Record Suspension & USA Entry Waiver Application

Alberta Pardons Application

Canadian Record Suspension & USA Entry Waiver
Please answer ALL required * questions and submit the form back to our office by clicking the SUBMIT button below
Full Name*

FirstMiddle(s)Last
Other Names Used Since Birth
Date of Birth*
Address*

Street Address

Physical Address (provide if mailing address is different or is a PO Box

CityProvince / State

Postal / Zip Code
How Long Have you Lived at This Address*
Phone Number*

Area CodePhone Number
Email*
Present Employer
Phone NumberEmail Address
YESNO
SingleMarried / Common LawSeparated
Place of Birth*
Drivers License / Provincial ID Card #
Citizenship*

Previous Addresses for the Past 10 Years (if Your Current Address is Less Than 10 Years)

*Service(s) Required:
Record Suspension: $1195.00 includes RCMP Fingerprints, 1 Court Search, 1 Local Police Check, and Gov't Submission Fee. Note: Additional Court Search and Local Police checks may be required at additional cost.USA Entry Waiver: $1044.00 includes RCMP fingerprints, 1 Court Search, and Supporting Documents. Note: Additional Court Search may be required at additional cost.Record Suspension & USA Entry Waiver.Police File Destruction: $1195.00 includes RCMP Fingerprints, , 1 Court Search, 1 Local Police Check, and Submission Fee. Note: Additional Court Fees may be required at additional cost.Court Search Only: $275.00 includes 1 Court Search.In Person Consultation: $125.00 per 1/2 hour for inquires and appointments.
Payment Information
Yes: (2 equal payments)Yes: (3 equal Payments)
YESNO
YesNo
YesNo
YesNo
YesNo
When Were You Convicted of Your Latest Offense(s)
YesNo
YesNo
Please include your convictions (if known) and the location (City or Town) where you were sentanced in the Additional Comments section
Additional Comments
Office Address:
Alberta Pardons
#7, 9363 - 50 St. NW Edmonton, AB. T6B 2L5
Ph: 780-473-7171
Should be Empty:

Alberta Pardons Application