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
info@pacificfingerprintservice.ca . 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.

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.
2.

(ID type and number)

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

Right
Thumb
Index
Middle
Ring
Little
Left
Thumb
Index
Middle
Ring
Little

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

Applicants Phone #

Date

Applicants e-mail

Applicants Fingerprint

www.pacificfingerprintservice.ca
Toll Free 1-866-350-0999, Suite 417-15216 North Bluff Rd. White Rock, B.C. V4B 0A7

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

Pacific Fingerprint Services Inc.

Authorized Credit Card Usage Form
CREDIT CARD PAYMENTS:

At this time we accept VISA or MasterCard

There are no refunds given.
Mail, fax or e-mail this form to PFSI.

LEGAL NAME: (Surname) ________________________________________________________________________________________

(Given)______________________________________________________ (Middle)_____________________________________________

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: ( __________) ________________________________

www.pacificfingerprintservice.ca
Toll Free 1-866-350-0999, Suite 417-15216 North Bluff Rd. White Rock, B.C. V4B 0A7