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The Declaration Guarantor form plays a crucial role in applying for the Secure Certificate of Indian Status (SCIS) in Canada. It is designed for individuals who are unable to secure a traditional guarantor, typically meaning someone who qualifies under specific criteria to verify an applicant’s identity. This form requires you to provide personal details, including your name, date of birth, and Indian registration number, along with a history of your addresses over the past five years. Applicants must list two references who have known them for at least two years, ensuring these references are not relatives. Both references will need to sign and verify identity documents to confirm your legitimacy. The declaration asserts that the applicant understands they cannot obtain an eligible guarantor and affirms the truth of the statements made. There are privacy protocols in place to protect personal information, collected under the authority of the Indian Act. Well-structured sections of the form include details about the applicant, a declaration section requiring an official's oversight, and a promise of honesty regarding the information provided. Each step taken in filling out this important document carries significant legal implications, including potential consequences for misinformation, underscoring its importance in obtaining the SCIS.

Declaration Guarantor Example

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Aboriginal Affairs and

Affaires autochtones et

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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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Aboriginal Affairs and

Affaires autochtones et

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Northern Development Canada

Développement du Nord Canada

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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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Form Characteristics

Fact Name Details
Purpose The Declaration Guarantor form is used to declare the inability to obtain a qualifying guarantor for the Secure Certificate of Indian Status (SCIS).
Authority The form is authorized under the Indian Act, which governs the registration and status of individuals as Indians in Canada.
Applicant Information Applicants must provide personal information, including their name, date of birth, and Indian Registration Number.
References Requirement Two references who are not relatives and have known the applicant for at least two years must be provided. They validate the identity of the applicant.
Signature Need The form must be signed by the applicant in front of a Commissioner for Oaths, Notary Public, or Lawyer.
Consequences of False Information Providing false information may lead to criminal prosecution, revocation of the SCIS, and denial of future applications.
Privacy Act Compliance The collection and handling of personal information comply with the Privacy Act, which protects individuals' rights to their data.
Document Requirements Applicants need to present copies of identity documents for verification, including a photo.
Legislation Governed This form is governed by laws relating to Aboriginal Affairs and the Indian Act, relevant in all provinces and territories of Canada.

Guidelines on Utilizing Declaration Guarantor

Completing the Declaration Guarantor form requires your personal information and signatures from two references. After filling it out, it's essential to have the form signed by a Commissioner for Oaths, Notary Public, or Lawyer. Make sure to gather all required documents and information to ensure a smooth process.

  1. Begin by entering your personal information in block letters using black or dark blue ink.
  2. Fill out your family name, given name(s), date of birth, and Indian Registration Number.
  3. List all addresses where you have lived in the past five years, starting with your current address.
  4. Provide details about your employment or education over the last five years, including company/school name, address, telephone number, and the nature of your work/studies.
  5. Identify two references who are not your relatives and have known you for at least two years. Provide their personal details including name, relationship, telephone number, and address.
  6. Ensure that one reference signs one of the passport-style photographs on the back, stating, “This image is a true likeness of (name of applicant/child/dependent adult).”
  7. Both references must sign and date a copy of the front and back of your identity documents.
  8. If you are applying by mail, present copies of your identity documents to the references for their signatures.
  9. Make a declaration stating that you are unable to obtain an eligible guarantor, affirming the truth of your statements, and confirming that the photographs are a true likeness.
  10. Sign and date the form at the designated location.
  11. Have the form signed by a Commissioner for Oaths, Notary Public, or Lawyer, including that official's information and signature.

What You Should Know About This Form

What is the Declaration Guarantor form?

The Declaration Guarantor form is a document used to verify an individual's identity when applying for a Secure Certificate of Indian Status (SCIS). It helps ensure that applicants can be identified properly and that their application is processed without undue delay.

Who needs to fill out the Declaration Guarantor form?

This form is specifically for individuals who cannot find an eligible guarantor, as defined in the Guarantor Declaration. It is important for applicants who want to apply for an SCIS but are unable to provide a standard guarantor from the list of eligible individuals.

What information do I need to provide on the form?

You will need to complete several details, including your personal information, such as your name, date of birth, Indian Registration number, and addresses for the past five years. Additionally, you will have to provide information about two references who are not family members and have known you for at least two years.

What is the role of references in the form?

The references you provide must confirm your identity. They will need to sign one of your passport-style photographs to attest that it is a true likeness of you. Both references will also sign and date copies of your identity documents to further validate your application.

Why must the form be signed before a Commissioner for Oaths, Notary Public, or Lawyer?

This requirement adds an extra layer of verification to ensure that the declarations made are accurate and credible. Having a legal official witness your signature helps in preventing fraud and establishes a clear chain of authority regarding your application.

What happens if I provide false information on this form?

Providing false or misleading information can have serious consequences. It can lead to criminal prosecution, the revocation of your SCIS, and denial of future applications. The government takes such matters seriously to maintain the integrity of the SCIS process.

What should I do if I can't find eligible references?

If you’re unable to find two eligible references, you might want to explore options to connect with people you have known for at least two years. It is crucial to have these references, as failing to provide them could delay or invalidate your application.

How do I ensure my personal information is protected?

Your personal information is protected under the Privacy Act. It is collected voluntarily and used only for the purpose of processing your SCIS application. The government is required to handle your information securely and will disclose it only as necessary for verification purposes.

What should I do if my application is delayed?

If you experience delays, it’s essential to check your application status by contacting the appropriate office. Ensure that all your information is filled out correctly and completely as missing details can lead to processing delays.

Can I submit the Declaration Guarantor form electronically?

Currently, the form must be physically signed and submitted. Digital submissions are not accepted due to the need for notarization and verification by an official. Be sure to follow the application instructions provided by the relevant authorities.

Common mistakes

When filling out the Declaration Guarantor form, many applicants make avoidable mistakes that can delay the application process. One common error is incomplete personal information. It's essential to ensure that all fields are filled out accurately. Missing vital information like the date of birth or Indian Registration Number can render the application invalid. Review the application carefully to ensure everything is complete before submission.

Another frequent mistake involves the references section. Some applicants forget that their references must not be relatives and should have known them for at least two years. Failing to adhere to this requirement will lead to rejection of the application. Having a valid reference is crucial, so ensure that the chosen individuals meet the criteria and are willing to confirm your identity.

Additionally, applicants often overlook the importance of obtaining signatures on required documents. Both references need to sign and date copies of the identity documents. Neglecting to do so is a significant mistake. Without these signatures, the application may be considered incomplete, leading to further processing delays or outright rejection.

Finally, a critical error involves failing to have the form properly witnessed. It must be signed in the presence of a Commissioner for Oaths, Notary Public, or Lawyer. This verification step is non-negotiable. If the form is not signed by an authorized official, it can cause serious delays or even result in the application being deemed invalid. Taking the time to ensure this step is correctly completed is vital for a smooth application process.

Documents used along the form

The Declaration Guarantor form is an essential document used in connection with obtaining a Secure Certificate of Indian Status (SCIS). To effectively complete the application process, several other forms and documents are commonly used alongside this declaration. Below is a list of these important documents.

  • SCIS Application Form: This is the primary form that collects personal information needed to apply for the Secure Certificate of Indian Status. It requires details such as the applicant's date of birth, Indian registration number, and addresses over the past five years.
  • Identity Documents: Applicants must provide copies of identity documents that include their name, photo, and signature. Examples include a driver's license, passport, or other government-issued IDs.
  • References Form: This document identifies two individuals who can confirm the applicant's identity. These references must not be related to the applicant and should have known them for at least two years.
  • Passport Style Photographs: Applicants are required to submit passport-style photographs. One of the references must sign and affirm that the image is a true likeness of the individual applying.
  • Official Declaration Form: This form is completed by a Commissioner for Oaths, Notary Public, or Lawyer. It validates the authenticity of the Declaration Guarantor form and may include a stamp for official recognition.
  • Consent Form: This document may be required if any personal information will be shared with a third party for processing the application. It ensures the applicant understands how their data will be used and shared.

Each of these documents plays a critical role in verifying identity and supporting the application for the SCIS. It is important for applicants to ensure that all forms are completed accurately and submitted together to avoid any delays in processing.

Similar forms

  • Affidavit: Like the Declaration Guarantor form, an affidavit is a written statement that is sworn to be true by the person making it. Both documents serve to confirm the identity or situation of the individual, often to satisfy legal or administrative requirements.

  • Notarization:** The process of notarization validates the authenticity of a signature on various documents. Similar to the Declaration Guarantor, which requires signatures from officials, notarization ensures that the signer is indeed who they claim to be, providing a layer of protection against fraud.

  • Statutory Declaration: This is a formal assertion made in writing, often used when a person cannot provide the traditional documentation necessary for legal identification or verification. Just as with the Declaration Guarantor form, a statutory declaration is legally binding and carries significant consequences if misrepresented.

  • Identity Verification Forms: Various forms are used to confirm a person's identity, similar to the Declaration Guarantor form. These documents typically require personal details and may necessitate the signatures of witnesses who can attest to the individual's identity.

  • Application for Government Services: Many government services require applicants to submit forms that include personal identification and verification sections. Like the Declaration Guarantor, these applications often demand comprehensive personal information to ensure the accuracy and legitimacy of the applicant's claims.

Dos and Don'ts

When filling out the Declaration Guarantor form, it's important to handle the process carefully. Here’s a list of things you should and shouldn’t do to ensure everything goes smoothly.

  • Do complete all fields in block letters using black or dark blue ink.
  • Do provide accurate and truthful information about your personal details.
  • Do ensure references are not relatives and have known you for at least two years.
  • Do sign the form in the presence of a Commissioner for Oaths, Notary Public, or Lawyer.
  • Do keep a copy of your completed form and supporting documents for your records.
  • Don’t use abbreviations or unclear handwriting that may confuse the reader.
  • Don’t omit any required details, as this may lead to delays in processing your application.

Misconceptions

  • Anyone can be a guarantor. This is not true. The guarantor must meet specific criteria, including knowing the applicant for at least two years and not being a relative.
  • Completing the form is optional. In reality, submitting a Declaration Guarantor form is required when an eligible guarantor is not available. Failing to do so can delay or invalidate your application.
  • All information on the form is confidential. While personal information is protected under the Privacy Act, it may still be shared with third parties for specific purposes, such as printing the Secure Certificate of Indian Status (SCIS).
  • Only lawyers can verify the form. This is incorrect. A Commissioner for Oaths, Notary Public, or Lawyer can complete this task. The key is that the verification must occur before a qualified official.
  • References do not require specific qualifications. Actually, references need to have known the applicant for at least two years and cannot be related to the applicant. This ensures a level of trustworthiness.
  • Once approved, the SCIS belongs to the applicant. This is a misconception. The SCIS remains the property of the Government of Canada and can only be used by the individual it is issued to.
  • False information has no consequences. Providing misleading or false statements on the form can result in criminal prosecution and may lead to the revocation of the SCIS.

Key takeaways

When filling out and using the Declaration Guarantor form, here are some key takeaways to keep in mind:

  • Personal Information Protection: The personal information you provide is collected under the authority of the Indian Act, and you have rights regarding its protection and access under the Privacy Act.
  • Voluntary Information: While you are encouraged to provide all requested information, doing so is ultimately voluntary. Incomplete forms may delay processing or result in an invalid application.
  • Guarantor Requirements: You need to find two non-relatives who have known you for at least two years to act as references. They must provide their contact information and confirm your identity.
  • Signatures Required: A Commissioner for Oaths, Notary Public, or Lawyer must witness your signature and verify that you are unable to obtain an eligible guarantor.
  • Legal Consequences: Be aware that any false information or misuse of the Secure Certificate of Indian Status (SCIS) could lead to criminal charges and revocation of your SCIS.
  • Identity Verification: You must present copies of your identity documents to your references for signature. This helps ensure the authenticity of your application.

Understanding these points can make the process smoother and more straightforward. Make sure to follow each step carefully to avoid potential issues with your application.