REQUIREMENT FOR COMPLETION: In accordance with the Security Policy for the Government
of Canada, both the requirement for and the processing of a personnel
security screening action must be based on a specified need. As
such, please do not initiate the completion of this or any other security
screening form unless this need has been identified by the federal
government department/agency that requested you to complete them.
NOTE: This form has been developed in such a way that it allows you to fill in all the
necessary information using your computer. It should be noted however, that to
comply with privacy concerns and safeguard against the inadvertent retention of
personal information within a non-secure security screening database, you will
not be able to save or return to a partially completed version of
this form. As such, prior to attempting to complete this form, it is critical
you pay special attention to obtain both the information required and carefully
read the instructions provided. Failure to do so will only result in the need to
re-key of previously entered data. If necessary, please contact your security
office for specifics.
For security reasons and to ensure that your own privacy rights are being
safeguarded, security forms available on our Treasury Board Secretariat web-site
can not be electronically sent. As such, please print and mail or hand carry
completed forms to the federal government department/agency that requested you
complete them.
This document is available in Adobe Acrobat format. If you do not
have an Adobe Acrobat Reader or you are unfamiliar with Adobe Acrobat, refer to
the generic
instructions.
If you have problems accessing this form, or require the form in another format,
please contact:
Requesting Forms
To request printed forms, please contact:
Distribution Centre
Treasury Board of Canada Secretariat
E-mail: services-publications@tbs-sct.gc.ca
Telephone: (613) 995-2855
TTY: (613) 957-9090
Fax: (613) 996-0518
Address: Room P-135, West Tower
300 Laurier Avenue West
Ottawa, Ontario K1A 0G5
Technical Assistance
If you have problems accessing this form, please contact:
Corporate Communications
Treasury Board of Canada Secretariat
E-mail: tbs-sct@tbs-sct.gc.ca
Telephone: (613) 957-2400
TTY: (613) 957-9090
Fax: (613) 998-9071
Address: 10th Floor, West Tower
300 Laurier Avenue West
Ottawa, Ontario K1A 0G5
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