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CRIMINAL RECORD CHECK REIMBURSEMENT REQUEST PAY TO DATE REQUESTED ADDRESS DATE REQUIRED POSTAL CODE PARISH SUBMITTED BY CONTACT phone or email PLEASE SUBMIT THIS FORM ALONG WITH A COPY OF YOUR COMPLETED CRIMINAL RECORD CHECK FORM RECEIPT SHOWING AMOUNT PAID TO Diocese of BC 900 Vancouver Street Victoria BC V8V 3V7 Attn Judith Coleman Please note that cheques are issued weekly and any request received by Wednesday will be paid that week.
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