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.
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.
Fillable PDF Form(Fill-in by computer, print form, sign, submit by mail) |
Non-Fillable PDF Form(Print form, fill-in by hand, sign, submit by mail) |
NOTE: In order to make use of all of the features of a fillable PDF form, you should use version 5 or higher of the Adobe Acrobat Reader. This form has been developed in such a way that it allows you to fill in all the necessary information, except your signature, using your computer. 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 that you obtain the information required and carefully read the instructions provided. Failure to do so will result in the need to re-key previously entered data. If necessary, please contact your security officer for specifics. |
NOTE: If you do not have Adobe Acrobat Reader version 5 or higher, you must print the form and fill in the fields by hand for submission by mail. |
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