The Police Declaration Form is a standardized document used throughout New Zealand to facilitate background checking and vetting processes. It is required in situations where an individual's criminal history and background need to be verified, such as new employment, professional licensing, or regulatory compliance. The form combines elements of both self-declaration and consent for official police checks, making it a crucial tool for risk management and compliance. The document is governed by several New Zealand laws, including the Policing Act 2008, Privacy Act 2020, and the Criminal Records (Clean Slate) Act 2004. Organizations typically require this form as part of their due diligence process, particularly in sectors involving vulnerable populations, financial responsibility, or security-sensitive positions.
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1. Personal Details: Full legal name, date of birth, place of birth, and other identifying information of the declarant
2. Contact Information: Current residential address, postal address, contact numbers, and email address
3. Identification Verification: Details of identification documents provided (passport, driver's license, etc.) including document numbers and expiry dates
4. Declaration Statements: Specific statements that the declarant must confirm regarding their criminal history, pending charges, and other relevant matters
5. Privacy Notice: Information about how the personal data will be used, stored, and shared, in compliance with the Privacy Act 2020
6. Authorization: Explicit consent for police to conduct necessary checks and share information with relevant parties
7. Statutory Declaration: Formal declaration of the truth of all statements made, with reference to the Oaths and Declarations Act
8. Signature Block: Space for signature, date, and witness details
1. International Police Checks: Additional section for declaring overseas residency and consenting to international police checks, required if the person has lived overseas
2. Specific Purpose Declaration: Additional declarations specific to the purpose (e.g., working with children, security clearance, firearms license)
3. Previous Names: Section for declaring any previous names or aliases, required if the person has changed their name
4. Employment History: Details of previous employment in relevant sectors, required for certain types of vetting
5. Character References: Contact details for character references, required for enhanced vetting procedures
1. Schedule A - Address History: Detailed list of residential addresses for the past 5-10 years, including overseas addresses
2. Schedule B - Criminal History Details: Detailed information about any declared criminal convictions, including dates, jurisdictions, and outcomes
3. Appendix 1 - Identification Documents: Copies of required identification documents and certification requirements
4. Appendix 2 - Privacy Statement: Detailed privacy statement explaining rights under the Privacy Act 2020 and how information will be handled
5. Appendix 3 - Guidance Notes: Detailed instructions for completing the form and explanations of key terms
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