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FORMS REQUIRED
Forms Required for Personnel Security Screening
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Personnel Screening Consent and
Authorization Form
TBS/SCT 330-23E
(Rev. 2002/07) (PDF - 306 Kb) |
1 Copy
(with original signatures) |
1 Copy
(with original signatures)
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1 Copy
(with original signatures) |
Security Clearance Form
TBS/SCT 330-60E Rev. 2002/07)
(PDF - 738 Kb) |
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1 Copy
(with original signatures)
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1 Copy
(with original signatures)
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Fingerprint Form
(C-216 C) |
1 Original
(if required*)
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1 Original
(if required*)
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1 Original
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Security Screening Certificate
and Briefing Form
TBS/SCT 330-47
Rev 2002/06) (PDF - 155Kb) |
1 Copy**
(with original signatures) |
1 Copy**
(with original signatures)
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1 Copy **
(with original signatures) |
These forms are available in PDF only. To view them you will need the Adobe
Acrobat Reader. If you do not already have the Acrobat Reader, it is available
free of charge from .
TECHNICAL ASSISTANCE
If you have problems accessing these forms, or to request printed forms, please
contact:
Canadian & International Industrial Security Directorate (CIISD)
Public Works and Government Services Canada
E-mail:
Telephone (NC Region): (613) 948-4176
Telephone (Toll free): 1-866-368-4646
Fax: (613) 948-1711
Address: Specify the Division (if known)
c/o Central Mail Room
Place du Portage, Phase III, 0B3
11 Laurier Street, Gatineau QC
2745 Iris Street, 2nd Floor
Ottawa ON K1A 0S5
Mail and private courier are not accepted at 2745 Iris Street. All
correspondence should be sent to the above address.
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Fingerprints are required when an individual
declares a criminal offence, if out-of-country checks are required, or if
requested by CIISD. Refer to Chapter
2 of the Industrial Security Manual, revised October, 2002 for
Personnel Security Screening Instructions. |
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CIISD will issue this form when a security
screening is granted. Parts C & D are to be completed and a copy returned
to CIISD once the individual has been briefed.
This form must also be submitted when an individual no longer requires a
security screening or leaves your organization. Refer to
Chapter 2 of the ISM. |
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Photocopies may be submitted for all forms, with
the exception of the Fingerprint Form. Should you require original forms, call:
1-866-368-4646 (Toll free)
(613) 948-4176 (NC Region) |
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Electronic submissions
A hard copy of the electronic submission bearing original signatures and the
Fingerprint Form (if required - refer to * above) is to be submitted to CIISD. |
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