How to complete the Security clearance form (TBS/SCT 330-60E)

The Security clearance form is used to apply for a security clearance (Secret, Top Secret or other). It is also used to request an update, upgrade, or supplemental. Learn how to access, complete and submit the form correctly to minimize delays.

This form must always be accompanied by a completed Personnel screening, consent and authorization form (TBS/SCT 330-23E).

Security clearance form (TBS/SCT 330-60E).

On this page

Accessing the form

The form is available in 2 formats:

Forms submitted online can be processed more quickly than forms completed manually.

Online version

  1. Log in to Public Services and Procurement Canada's (PSPC) online industrial security services (OLISS) portal
  2. Complete and submit this form using the OLISS's personnel security screening service

Company security officers (CSOs) can register for OLISS by email: tpsgc.ssisedsisensibilisation-issolissoutreach.tpsgc@tpsgc-pwgsc.gc.ca.

Manual version

Complete the Security clearance form (TBS/SCT 330-60E).

Who needs to complete the form

This form needs to be completed by 2 people:

  • the CSO or the alternate company security officer (ACSO)
  • the applicant

Completing the form

To properly complete the Security clearance form manually, the Contract Security Program (CSP) strongly recommends that CSOs and applicants refer to the instructions on page 5 of the form.

Refer to the training video for more information on how to complete the Security clearance form.

Getting started

This information applies to those completing the form manually.

Make sure applicant prints at the top of each page of the printed form their:

This will allow the CSP to link each page to the appropriate request, in case the pages get separated.

Ensure that the handwriting is neat and easy to read. If not, the form will be rejected and returned to your organization by mail.

For new Top Secret clearance requests only

The applicant is no longer required to provide passport photos with their form submission. However, the CSP reserves the right to request passport photos if they are needed at a later date. If requested, the applicant must provide 3 passport photos taken within the last 6 months, dated and signed at the back by the applicant and the CSO or ACSO.

Personnel security screening requests requiring electronic fingerprints

For OLISS requests, the CSO must enter the 20-digit document control number (DCN) into the OLISS.

For more information see personnel security screening requests requiring electronic fingerprints.

Providing additional details

This information applies to those completing the form using OLISS.

When completing this form using the personnel security screening service in OLISS, users must include additional details in the electronic form. Previously, users had to submit these details separately (by email, fax or email).

Sections where the applicant can provide additional details

Applicants can provide additional details at the bottom of the following sections:

  • biographical information
  • name change
  • security screening
  • marital status
  • immediate relatives
  • criminal convictions
  • citizenship
  • residence
  • employment
  • foreign employment
  • travel
  • foreign assets
  • character references in Canada
  • education
  • military service

For sections with multiple records, such as those for residence and immediate relatives, applicants must clearly identify for which record they are providing details.

Note

Hard copy documents that the CSP requires as proof that a person was born outside Canada or born in Canada but holding dual citizenship must continue to be sent to the CSP under separate cover via mail, fax or email.footnote 1

Situations when the applicant must provide additional details

The applicant may:

  • need to explain when dates entered are approximate, such as the date of birth of an immediate relative
  • have an estranged parent whom they cannot contact
  • be unable to provide a certain address

Sections of the form

Section A: Administrative information

This section must be completed by the CSO or ACSO. All other sections of this form must be completed by the applicant.

In section A, select the type of clearance as follows:

New

If the applicant has never been granted a security clearance, check "New." You should also check "New" if the applicant's previous clearance was terminated, was closed-out or expired more than 2 years ago.

Update

If the applicant's current security clearance is due for renewal, check "Update."

Upgrade

If the applicant needs to upgrade their security clearance to a higher level, check "Upgrade."

Transfer

This box should never be checked. To transfer an applicant's security clearance to your organization, you only need to complete the Personnel screening, consent and authorization form (TBS/SCT 330-23E).

Consult how to complete the Personnel screening, consent and authorization form (TBS/SCT 330-23E) for more information.

Supplemental

Check "Supplemental" if an applicant already has a security clearance, and has a change of name or marital status (marriage, remarriage or new common-law partner).

For supplemental requests:

  1. complete the Personnel screening, consent and authorization form as follows
    • Section A: complete in full
    • Section B: in the residence portion, only the applicant's the current address is required
    • Section C: only the applicant's signature and signature date are required
    • Section D: complete in full
  2. complete the Security clearance form as follows
    • Sections A, B, D and P: complete in full
    • Section E: include new in-law information only
Reactivation

This box should never be checked. To re-activate an applicant's security clearance, you only need to complete the Personnel screening, consent and authorization form.

Consult how to complete the Personnel screening, consent and authorization form (TBS/SCT 330-23E) for more information.

Level

Select the level of security clearance you want to request. This level cannot be higher than the level of your organization's facility security clearance.

Check "Other" for North Atlantic Treaty Organization (NATO) Secret, Control of Secret Material in an International Command (COSMIC) Top Secretfootnote 2 and Top Secret SIGINT requests, and write down the exact level in the space given.

Employee ID number/PRI/rank and service number

Leave blank. This field does not apply to private sector organizations.

Organization number

Enter the number that was assigned to your organization by the CSP. This number can be found on your organization clearance letter.

Section B: Biographical information

This section is completed by the applicant.

1, 2 and 3. Surname (Last name), Full given names and Family name at birth
Ensure that the applicant enters their surname and given names in the appropriate boxes. Initials or nicknames are not permitted; the applicant must spell all their given names in full and underline or circle the name they usually use. The applicant must also enter their family name at birth, even if it is the same as their surname.

Note

Providing 2 pieces of official identification in the hard copy documentation can help prevent errors during data entry and avoid unnecessary delays.

4. All other names used

The applicant must give all other names used. This includes any nicknames (for example, Bob for Robert, Kate for Katherine). These nicknames should not be used in the "Surname, Full names given and Family name at birth" section. Initials are also not accepted here either.

5. Sex

The applicant must complete this section.

6. Date of birth

Ensure the date of birth entered matches the date of birth on the applicant's piece of identification.

7. Place of birth

Applicant must provide place of birth, including city, province or state, and country.

8, 9 and 10: Name change (other than marriage)/place of change (city, province or state and country)/method (authority)

Ensure the applicant completes these fields if they have changed their birth name for reasons other than marriage. They must also give proof of the name change.

Checklist for completing section B

Applicants, please ensure that you disclose and provide proof in the hard copy documentation of any name change for reasons other than marriage.

Section C: Security screening

This section is completed by the applicant.

1. Have you ever previously completed a Government of Canada security screening form? If yes, give name of employer, level and year of screening
If the applicant checks "Yes," ensure that they give the correct name of employer or government department. This is particularly important for screenings held by other government departments. If the CSP has to investigate which government department holds the applicant's personnel security screening, it will cause significant delays.

Note

Screening requests that have been previously rejected by the CSP do not count as a previous screening.

Section D: Marital status/common-law partnership

This section is completed by the applicant.

Current status
The applicant can only check 1 box. For example, if they are currently in a common-law partnership and are also divorced, they should check "Common-law partnership" because that is their current status. If the applicant has been separated, divorced or widowed for more than 5 years and has not remarried or entered into a new common-law partnership, they can check "Single."
Current spouse or common-law partner
If the applicant is currently married or in a common-law partnership, they must give all the information requested on the current spouse or partner, including complete residence and employment information. They must also give information on their mother and father-in-law in section E (Immediate relatives). If the applicant's spouse or partner is a non-Canadian national or landed immigrant who has not yet arrived in Canada, they must also give details on their spouse or partner's brothers and sisters. And, on a separate Security clearance form (TBS/SCT 330-60E), they must give 10 years of history on their partner or spouse in sections H (Residence) and I (Employment).
Previous spouse or common-law partner
If the applicant has been separated, divorced or widowed for less than 5 years, they must give details on their previous spouse or common-law partner. For previous common-law partners, the date of separation is the date the applicant and their previous partner stopped living together.

If the applicant has been separated, divorced or widowed for more than 5 years, they do not have to give information on their previous spouse or common-law partner.

Checklist for completing section D

Applicants, please ensure that you provide complete information about your current spouse.

Section E: Immediate relatives

This section is completed by the applicant.

Ensure that the applicant completes this section properly. It is the most problematic section of the form.

The applicant must give information about all of their immediate relatives, living in and outside of Canada. This includes the applicant's:

If the applicant is estranged from a relative and is unable to give details on this relative, they must give as much information as they can about the relative (name, relationship, last known address and date of birth). The applicant must also explain on a separate sheet of paper why they cannot give the rest of the information (unable to locate the relative, contact with the relative would be adverse or harmful, etc.).

A. Full name
Ensure the applicant gives the maiden name of all male or female relatives.
B, C, D. Relationship, place and date of birth
The applicant must complete these sections in full. The relationship is the relative's relationship to the applicant.
E. Present address
Ensure the applicant gives complete residence information for each relative, including the street number, street name, city, province and country. Post office (PO) boxes are not accepted.
F. Date of death
If a relative is deceased, they must give the last address of the deceased. It is not acceptable to enter "deceased," "cemetery" or "heaven." In the spaces given for "Name of employer and address" and "Job title," the applicant can enter "not applicable."
G. Name and address of employer
Ensure the applicant provides complete employment information for each relative, including the job title, employer name, street number, street name, city, province and country.

If a relative is attending school, the applicant must enter "student" as the job title and enter the name of the school as the employer name. They must also give the complete address for the school.

If a relative is retired, unemployed or a stay-at-home parent, the applicant can enter "retired," "unemployed" or "stay-at-home parent," as the employer name and address. For the job title, the applicant can enter "not applicable."

Checklist for completing section E

Applicants, please ensure that you:

  • provide a justification or explanation as to why you did not include specific relatives (for example, mother, father or sister) on the form
  • provide complete information (for example, address, employment and last known address) about relatives
  • provide the maiden name (family name at birth) of all female or male relatives

Section F: Criminal convictions in and outside of Canada

This section is completed by the applicant.

Have you ever been convicted of a criminal offence for which you have not been granted a pardon (record suspension)

The applicant must answer this question truthfully. If they check "Yes," they must complete the entire section and declare all convictions in and outside of Canada. If they have been convicted of multiple crimes, they must give details on each additional conviction on a separate sheet of paper. If the applicant does not remember the exact date of a conviction, they need to enter the closest date possible and give justification on a separate sheet of paper. If the CSP finds that the applicant has not been truthful, it will most likely need to meet with the applicant for a subject interview. This will cause significant delays and could lead to the denial of their reliability status or security clearance. Even convictions that happened 25 years ago must be disclosed.

As a CSO or ACSO, you should reassure the applicant. The presence of criminal conviction(s) will not necessarily prevent them from being granted a personnel security screening.

Section G: For completion by persons born outside Canada or born in Canada holding dual citizenship

This section is completed by the applicant, if applicable.

Ensure the applicant completes this section if they were born abroad or if they were born in Canada and hold dual citizenship.

If the applicant was born abroad, they must give a copy of 1 of the following immigration documents (both sides):

If the applicant gives their immigration visa, their security clearance will only be valid for the duration of the visa. To extend the expiry date of their clearance, you will need to submit a reactivation request. Consult how to complete the Personnel screening, consent and authorization form (TBS/SCT 330-23E) for more information. In your reactivation request you must give a copy of the applicant's renewed visa. If you give the applicant's permanent resident card, Canadian passport or certificate of Canadian citizenship, their clearance will be extended to its full validity (10 years for Secret, 5 years for Top Secret).

Checklist for completing section G

Applicants, please ensure that you include a copy of your immigration paper in the hard copy documentation if you were born outside of Canada.

Section H: Residence

This section is completed by the applicant, if applicable.

Ensure the applicant gives complete home addresses for the last 10 years in and outside of Canada. PO boxes are not accepted and there cannot be any time gaps between residences. If the applicant was homeless, they must enter "homeless" in the space given for "Street name" and enter the city, province, country and dates for that period.

If there is not enough space on the form to include all addresses, the applicant must give the remaining addresses on a separate sheet of paper. If a full address cannot be given, the applicant must give an explanation on a separate sheet of paper.

If the applicant left the country to travel for more than 6 months (for example, back-packing around Europe), they must enter "travel" in the space given for "Street name" and enter a city, province, country and dates associated to that period. On a separate sheet of paper, the applicant must give an explanation and specify all the cities and countries they visited and the dates associated with each visit.

Out-of-country verification documentation is required for applicants who have lived outside of Canada continuously for 6 months or longer. Consult out-of-country verifications for more information.

Ensure the dates entered in this section coincide with the dates entered in section I (Employment) and section J (Foreign employment). If there are any discrepancies, for example if the applicant was living and working in different cities during the same period, you must confirm on a separate sheet of paper that the discrepancy is intended and give an explanation (for example, the applicant worked remotely from home, stayed at a relative's house during the work week, drove back and forth every day, etc.).

The postal code and telephone number are only required for the current address.

Checklist for completing section H

Applicants, please ensure that you:

  • leave no gaps in your residence history and account for all time periods
  • demonstrate that your residence history is consistent with your employment history (for example, ensure that your application indicates that you lived and worked in the same country at the same time)
  • provide your CSO or ACSO, upon request, with out-of-country verifications documents if you lived outside of Canada

Section I: Employment

This section is completed by the applicant, if applicable.

Would your employment be jeopardized if your current supervisor, below, is contacted
Ensure that the applicant answers this question. This section is often left unanswered. If they check "Yes," they must provide an alternate employment contact.
Were you dismissed or asked to resign from any position(s) as listed below
Ensure the applicant answers this question. If they check "Yes," they must give the name of the employer, supervisor and date. On a separate sheet of paper, they must also explain why there were dismissed or asked to resign. If the applicant was laid off due to company downsizing, company bankruptcy, shortage of work or seasonal employment, they can check "No."
Employment history

The applicant must be employed by your organization. If they are not, they must be set to commence work within 60 days. This means that your organization must be listed as the applicant's current employer.

Ensure the applicant's employment history includes complete employment information in and outside of Canada for the last 10 years with no gaps in dates. All fields must be completed for each employment period. If a field is unknown, the applicant must enter "unknown" and give an explanation on a separate sheet of paper.

If the applicant was unemployed, they must enter "unemployed" in the space given for "Name of employer" and enter the dates associated with this period. For the "Job-site address," "Job title" and "Supervisor's name," they can enter "not applicable."

If the applicant attended school, they must enter it as employment. In the space given for "Name of employer," they must enter the name of the school and enter the dates associated with this period. As the "Job-site address," they must enter the address of the school and as their "Job title," they must enter "student." For their "Supervisor's name," they need to give the name of a teacher and enter the school's telephone number.

If the applicant was self-employed or worked as a consultant, they must enter their business name in the space given for "Name of employer." If they do not have a business name, they must enter their name in full. As the "Job-site address," they must give their business address. If their business address is their residence address then they need to enter their residence address. For their "Supervisor's name," they need to give the name of a person who can verify their employment or give their own name, so long as the field is not left blank. Ensure the dates entered in this section coincide with the dates entered in section H (Residence), section J (Foreign employment), section N (Education) and section O (Military service). If the applicant was living and working in different cities during the same period, you must confirm on a separate sheet of paper that the discrepancy is intended and give an explanation.

Checklist for completing section I

Applicants, please ensure that you:

  • list no gaps in your employment history and account for all time periods
  • demonstrate that your employment history is consistent with your residence history (for example, ensure that your application indicates that you lived and worked in the same country at the same time)

Section J: Foreign employment

This section is completed by the applicant, if applicable.

Are you now or have you ever been employed by or acted as a consultant for a foreign government, firm or agency
Ensure the applicant answers this question. If they check "Yes," they must give the country, the organization, the nature of the work and the dates "from – to." If the foreign employment period is within the last 10 years, the applicant must also include it in section I (Employment). Ensure the information entered coincides with the dates entered in section H (Residence). If the applicant was working remotely, they must specify it in the details (that is worked as a web designer for foreign firm XYZ, but worked from my home in Ottawa).

Checklist for completing section J

Applicants, please ensure that you select "Yes" or "No" and give the required details if you selected "Yes".

Note

Sections K to O only have to be completed for security clearance at the Top Secret level.

Section K: Travel

This section is completed by the applicant, if applicable, for Top Secret requests only.

List countries visited within the last 5 years for personal travel and/or non-Government business, other than Canada, the USA and Mexico
If the applicant went on a cruise vacation, they do not have to list 1-day visits made to countries during the cruise stopovers. If the applicant left the country to travel for more than 6 months, they should not enter it as travel. They must enter the information as residence history in section H (Residence).

Section L: Foreign assets

This section is completed by the applicant, if applicable, for Top Secret requests only.

The applicant is asked to list any business, financial and/or personal assets they hold outside of Canada.

A security official may ask for details in terms of the type of assets and estimated value.

Section M: Character references in Canada

This section is completed by the applicant, if applicable, for Top Secret requests only.

Character references (non-family members)

The applicant must give 3 character references that reside in Canada. Ensure the applicant does not include any relatives, current supervisor(s) or previous supervisor(s).

Character references must be colleagues, peers, and/or friends who have known the applicant for at least 3 years. These references must be able to give information on the applicant's non-work environment and activities. Ensure the applicant gives complete home and work addresses for each reference along with their phone numbers at home and at work. If the reference is retired, unemployed or a stay-at-home parent, the applicant does not have to give a work address and phone number.

Neighbourhood reference
The applicant must give a neighbourhood reference. This reference must live near the applicant's current residence, and have known the applicant for at least 6 months at the current address. If the applicant has recently moved into a new neighbourhood, they can give a previous neighbour within the last 5 years. If the applicant lives in a high-rise apartment building and does not know their neighbours, they can give their landlord as a neighbourhood reference.
Tip:
Ensure the neighbourhood reference is not the same person as 1 of the 3 character references.

Checklist for completing section M

Applicants, please ensure that you provide complete information on character references in Canada.

Section N: Education

This section is completed by the applicant, if applicable, for Top Secret requests only.

Period of attendance
If the applicant's education period is within the last 10 years, ensure that they have also listed it in section I (Employment). You must also ensure the period coincides with the dates given in section H (Residence). If the applicant was attending school remotely, they must give an explanation on a separate sheet of paper.

Section O: Military service

This section is completed by the applicant, if applicable, for Top Secret requests only.

Military service
The applicant must only give information on time served with the Canadian Armed Forces (regular or reserve) or with the Sea, Air and Army cadets, going back to their 16th birthday.
Period of service
If the applicant's military service is within the last 10 years, ensure that they have also listed it in section I (Employment). You must also ensure the period coincides with the dates given in section H (Residence).

Section P: Certification

This section is completed by the applicant.

Information when signing the form by hand

Follow these instructions to complete this section correctly when you are either:

  • completing the form by hand
  • completing the form online (in OLISS) using the original signature option

If you are using the electronic signature option, consult information when electronically signing the form.

Signature, date and telephone numbers

The applicant must:

  • sign by hand
  • provide the date signed
  • enter both their home and work telephone numbers with area codes

For forms completed by hand, the CSO must:

  • ensure that the form is dated within the past 12 months
  • ensure that the applicant has provided a residential and employment history to the present date ("to present") in section H (Residence) and section I (Employment)

Information when electronically signing the form

For electronically-signed requests, the applicant's signature, telephone numbers and the date will automatically be completed when form is submitted.

When the request is electronically signed, it implies that the applicant certifies that the information provided in the form is accurate.

If printing an electronically-signed copy of this form from OLISS, make note that the applicant's given name and last name appear in the signature line in section P.

Checklist for completing section P

Applicants, please ensure that you provide a signature date that is no more than 12 months old.

Submitting the form

Refer to the instructions on submitting personnel security screening forms (TBS/SCT 330-23E and TBS/SCT 330-60E).

Video on completing the form

The CSP has produced a video to help applicants. We recommend that the applicant watch the video before submitting the form. The applicant can also follow along with the video while completing the form.

Transcript of completing the form video

Start of video.

(A man wearing a tie and holding files is shown. The words "PSPC: Public Services and Procurement Canada" and "330-60" appear.)

(A new screen showing a man at a console with the words "Treasury Board of Canada Secretariat TBS 330-60 Security Clearance Form" on the screen appears.)

(A new screen titled "Security Clearance Form: Treasury Board of Canada Secretariat TBS 330-60 for Applicants" appears. The words "Applicants," "Company Security Officers," and "Alternate Company Security Officers" appear.)

(The narrator speaks.)

This video is for applicants, company security officers and alternate company security officers who need help completing the security clearance form, Treasury Board of Canada Secretariat TBS- 330-60.

(A new screen titled "Treasury Board of Canada Secretariat" appears.)

In accordance with the Treasury Board of Canada Secretariat Standard on Security Screening, this form is required to apply for a security clearance at the Secret or Top Secret level. It must always be accompanied by a completed Personnel Screening, Consent and Authorization form, also called the Treasury Board of Canada Secretariat TBS 330-23.

(A new screen titled "CSP: Contract Security Program" appears. An image of the form appears.)

One of the most common delays in obtaining a security clearance is due to errors in the screening forms. We therefore recommend that you first watch the video entitled Completing the personnel screening, consent and authorization form (TBS/SCT 330-23E) for applicants.

(A new screen titled "Website" appears.)

The Security Clearance form and other useful tools are located on our website. Be sure to take a look at these tools as they will also help you complete your screening form.

(The web address for Security requirements for contracting with the Government of Canada is displayed.)

(A new screen titled "Online Industrial Security Services: OLISS" appears.)

The easiest way to fill out your form is by using the online industrial security services portal, commonly referred to as OLISS. This online tool can also be accessed through our website and makes your screening requests easier to read and process while reducing the chance of errors. In order to use this service, your organization must be registered in our program and have an online industrial security services portal (OLISS) account. If you are a company security officer and don't have an account, please contact the Contract Security Program and our Client Service Centre will help you set one up. Please note that once you start using the online industrial security services portal (OLISS), all future security clearance forms must be filled out using this service.

(The web address for the Online industrial security services is displayed.)

(A new screen depicting the signature section in the online industrial security services portal (OLISS) appears. The image shows that the online industrial security services portal (OLISS) users need to choose between e-signature and original signature before submitting the form electronically to Personnel Security Screening.)

In the online industrial security services portal (OLISS) you can e-sign your form which means paper copies of the form(s) do not need to be submitted. Please note that both you the applicant and your responsible security official must e-sign for the e-signature to be considered a valid signature.

(A new screen depicting the additional information field in the online industrial security services portal (OLISS) appears. The image shows that the online industrial security services portal (OLISS) users may enter up to 500 characters of additional information.)

Also in the online industrial security services portal (OLISS), if information is unavailable or unknown to you, you can add an explanation as to why the information is unavailable or unknown using the additional information field.

(A new screen appears.)

For all new Secret clearance requests, including updates and upgrades, sections A to J and section P of the form must be completed in full.

(A new screen appears.)

For Top Secret clearance requests (new, update and upgrade), all sections of the 330-60 must be completed in full.

(A new screen titled "Ready to complete the Treasury Board of Canada Secretariat TBS 330-60" appears.)

Are you ready to complete the Security Clearance form?

(A new screen titled "Section A" appears.)

Section A: Administrative information. This section must be completed by the company security officer.

If you are a company security officer looking for guidance on this section, please reach out to our client service centre or visit our website.

(The web address for Security requirements for contracting with the Government of Canada is displayed.)

(The email address for the Client Service Centre is displayed: ssi-iss@tpsgc-pwgsc.gc.ca.)

(The telephone number for callers in the National Capital Region is displayed: 613‑948‑4176.)

(The toll free telephone number is displayed: 1‑866‑368‑4646.)

(A new screen titled "Section B" appears.)

Sections B to P must be filled out by you, the applicant.

Section B: Biographical information. This section is often filled out incorrectly. Please do not leave blank fields or boxes unchecked.

(A new screen with the previous title appears.)

After entering your surname, it is important that you provide your full name, including first name and all middle names when filling out the "Full given names" field. We do not accept initials or nicknames as the "full given name". Don't forget to circle or underline your "usual name used".

If you have changed your name for reasons other than marriage you need to provide your previous name and your present name.You also need to indicate where the name change took place as well as the method. An example of the method would be: "Registrar of Canada."

(A new screen with the previous title appears. Text on the screen indicates the information needed. An applicant, born Carolina Marie Hollinda, provides her new name, which is Linda Marie Hollinda. She provides the date of the name change and the method by which the name change occurred, which is "Province of Ontario.")

Lastly, you need to provide proof of your name change to your company security officer.

(A new screen with the title "Section B: properly Completed" appears.)

Here is an example of Section B properly completed.

An image of Section B is displayed. The applicant with the name Linda Marie Hollinda has filled in the "Surname" field with Hollinda. She has filled in the "Full given names" field with Linda Marie. Because she goes by the name Linda, the applicant has underlined "Linda." She has filled in the "Family name at birth" field with Hollinda. The applicant has inputted "n/a," meaning not applicable, in the "All other names used" field. She has checked the "Sex" box and has filled in the "Date of birth" field. The applicant has filled in the "Place of birth," "Province/State" and "Country" fields. She has inputted "Yes" in the "Name change (other than marriage)" field and has inputted "Carolina Marie Hollinda" in the "From" field and "Linda Marie Hollinda" in the "To" field. The applicant has inputted "Ottawa, Ontario, Canada" in the "Place of change (city, province or state, and country)" field and inputted "Province of Ontario" in the "Method (authority)" field.)

(A screen titled "Section C" appears. An image of Section C is displayed. The applicant has checked "Yes" in the "Have you previously completed a Government of Canada security screening form?" box, and has inputted "Service Canada, Reliability Status, 2013" in the "If yes, give name of department/agency/organization, and the year and level of clearance" field.)

This brings us to Section C: Have you ever completed a screening form? Here we want to know if you have already applied for a screening with any government department or agency. If so, we need you to provide the name of the employer who requested the screening, as well as the level and year of the screening.

(A screen titled "Section D" appears.)

Next is Section D: Marital Status/Common-Law Partnership.

(A new screen titled "Section D: Marital Status/Common-Law Partnership" appears.)

Under "Current Status," you must only check one box. If you have been divorced, separated or widowed for more than 5 years and have not remarried or entered into a new common-law partnership, you can check "Single."

(A new screen with the previous title appears.)

If you are currently in a common-law partnership and you are also divorced, separated or widowed, check "Common-law partnership" because that is your actual current status.

(A new screen with the previous title appears.)

"Common-law partnership" in this form relates to an individual who has been living with you for at least one year and who is in a conjugal relationship with you.

(A new screen with the previous title appears.)

In Section D1, you need to provide all the information required on your current spouse or common-law partner.

If you have been divorced, separated or widowed for less than 5 years, you have to include your previous spouse or partner in section D2. If you are widowed, we need the date of death of your deceased spouse or partner in Section D2e.

(A new screen with the previous title appears.)

For previous common-law partners, the date of separation is the date at which you ceased cohabitation.

(A new screen with the previous title appears.)

Remember: we do not accept nicknames or initials. Under full given names, we need you to provide all middle names.

(A new screen titled "Section D: Properly completed" appears.)

Here is an example of Section D properly completed.

(An image of Section D is displayed. The applicant has checked the "Common-Law Partnership" box in the "Current status" field. The applicant has provided the name "Halicomerly, John George" in the "Current spouse/common-law partner" field with their surname written first. The applicant has inputted "n/a" for not applicable in the "Maiden Name" field, "Canadian" in the "Present citizenship of current spouse/common-law partner" field and the date in the "Date of marriage/common-law partnership" field. The "City, province or state, and country of marriage/common-law partnership" and "City, province or state, and country of birth" fields both contain a city, a province and a country. The "Date of birth" and "Present address" fields have been filled in. The applicant left the "If separated, widowed or divorced, specify date" field blank because it does not apply. The "Name and address of employer (job title)" field contains the name and address of the current spouse or common-law partner employer and their job title.)

(A new screen titled "Section E" appears.)

Next up is Section E: Immediate Relatives.

This is the most complex section of this form. Here are a few tips to help you complete it properly.

(A new screen with the previous title appears.)

You must provide details on all of your immediate relatives, living in and outside of Canada. This includes your father, mother, brothers and sisters, adoptive parents, and children over 18 years of age. This also includes all half or step parents and siblings.

(A new screen with the previous title appears.)

If you are currently married or in a common-law partnership, you must also provide details on your mother and father-in-law and on any children over 18 years of age of your spouse or partner. This includes any step-mother-in-law or step-father-in-law.

(A new screen with the previous title appears.)

If a relative is deceased, their employer name and address are not required. However, the last physical address where the relative resided is required. It is not acceptable to enter "deceased", "cemetery", or "hospital."

(A new screen with the previous title appears.)

Make sure to provide between brackets, the maiden name or surname at birth of all immediate relatives, male and female.

Lastly, if you are estranged from a relative or if information is unknown about a particular relative, you need to provide as much information as you can in the additional information field in the online industrial security services portal (OLISS) and you must provide an explanation as to why the rest of the information is unknown. For example, you cannot locate the relative or contacting the relative would be harmful to you.

(A screen titled "Section E: Properly completed" appears.)

Here is an example of Section E properly completed.

(An image of Section E is displayed. For the first relative, the applicant has entered her mother. The applicant has inputted the name "Hollinda, Francine Josée (Bouleau) in the "Full name" field, with her mother's maiden name, Bouleau, written between brackets. The applicant has inputted "Mother" in the "Relationship" field. The applicant has completely filled in the "City, province or state, and country of birth" field, "Date of birth" field and "Present address" field. The applicant has left the "Date of death" field blank. The "Name and address of employer" and "Job title" fields have been completely filled in. For the second relative, the applicant has entered her brother. The applicant has filled in all the information, but has inputted a date to the "Date of death" field. Because her brother is deceased, the applicant has inputted "n/a" for not applicable in the "Name and address of employer" and "Job title" fields.

(A screen titled "Section F: Criminal Convictions in and outside of Canada" appears.)

This brings us to Section F: Criminal Convictions in and outside of Canada.

If you have been convicted of one or more criminal offences for which you have not been granted a pardon (now referred to as a record suspension), you must complete all fields. If you have criminal convictions outside of Canada or offences under the National Defence Act, you must list those as well.

(A new screen with the previous title appears.)

If you have more than one criminal conviction, you can enter them one by one in the online industrial security services portal (OLISS), starting with your most recent one. And if you do not remember the exact date of your conviction, you must provide the most accurate date as possible and include an explanation in the additional information field indicating that you do not remember the exact date.

(A new screen titled "Section G: Born outside of Canada, Dual citizenship" appears.)

Section G is to be completed if you were born outside of Canada or born in Canada holding a dual citizenship.

If you were born abroad and have not yet obtained your Canadian citizenship, you must provide immigration papers such as a photocopy of your permanent resident status, work visa or record of landing. Both sides of these documents must be provided. If you are a Canadian citizen, you must provide proof of your Canadian citizenship, such as a photocopy of your Canadian citizenship certificate, Canadian passport, or Certificate of Birth Abroad.

Please ensure that your date of entry into Canada coincides with other dates provided in this application, such as your residential and employment history in Sections H and I, and foreign employment in Section J.

(A new screen titled "Section G: Field number 3" appears.)

In field number 3, a naturalized Canadian is defined as a person who did not receive Canadian citizenship through birth or parental descent.

(A new screen titled "Section H: Residence, a place where you physically live" appears.)

In Section H, for residence, you must provide complete home addresses for the last 10 years. A residence is considered a place where you physically live. Example: If you are a student at university and you are living on campus while studying, your campus address is considered your current place of residence (where you live).

Your residential history must coincide with other dates within the application, such as Section I: Employment history and Section J: Foreign employment.

Make sure there are absolutely no gaps in the 10 year period of coverage.

(A new screen titled "Section H: Residence properly completed" appears.)

Here is an example of Section H properly completed.

(An image of Section H is displayed. For the first and current address, the applicant has filled in the "Apartment number," "Street number" and "Street name" fields. The applicant has left the "Civic number" field blank. The applicant has filled in the "From" date field and the "City," "Province or state," "Postal code," "Country" and "Telephone number" [with area code] fields. For the second and previous address, the applicant has filled in the complete information, but has also provided a "To" date to indicate when they moved from that residential address.

(A new screen titled "Contract Security Program" appears.)

For more information on how to complete the residence section, please view the video entitled how to complete the personnel screening, consent and authorization form (TBS/SCT 330-23E) for applicants.

(A new screen titled "Section I: Employment History" appears.)

Section I is your Employment History.

The question "Would your employment be jeopardized if your current supervisor, below, is contacted?" is often left unanswered. You must answer this question.

(A new screen with the previous title appears.)

Also, if your past actions resulted in you being dismissed or asked to resign from any position listed in your employment history, you must check "Yes" and give the name of the employer, supervisor and date. You must also clarify the reason of the dismissal.

(A new screen with the previous title appears.)

If you were laid off due to company downsizing, company bankruptcy, shortage of work or seasonal employment, you can check "No" as this is not considered a dismissal.

(A new screen with the previous title appears.)

As for your employment history:

  • It must cover the last 10 years
  • It cannot include any time gaps between jobs. If you were unemployed, the word "unemployed" should be inserted in the space provided for "Name of Employer" and the dates associated should be entered
  • Your employment history must also coincide with other dates within the application, such as Section H: Residential history and Section J: Foreign employment
  • Lastly, it must include your current and past supervisors' full name (no initials) and the telephone number and street address of each employer
  • If any of these are unknown, please clearly identify as unknown and provide an explanation, if necessary

(A new screen with the previous title appears.)

If your last 10 years of employment have been interrupted by education, you must provide the name of the school in box A, the dates of attendance in box B and the address of the school in box C. In box D you must enter "student", in box F you must provide a teacher's name and in box G, enter the school's telephone number. Box E is for military personal only.

(A new screen with the previous title appears.)

If you are or were self-employed or worked as a consultant, under "Name of employer," you must provide your business name or your full name if you do not have a business name. Under "Job-site address," you must provide your permanent business address. If your permanent business address is your home address then you need to input your home address. For your "Supervisor's name," you need to provide your name or the name of a person who can verify your employment.

(A new screen titled "Section I: Employment History Properly Completed" appears.)

Here is an example of Section I properly completed.

(An image of Section I is displayed. The applicant has checked "No" in the "Would your employment be jeopardized if your current supervisor, below, is contacted?" field. Because of this, the applicant has inputted "n/a" for not applicable in the "If yes, provide the name of an alternate employment contact and telephone number" field. The applicant has checked "No" in the "Were you dismissed or asked to resign from any position(s) as listed below?" field. Because of this, the applicant has left the 4 fields under "If yes, give name of employer, supervisor, and date" field blank. As the first and present place of employment, the applicant has completely filled in the "Name of employer," "from" date, "Job-site address" and "Job title/Description" fields. The applicant inputted "n/a" for not applicable in the "Rank and service number" field. The applicant completely filled in the "Supervisor's name in full" and "Supervisor's telephone number" [with area code] fields. As the second and previous place of employment, the applicant has filled in the complete information, but has also provided a "To" date to indicate when they left that employer.

(A new screen titled "Section J: Foreign Employment" appears.)

For Section JForeign Employment, you must confirm if you have ever been employed by a foreign organization.

If the foreign employment was in the last 10 years, the dates must coincide with other dates provided in the application, such as those in Sections H and I.

(A new screen titled "Section K: Travel" appears.)

As mentioned at the start of the video, sections K through O must be completed only for Top Secret security clearance requests.

(A new screen titled "Section K, Countries you visited within the last 5 years for personal travel or non-government business" appears.)

In Section K,we need you to list the countries you visited within the last 5 years for personal travel or non-government business. This excludes Canada, the United-States and Mexico.

(A new screen titled "Section K, Left the country to travel for more than 6 months it must be entered in Section H as residential history" appears.)

If you have left the country to travel for more than 6 months it must be entered in Section H as residential history and not under Section K as travel.

One day visits to countries, such as a cruise stopover, do not have to be recorded.

A contractor on Canadian government business is not required to record details of their travel in this section.

(A new screen titled "Section L: Foreign Assets" appears.)

Section L asks for a list of any business, financial or personal assets you may have outside of Canada. For example, a Swiss bank account or a house outside of Canada. Note that you may later be asked to give details on the type of asset and its estimated value.

(A new screen titled "Section M: Character References in Canada" appears.)

When providing character references in Section M, your references cannot include relatives or persons residing outside of Canada.

References can be colleagues, peers and friends who have known you for over 3 years and will be able to speak to your non-work environment and activities.

(A new screen titled "Section M" appears.)

Be sure to fill in all the information required about your references:

  • "Full Name (no nicknames)," "Full address," "Complete work title and work address," "Relationship," "Period known" and "Telephone number"
  • Under "Neighbourhood reference," your neighbour must live in the general vicinity of your current residence and must have known you for over 7 months at your current address. If you have recently moved, you can provide a neighbour that has lived near you in the past 6 years

(A new screen titled "Section N: Education" appears.)

In Section N: Education, you must name the last school or university you attended full time. If you attended school or university in the last 10 years, be sure that your education dates coincide with other dates you provided in the application, such as those in Section H, I and J.

(A new screen titled "Section O: Military Service" appears.)

Section O: Military Service must be completed even if your military service was covered in your employment history.

You must list the last or current unit you belong(ed) to and the total dates of service you acquired in the Canadian Armed Forces.

(A new screen titled "Section P" appears.)

Section P is signed by you and it is vital that you sign, date and input your telephone number for your home and business. If you do not, your application will be returned to you, causing delays.

(A new screen titled "TBS 330-60" appears.)

You have now successfully filled out the Security Clearance form.

(A new screen titled "Let's review some helpful tips" appears.)

Let's review some helpful tips that will ensure your screening request is complete and avoid processing delays:

  • To avoid your document being returned to your organization, make sure all information and additional documentation are complete
  • Use the online industrial security services portal (OLISS) to help you fill out the form
  • If you need to provide extra information to support your screening request, use the additional information field in the online industrial security services portal (OLISS)
  • If you were born outside of Canada, don't forget to include your proof of Canadian citizenship or immigration papers
  • If you are using the online industrial security services portal (OLISS) and decide to click the original signature option, your company security officer will need to print out the form and have you fill this section by hand, as all initials must be hand signed and not typed

(A new screen titled appears.)

Should we receive an incomplete application, your company security officer will ask you to fix the problems or obtain the required documents, and will need to resubmit your application. This takes time and causes delays.

Please note that Treasury Board is revising this form and when the new form is available for use, we will update this video.

(A new screen titled "Client Service Centre" appears.)

If you have any questions related to this form you can contact us or visit our website.

(The web address to contact the Contract Security Program is displayed.)

You can email us at ssi-iss@tpsgc-pwgsc.gc.ca.

If you are calling from the National Capital Region, the number is 613‑948‑4176.

Our toll free number is 1‑866‑368‑4646.

(A screen titled "Copyright" appears, with the copyright symbol displayed. The subtitle, "Minister of Public Services and Procurement, Canada 1999" is also displayed.)

(The following copyright text is displayed: "All rights reserved. Permission is granted to electronically copy and to print in hard copy for internal use only. No part of this information may be reproduced, modified, or redistributed in any form or by any means, for any purposes other than those noted above (including sales), without the prior written permission of the Minister of Public Services and Procurement, Ottawa, Ontario, Canada K1A 0S5.")

(A screen displaying the Canada word mark appears.)

End of video.

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