Police Consent to Disclosure Statement
I consent to the Winnipeg Police Service (the “Police Service”) to conduct the following searches about me:- Criminal convictions, conditional and absolute discharges and other related information about me contained in Canada’s National Repository of Criminal Records.
- Criminal and provincial statute dispositions and any pending criminal or provincial statute charges before the Manitoba courts as identified in the Justice Online Information Network.
- Current court orders, warrants, prohibition orders, probation orders, peace bonds, recognizance orders in Manitoba and current outstanding out of province warrants identified in the Canadian Police Information Centre.
- Information obtained from local police records, which may include a query of the Public Safety Portal, in which I was the subject of a police investigation where a risk to public safety exists. A decision to disclose information described here in Section D will be made by the Police Service upon consideration of several factors including the nature of the responsibilities of the position applied for, the individuals with whom I will be interacting, the frequency and recency of the occurrences, any demonstrated patterns of behaviour and the reliability of the information contained in the records.
A police record consists of information created or gathered by police. It may include information such as criminal charges and convictions, non-conviction information such as acquittals, findings of not criminally responsible by reason of mental disorder, stays of proceedings, participation in alternative measures and other diversionary programs, investigations and occurrences that did not result in charges being laid. A police record may also include non-criminal contact with police. Even if you have never been charged or convicted of an offence, a police record may exist as a result of an interaction with the police, including interactions due to mental health issues or as a result of an investigation conducted by police, whether you knew about the investigation or not. Information created or gathered by police is retained in accordance with the Police Service’s records retention schedule. If you require further information about the Police Service’s retention schedule, please contact the Police Service’s Police Record Check Section.
I consent to the Police Service to use any and all information about me that it has found after completing the above identified searches, including information obtained from local police records, to complete a Police Record Check and I give my consent to the Police Service to disclose the results of the searches to me in a Police Record Check. I understand that it is my decision whether I provide the results of the searches to any other person or organization. I understand that further information about the Police Record Check process is available in the Winnipeg Police Record Check Policy which are available on the Police Service’s website.
I remise, release and forever discharge the Police Service, the Chief of Police of the Police Service, the Police Service’s Police Commission and all of their administrators, successors, assigns, agents, officers, servants and employees from any and all demands or claims of every nature and kind at law or in equity including, without limitation, all manner of actions, suits, debts, dues, general damages, special damages, pecuniary damages, costs or interest, incurred by me or my legal representatives, heirs, assigns or agents and arising from or in any way related to my participation in the Police Record Check process and the obtaining of a Police Record Check.
The information collected on this form and the information collected, used and disclosed as part of this Police Record Check process will be collected, used and disclosed in accordance with the Freedom of Information and Protection of Privacy Act or as otherwise provided by law.
By signing this form or by accepting an electronic consent, I confirm that I have fully informed myself and understand the content, meaning and effect of this consent and release of liability and I declare that the information provided by me is accurate and may be verified by the Police Service through police information databases if required.