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Consent to Release of Information
TO: National Agent Coordinator
Agent Affairs Unit, Headquarters
Public Prosecution Service of Canada
AND TO: Canada Revenue Agency
In accordance with the Public Prosecution Service of Canada’s (PPSC) Fixed-Term Agreement requirements, I must be in good standing with the Canada Revenue Agency (CRA), personally and professionally, in order to obtain an Agreement or retain my status as an Agent of the Director of Public Prosecutions of Canada (DPP).
Therefore, this shall be your good and sufficient authority to conduct background checks on me, personally and professionally, for the purposes of ascertaining any information that will determine my suitability as an Agent of the DPP, and as such, perform my duties in a fair and impartial manner.
I hereby authorize the CRA to review my records and any other information that the CRA may have concerning me, under any Act administered in whole or in part by the CRA, to determine my suitability to act as an Agent of the DPP, either because I am being considered for an Agreement or because the validity of my previous check will soon expire; the CRA will or will not endorse the request by indicating to the PPSC National Agent Coordinator whether there exist any significant compliance-related issues. It is understood that the PPSC and the CRA are not under any obligation to reveal the results of the background check or ensuing discussions with me. I will not request any of the information obtained by or used for the checks.
Name (please print)
Current address
Name of Firm, as registered with the CRA:
GST Registration Number issued by the CRA:
Dated at __________ in the Province of ___________ this ___ day of ___ 20__