Police Records Check Request Form

(AC Online Students only)

Please note that this form is intended for students enrolled in an online program at the Ottawa campus. If you are not an online student and your program is not listed in the dropdown menu, kindly contact your program coordinator.

Police Records Check Request Form

Name*
First Last
Student Number*
Email*
Select Program*
Vulnerable Sector Police Record Check Letter
Where are you located?*
- Gatineau, QC
- Sault Ste. Marie, ON
- Toronto, ON
- Other Ontario City/Town
- Out of Province (please indicate your location in the Additional Information section below)
Status*
- Enrolled
- Attending next semester
Please include any additional information relevant to your request.

Do not use this form if you are not an online student in the selected program. Contact your program coordinator.

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AC Online

Police Records Check Request Form

Police Records Check Request Form

Vulnerable Sector Police Record Check Letter

Ottawa

Pembroke

Perth

Online