Controlling Members of a Security Business Guide - Ministry of Justice

PART 3: The FormsAuthorization and Acknowledgement ofInformation Collection and UseAND Consent to a Criminal Record Check(Form #SPD0510)Completing this is the form will give the Registrar all the information required from you—a controlling member or one who has the ability to control a security business’s operations—asstated in the Security Services Act. By signing this form, you are also consenting to comply withcertain conditions set out under the Security Services Act and Regulations and consenting to theRegistrar carrying out a criminal, police and correctional service check on you.1. The form fields:Legal name of the Security Businessapplying for a Security Business Licence:This is not the trade name or ‘doingbusiness as’ name, but the actual legalname. Your business manager can give youthe exact name as shown on the businesslicence.Name(s):Enter your legal name and under that fieldthere is space for you to provide othernames you may use now or have had in thepast such as your maiden name, etc.Police and Peace Officer Status:see Part 1 of this guide for assistance.Criminal History:You must check ‘no’ or ‘yes’.Mental Condition:If you do have a medical condition, you willhave to have the Mental Condition Form(#SPD0511) completed by your doctor. Thebottom of the Authorization andAcknowledgement of Information Collectionform (#SPD0510) has a return slip to use ifyou would rather send the completedmental condition form directly to theRegistrar rather than giving it to thesecurity business’s manager to send in onyour behalf. Check the box ‘yes’ or ‘no’ asto whether you have a condition to report,and also check off if you will be attaching itto form SPD0510 for your manager to sendin or if you will be sending the mentalcondition form in separately.2. Putting the form anddocuments package together:Attach to your form:r Confirmation of Fingerprints slip(Canadian residents only)r Completed Mental Condition Form(SPD0511) – if applicable (you mayattach it or send it to the Registrarseparately)r If Canadian Citizen attach copy ofbirth certificate or valid passport orcitizenship papersr Copy of Photo Identification (seePart 1 for information)r If you are a Peace Officer orvolunteer auxiliary or reserveconstable or retired from the policeforce, attach the letter from yoursupervisor confirming you have noaccess to Justice, court or policeinformation systems.Provide the form package to the securitybusiness’s manager who will be requiringthis same package from all controllingmembers. Everything will go to theRegistrar with the business’s application fora security business licence.7