• to collect personal information from or about me for the purpose of providing training in accordance with the Training and Testing Regulation made under the Private Security and Investigative Services Act, 2005 (“PSISA”);
• to disclose personal information collected from or about me, including whether or not I have successfully completed the required training under the Training and Testing Regulation, to the Private Security and Investigative Services Branch of the Ministry of Community Safety and Correctional Services for the purpose of determining whether I am eligible to be licensed as a security guard or private investigator, and for the purpose of administering the licensing system authorized under the PSISA; and
I also consent to and authorize the Private Security and Investigative Services Branch of the Ministry of Community Safety and Correctional Services to disclose personal information collected about me, for the purpose of advising the Ministry’s Test Delivery Vendor as to whether or not I have completed the training required under the Training and Testing Regulation; and
I hereby release and discharge Her Majesty the Queen in Right of Ontario, the
Name of Training Entity
and their respective directors, employees, subcontractors, volunteers, servants and agents, including their successors and assigns, from any and all actions, claims and demands for damages, loss or injury, howsoever arising, except as a result of negligence or wilful misconduct which may hereafter be sustained by myself as a result of the collection, use and disclosure of personal information as authorized by this form.
This Release of Liability shall be binding upon and shall ensure to the benefit of my respective heirs, and administrators.
I certify that I have read the information in this form thoroughly, that I fully understand it, and that by signing below, I have the capacity to provide consent, and that I am providing consent freely and voluntarily
The information provided is collected under the authority of Section 11 of the Private Security and Investigative Services Act, 2005 for the purpose of issuing a licence under the Act. If you have any questions, call a ServiceOntario Customer Service Representative toll-free at 1-866- 767-7454 (Canada). TTY users call us toll-free at 1-800-268-7095 (TTY Canada). Or mail, Private Security and Investigative Services Branch, 25 Grosvenor Street, 12th Floor, Toronto ON M7A 1Y6