Offence Declaration Form Complete Form Offence Declaration Form Appendix A: Offence Declaration Form Offence Declaration Form Contact Employee First NameEmployee Last NameSchool Year- Select School Year -2022-232023-242024-25Offence Declaration I declare I have no convictions under the Criminal Code of Canada up to and including the date of this declaration for which a pardon has not been issued or granted under the Criminal Records Act (Canada). I have the following convictions for offences under the Criminal Code of Canada for which a pardon under the Criminal Code of Canada Records Act of Canada has not been issued or granted to me.Number of Offences:- Select -123456Offence 1: Date / TimeOffence 1: Court LocationOffence 1: ConvictionOffence 2: Date / TimeOffence 2: Court LocationOffence 2: ConvictionOffence 3: Date / TimeOffence 3: Court LocationOffence 3: ConvictionOffence 4: Date / TimeOffence 4: Court LocationOffence 4: ConvictionOffence 5: Date / TimeOffence 5: Court LocationOffence 5: ConvictionOffence 6: Date / TimeOffence 6: Court LocationOffence 6: ConvictionSignature Sign Here Date / TimeSubmit Form