About this Form

This form, IR 816 (October 2010), replaces immediately all previous “Request for a Copy of Personal Information” forms relating to checks for criminal records.

When to use this form

Request by third party under the official information act 1982  for a copy of an individual’s criminal convictions held on the Ministry of Justice’s computer systems

It is for use when you employ:

• New permanent staff – part or full time
• Temporary (fixed term and casual) staff
• Contractors and consultants
• Staff provided by employment agencies
• Named individuals from companies providing ongoing services to the Department, e.g. cleaner

What you will need

The form must be completed in pen and all entries must be legible.

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