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The Declaration Guarantor form plays a crucial role in the application process for obtaining a Secure Certificate of Indian Status (SCIS) in Canada. This form addresses situations where an applicant is unable to provide a traditional guarantor, who typically verifies personal information and identity. Instead, the declaration serves as a statutory promise, assuring that the details provided in the application are accurate. Essential information must be included, such as personal data like names, birth dates, and Indian Registration numbers. Additionally, the applicant is required to list past addresses and employment history over the last five years. Importantly, the applicant must secure consent from two references who have known them for a minimum of two years. These references must not be relatives and will help confirm the applicant's identity. The completed form must be signed before a qualified official, such as a Notary Public or a Commissioner for Oaths. This structured approach safeguards personal information, which is collected under the authority of the Indian Act, and emphasizes the responsibilities of both the applicant and their references, ensuring the integrity of the application process.

Declaration Guarantor Example

u

Aboriginal Affairs and

Affaires autochtones et

Page 1 of 2

Northern Development Canada

Développement du Nord Canada

PROTECTED B

 

 

SECURE CERTIFICATE OF INDIAN STATUS (SCIS)

STATUTORY DECLARATION

IN LIEU OF GUARANTOR

Privacy Act Statement

Personal information provided in this document is collected by Aboriginal Affairs and Northern Development Canada (AANDC) under the authority of the Indian Act. Individuals have the right to the protection of and access to their personal information under the Privacy Act. The information provided is voluntary. Failure to provide sufficient information may render the application invalid or may result in processing delays. Information provided is subject to routine verifications, including verifications against the Indian Register. AANDC may, for the purpose of receiving applications, collect personal information from Indian Registry Administrators. Furthermore, personal information will be disclosed to a third party for the purpose of printing the SCIS. In the performance of these duties, personal information will be processed and used in accordance with the provisions of the Privacy Act. Further details on the collection, use and disclosure of personal information are described under the Personal Information Bank INA PPU 110, which is detailed at www.infosource.gc.ca.

NOTICE TO ALL APPLICANTS

The SCIS remains at all times the property of the Government of Canada and must only be used by the person in whose name it is issued. Any false or misleading statements on this form or relating to any document in support of this application, including concealment of any material fact, selling an SCIS or permitting any other individual or agency to use your SCIS may lead to criminal prosecution and is cause for revocation of the SCIS and refusal of future SCIS.

Important: This form must be completed and signed before a Commissioner for Oaths, Notary Public or Lawyer.

AApplicant – Personal Information (Complete in block letters using black or dark blue ink)

Family Name (Last Name)

Given Name(s)

Alias

Date of Birth (YYYYMMDD)

Indian Registration No.

Addresses (List your addresses in the past FIVE (5) years beginning with the most current)

Number/Street/Apartment/P.O.Box

City/Town

Province/Territory/State

From

(YYYYMMDD)

To

(YYYYMMDD)

In the last FIVE (5) years,

my employers were

and/or

I was attending education institutions as follows:

 

 

 

 

 

 

 

 

 

Business/School

 

Address

Telephone No.

Nature of Employment/Studies

From

To

 

(YYYYMMDD)

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTER 83-112E 2011-09-30 7530-20-005-9356

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u

Aboriginal Affairs and

Affaires autochtones et

Page 2 of 2

Northern Development Canada

Développement du Nord Canada

PROTECTED B

 

 

BReferences

I have personally sought agreement and consent from the TWO (2) following persons, who are not my relatives and have known me for at least TWO (2) years, to be contacted to confirm my identity:

1.Family Name (Last Name)

Given Name(s)

Relationship

Telephone No. (Daytime)

()

Has known me for (No. of Years)

Address Number/Street/Apartment/P.O.Box

City/Town

 

 

Province/Territory/State

Postal/ZIP Code

2.Family Name (Last Name)

Given Name(s)

Relationship

Telephone No. (Daytime)

()

Has known me for (No. of Years)

Address Number/Street/Apartment/P.O.Box

City/Town

 

 

Province/Territory/State

Postal/ZIP Code

One reference must sign one of the passport style photographs on the reverse side with the statement “This image is a true likeness of (name of applicant/child/dependent adult)”. BOTH references are required to sign and date a copy of the front and back of the applicant's identity documents.

C Declaration of Applicant

For mail-in applications only: I have presented copies (both sides) of my identity documents which together bear my name, photograph and signature and passport style photographs, to the references above for signature.

Declaration: I solemnly declare that I am unable to obtain an eligible guarantor as defined in the Guarantor Declaration (83-111E), the statements made in this declaration are true and the photos enclosed are a true likeness of me or the child/dependent adult.

Signed at (Location)

Province/Territory/State

Date (YYYYMMDD)

Signature of Applicant

X

D Official’s Information and Declaration

4

 

Commissioner for Oaths

 

Family Name (Last Name)

 

 

 

 

Notary Public

Lawyer

Given Name(s)

Telephone No. (Daytime)

()

Business Name, Address or Permanent Residence Address

 

 

Number/Street/Apartment/P.O.Box

City/Town

Province/Territory/State Postal/ZIP Code

Date (YYYYMMDD)

Declaration made before me on

Signed at (Location)

Province/Territory/State

Signature of Official (Affix stamp)

X

INTER 83-112E 2011-09-30 7530-20-005-9356

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File Breakdown

Fact Name Description
Purpose This form is used to declare that the applicant is unable to obtain an eligible guarantor for their application.
Eligibility Criteria Applicants must provide personal information and use references who have known them for at least two years.
Governing Law This form is governed by the Indian Act and the Privacy Act.
Consequences of False Information Providing false statements or using the form improperly may lead to criminal prosecution and revocation of the SCIS.
Signature Requirement The form must be signed before a Commissioner for Oaths, Notary Public, or Lawyer.

Guide to Using Declaration Guarantor

Once you have gathered the necessary information and documents, you can proceed to fill out the Declaration Guarantor form. This form requires personal details and signatures from two references who can confirm your identity. Carefully follow these steps to complete the form correctly.

  1. Fill in your personal information: Complete the section labeled "Applicant – Personal Information." Use block letters and black or dark blue ink. Include your family name, given name(s), alias (if any), date of birth, and Indian Registration number.
  2. List your addresses: Provide a list of your addresses for the past five years, starting with your current address. Include the number, street, apartment, or P.O. Box, city or town, province or territory, and the dates you lived there.
  3. Enter employment or education details: Record your employers or educational institutions for the last five years. Include the business or school name, address, telephone number, and the period of employment or studies.
  4. Identify your references: Choose two people who are not your relatives and have known you for at least two years. Fill in their family name, given name(s), relationship, telephone number, and address.
  5. Prepare the photographs: One of your references must sign one of your passport-style photographs, stating that it is a true likeness of you or the child/dependent adult. Both references must also sign and date a copy of your identity documents (front and back).
  6. Complete the declaration: If you're mailing the application, confirm that you've presented copies of your identity documents to your references for signature. Then, declare that you are unable to obtain an eligible guarantor, that the statements made are true, and that the enclosed photos are true likenesses.
  7. Sign the form: At the designated location, sign and date the form. Include the location and date of your signature.
  8. Obtain official verification: An official (Commissioner for Oaths, Notary Public, or Lawyer) must complete their section on the form. They will need to fill in their name, contact information, and sign the declaration.

After completing these steps, double-check that all information is accurate and all necessary signatures are included. Finally, submit your form according to the provided instructions.

Get Answers on Declaration Guarantor

  1. What is the purpose of the Declaration Guarantor form?

    The Declaration Guarantor form is used when an applicant cannot find an eligible guarantor for their Secure Certificate of Indian Status (SCIS). This form allows the applicant to declare their inability to provide a guarantor while ensuring their identity can still be verified through two references who are not relatives.

  2. Who can the references be for the form?

    The references must be individuals who have known the applicant for at least two years and should not be related to the applicant. They are responsible for confirming the applicant's identity, and both references are required to sign and date copies of the applicant's identity documents.

  3. What happens if false information is provided on the form?

    Providing false or misleading information can have serious consequences. It may lead to criminal prosecution and can result in the revocation of the SCIS. Additionally, future applications for an SCIS may also be denied. It’s crucial to be honest and thorough when filling out this form.

  4. What steps must be taken to complete this form?

    The form must be completed in block letters using black or dark blue ink. After completing the form, the applicant needs to present it before an official, such as a Commissioner for Oaths, Notary Public, or Lawyer, who will sign it to validate the information. The applicant should also gather copies of their identity documents for the references to sign.

Common mistakes

Filling out the Declaration Guarantor form can be straightforward, yet several common mistakes often occur. One frequent error is providing incomplete personal information. Individuals sometimes forget to fill out their full names or leave out essential details such as their Indian Registration Number. This can lead to processing delays or even invalid applications.

Another mistake involves listing addresses inaccurately. It is important to include all addresses from the past five years, starting with the most current. Some applicants overlook prior residences or provide incorrect dates for their addresses. This can create confusion and hinder identification verification.

Many applicants also fail to include the required references. The form specifies that two individuals who are not relatives and have known the applicant for at least two years must be listed. Omitting one or both references will result in an incomplete form.

Inadequate detail about references is another common issue. Applicants sometimes provide insufficient information regarding their references' relationships, addresses, or contact numbers. Inaccurate or missing details can prevent the verification process from taking place.

Photographs can also pose a challenge. One reference must sign a passport-style photograph with a statement confirming the likeness. Some applicants neglect to ensure their reference signs the photo, which can result in additional hurdles in the application process. Both references are also required to sign the identity documents, and failure to do so can lead to complications.

In addition, some people do not properly fill out the declaration sections. Stating that they are unable to obtain an eligible guarantor must be clear and precise. Misunderstanding this section can lead to a misunderstanding of the applicant's situation.

It is also vital that applicants complete the form in block letters using black or dark blue ink. Using the wrong type of ink or handwriting can make it difficult to read the information provided. Clarity is essential for processing.

Finally, individuals must remember to sign the form in the appropriate sections. Some forget to include their signatures or the date. This omission can delay the application and cause frustration. Ensuring all parts of the form are fully complete and correct is critical for successful processing.

Documents used along the form

The Declaration Guarantor form plays a crucial role in various applications, particularly for individuals seeking proof of status. Alongside this form, several other documents are commonly used to ensure a seamless application process. Understanding each of these documents can greatly simplify the submission experience and helps applicants prepare accordingly.

  • Proof of Identity Documents: These include government-issued IDs such as driver’s licenses or passports. They confirm the applicant’s identity and verify that the personal information on the forms matches their official records.
  • Application Form: This is the main form that details the purpose of the application. It provides essential personal data and context for the overall request being made.
  • Statutory Declaration: A written statement declared to be true in front of a legal authority. Often required to affirm personal circumstances or the accuracy of information provided in the primary application.
  • References Form: Often required in conjunction with the Declaration Guarantor form. This document lists individuals who can confirm the applicant's identity and relationship to them. Their contact information is included for verification purposes.
  • Consent to Disclosure: This form grants permission for personal information to be shared with relevant government bodies or officials. It ensures transparency and compliance with privacy regulations.
  • Commissioner’s Declaration: When a legal official, such as a notary public or a commissioner for oaths, validates the documents. Their acknowledgment adds credibility to the documents being submitted.
  • Photographs: Passport-style photos may be needed, often requiring the signature of a reference. These images support the identity verification process as part of the application package.

Having a clear understanding of these accompanying documents can help make the application process smoother and more efficient. With the right preparation, applicants can ensure that they meet all requirements, thus avoiding delays and issues as they move forward.

Similar forms

  • Affidavit: An affidavit is a written statement confirmed by oath or affirmation. Like the Declaration Guarantor form, it serves as a means to provide official testimony about personal information, intended for legal purposes.
  • Notarized Letter of Identity: This document, similar to the Declaration Guarantor form, verifies a person's identity and is signed in the presence of a notary public. Both forms require a witness to endorse their authenticity.
  • Identity Verification Form: This form is often used by organizations to confirm a person's identity. Similar to the Declaration Guarantor, it collects personal data and requires approvals from individuals acquainted with the applicant.
  • Statutory Declaration: A statutory declaration is a legal document made under oath, often affirming the truth of certain matters. It functions similarly to the Declaration Guarantor by providing sworn testimony related to personal circumstances.
  • Passport Application Form: When applying for a passport, applicants must often provide identity verification. Much like the Declaration Guarantor, it requires personal details and validations from acquaintances who can attest to the applicant’s identity.
  • Background Check Authorization: This form allows a company to conduct a background investigation on an individual. It shares similarities with the Declaration Guarantor form in the way it necessitates disclosures about one’s personal history and character references.

Dos and Don'ts

When filling out the Declaration Guarantor form, it is essential to navigate the process carefully to ensure accuracy and completeness. Below are suggestions on what to do and what to avoid during this important task.

  • Do: Fill out the form using clear block letters with black or dark blue ink.
  • Do: Provide all requested personal information honestly and completely.
  • Do: Include your addresses from the last five years, starting with the most current one.
  • Do: Ensure that both references you provide are not related to you and have known you for at least two years.
  • Do: Have one of your references sign a passport style photograph and confirm it as a true likeness.
  • Do: Present identity documents to your references for signature, ensuring they verify the documents bear your name, photograph, and signature.
  • Do: Sign the declaration section affirming the truthfulness of the information you provided.
  • Do: Have the form signed before a Commissioner for Oaths, Notary Public, or Lawyer.
  • Do: Keep copies of your completed forms and any documents submitted for your records.
  • Don't: Forget to double-check for any missing information or signatures before submitting.
  • Don't: Provide false or misleading information, as this may lead to serious consequences.
  • Don't: Allow someone else to use your SCIS, as this can result in revocation and potential criminal prosecution.
  • Don't: Submit the form without ensuring it has been signed where required.
  • Don't: Hesitate to seek help if you're unsure about how to fill out any sections of the form properly.
  • Don't: Skip the requirement to indicate your employment or educational history for the past five years.
  • Don't: Forget to include your references’ contact information and their relation to you for thorough verification.
  • Don't: Misrepresent your ability to find an eligible guarantor; be honest about your situation.
  • Don't: Submit forms without understanding the implications of the Privacy Act regarding your personal information.

Following these guidelines can facilitate a smoother application process and help ensure that your submission is valid and compliant with the requirements of the form.

Misconceptions

  • Misconception 1: The Declaration Guarantor form is only for Indigenous applicants.
  • This is not true. While it is tailored to serve those seeking the Secure Certificate of Indian Status (SCIS), anyone needing assistance with identity verification may use this form if they meet the other requirements.

  • Misconception 2: Completing the form is optional.
  • In reality, submitting this form is a critical step for applicants who cannot find a qualified guarantor. It provides a means to verify identity, and not completing it can lead to application delays or invalidation.

  • Misconception 3: The personal information you provide is not protected.
  • On the contrary, the information collected is governed by the Privacy Act. Individuals have rights to access and protect their personal data, which ensures confidentiality and responsible use.

  • Misconception 4: The form does not need to be signed in the presence of an official.
  • This is a common misunderstanding. The Declaration must indeed be signed before a Commissioner for Oaths, Notary Public, or Lawyer to be considered valid.

  • Misconception 5: All references for the form must be relatives.
  • Actually, only non-relatives who have known the applicant for at least two years can be chosen as references. This requirement is essential to maintain integrity in the verification process.

Key takeaways

Understand the significance of the Declaration Guarantor form. This document is crucial when you lack an eligible guarantor for the Secure Certificate of Indian Status (SCIS). Filling it out correctly is a key step toward obtaining this important identification.

  • Provide Complete Personal Information: When filling out the form, ensure all personal details are accurate. This includes your full name, date of birth, and contact information over the past five years. Any inaccuracies can lead to processing delays.
  • References Are Essential: You must provide two references who are not your relatives and have known you for at least two years. Their confirmation is vital for validating your identity.
  • Signatures Matter: Ensure all required signatures are obtained. Both of your references need to sign the identity documents, and a Commissioner for Oaths, Notary Public, or Lawyer must witness your declaration.
  • Understand the Privacy Act: Your personal information is protected under the Privacy Act. It’s collected and used strictly to process your application and may involve checks against official records to confirm your identity.

By adhering to these guidelines while filling out the form, you can navigate the application process smoothly. Remember, accuracy and attention to detail will serve you well in obtaining your SCIS.