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Are you currently on probation or parole for a criminal offense or have you received an alternative disposition sentence for a criminal act? An employer who wants your permission to get a background check will ask you to sign a consent form.You don't have to sign the form. No. Last Known Canadian Address (Complete if none of the above addresses are within Canada). Apartment No. Street No. Do you have charges (pending) against you for any crime? Petit larceny or shoplifting. 1 If the results of a criminal history background check reveal that the subject person has been convicted of, pled guilty or no. With the notarized consent of the data subject, anyone may request a criminal history record background check.