is complete.
- Revocation of consent means you withdraw permission after signing. You can ask to stop processing if the results are not yet released. If results were already disclosed, revocation will not pull them back, but it can stop any further release.
- A match or hit means the search found a record associated with the submitted fingerprints. A no-match result means no record was found. The certified document will state the outcome in clear terms.
- A document or transaction control number is a reference number tied to your fingerprint submission or request. It helps you track the status, confirm receipt, and follow up with the fingerprinting agency if needed.
FAQs
Do you need fingerprints for this form, or can you use only your name?
You need fingerprints. This consent supports a certified search that relies on fingerprints to confirm identity. Name-only checks use a different process and cannot produce the same level of certainty or certification.
Do you have to send results to a third party, or can you receive them yourself?
You choose the recipient. You can direct results to yourself or authorize a third party. Write the full legal name and delivery address of the recipient on the form. If you send results to yourself, confirm whether you must forward an original or a copy to the requesting organization.
Do you need to list previous names or aliases?
Yes. List all previous legal names, maiden names, and common aliases. This helps align your identity history with the fingerprint submission. Missing a prior name can cause delays or requests for more information.
How long is your consent valid?
Your consent applies to the specific purpose and fingerprint submission you authorize. It does not create open-ended permission. If you need a new check later or for a different reason, you will sign a fresh consent.
Can you use one certified check for multiple purposes?
You should not. This form ties your consent to one specific purpose and recipient. If another organization asks for a certified check, they may require a new submission with consent naming them and their purpose.
How long do results take?
Timelines vary based on volume, the fingerprint method, and whether a record is found. Electronic fingerprints tend to move faster than ink submissions. Plan for possible delays. Ask the fingerprinting agency for current estimates before you start.
What happens if you have a criminal record?
Your result will state whether a record is associated with your fingerprints. If there is a record, the certificate will reflect that outcome. The content of the record is not always included in the certified result. The recipient may ask for more steps based on their policy.
Can you fix an error in your result?
If you believe the result contains an error, contact the fingerprinting agency that processed your submission and provide your control number. You may need to submit supporting identification or updated fingerprints to resolve the issue. Ask about their correction process and timelines.
Can you withdraw your consent after signing?
You can ask to stop processing if your results have not been released. Contact the fingerprinting agency with your control number and request a halt. If the result has already been disclosed, withdrawal will not retract it, but it can stop any further release.
Do you need the original form, or is a copy fine?
Follow the instructions from the fingerprinting agency. Some will accept a clear, legible copy; others require a wet-ink original. If you are unsure, bring the original when you have your fingerprints taken.
Checklist: Before, During, and After the 6676e – Consent for Certified Criminal Record Checks – Other Purposes
Before signing
- Confirm the purpose. Make sure it fits “Other Purposes” and is not a vulnerable sector or immigration-specific check.
- Confirm the recipient. Get the exact legal name, department (if any), and delivery address.
- Gather ID. Bring two valid government-issued IDs, at least one with a photo.
- Collect personal details. Full legal name, previous names, date of birth, place of birth, current address, and recent address history.
- Get contact details. Your phone number and email address for status updates.
- Clarify delivery. Decide whether results go to you or a third party and how they should be delivered.
- Understand timelines and fees. Ask the fingerprinting agency about processing times and costs.
- Plan for fingerprints. Book an appointment if needed, and confirm whether electronic capture is available.
During signing
- Verify your legal name. Match it exactly to your primary ID, including middle names.
- List all prior names. Include maiden names, hyphenated surnames, and common aliases.
- Check date of birth and place of birth. Ensure they match your ID.
- Confirm address details. Current address is required; include unit numbers and postal codes.
- Specify the purpose clearly. Use concise wording that matches the requester’s instruction letter.
- Identify the recipient. Provide the full mailing address and any internal reference the recipient needs.
- Choose delivery to self or third party. Check the right box and initial where required.
- Review fingerprint details. If available, record the control number or transaction ID on the form.
- Sign and date. Use ink that is dark and permanent. Your signature must match your ID.
- Witness or official fields. If a witness or official must sign, ensure they complete their section fully.
After signing
- Submit the form with your fingerprints. Follow the fingerprinting agency’s intake process.
- Pay any required fees. Keep your receipt and the control number for tracking.
- Track your request. Use the control number to check progress with the agency.
- Inform the recipient. Let them know the check is underway and share the expected delivery window.
- Store a copy. Keep a clear copy of the signed form and any submission confirmation.
- Note retention timelines. Ask the fingerprinting provider how long they keep fingerprints and how destruction works.
- Plan for renewals. If your recipient requires an updated check later, note the renewal date and lead time.
Common Mistakes to Avoid 6676e – Consent for Certified Criminal Record Checks – Other Purposes
- Don’t forget to match your name to your ID. A missing middle name or a nickname can cause delays or rejection. Use your exact legal name as printed on your primary ID.
- Don’t mix up the purpose category. This form is for “Other Purposes.” If your request is for a vulnerable sector or immigration-specific process, you need a different path. Submitting under the wrong category can waste time and fees.
- Don’t leave out previous names. Missing a former surname or maiden name may trigger additional verification or resubmission. List all known variations used in official records.
- Don’t provide an incomplete recipient address. A missing unit number or postal code can lead to lost mail or returned results. Confirm the recipient’s full mailing details before you sign.
- Don’t sign before reviewing fingerprints and control numbers. If the fingerprint submission details are wrong or missing, tracking will be difficult. Confirm the transaction ID and keep your receipt.
What to Do After Filling Out the Form 6676e – Consent for Certified Criminal Record Checks – Other Purposes
- Submit the form with your fingerprints through an accredited fingerprinting provider. If electronic capture is available, it often reduces processing time. Bring two pieces of identification and your completed consent.
- Confirm delivery instructions before you leave. Make sure the provider records the recipient name and address exactly as you wrote them. If results should go to you, confirm whether they will arrive by mail or pickup.
- Keep the control number and your receipt. You will use them to follow up, verify submission, and check status. Store these with a copy of your signed consent.
- Notify the organization that asked for the check. Tell them the request is in progress and give an expected timeline. Ask whether they need a copy of your receipt or a reference number.
- Track progress at reasonable intervals. If the estimate was two weeks, check in after that point. Provide the control number when you contact the fingerprinting provider.
- Handle amendments promptly. If you realize you made a mistake, contact the provider right away. Minor typos can sometimes be corrected if processing has not advanced. Major changes may require a new consent and a fresh fingerprint submission.
- Plan for contingencies. If results take longer than expected, ask whether anything is missing or whether manual review is underway. Confirm that the delivery address on file is correct.
- Distribute or retain the result as required. If you receive the certificate, send it to the requesting organization in the format they require. If they want the original, use tracked mail and keep a scan for your records.
- Consider data hygiene. Once the process is complete, ask the fingerprinting provider about retention and destruction timelines. Keep only what you need for audit or renewal, and secure it appropriately.
- Prepare for renewals. If your check will expire under the recipient’s policy, note the date now. Schedule the next submission with enough lead time to avoid gaps in compliance.
Disclaimer: This guide is provided for informational purposes only and is not intended as legal advice. You should consult a legal professional.

