Questionnaire for China Police Certificates

Instructions

Thanks for your interest in hiring Chodorow Law Offices to help apply for one or more China police certificates, also known as a certificates of no criminal conviction (CNCC).

Please fill this questionnaire so we can determine how best to help you and give you a quote.

Before you start:

Gather your passports and other documents that may be needed to apply for the police certificate. See this list. When you’ve finished the questionnaire, we will ask you to provide us scans of the documents.
Find the exact addresses (preferably written in Chinese) for where you lived during the periods you want covered by the police certificate. You may find these addresses on the documents you have collected, or on old leases or correspondence, or you may be able to refresh your memory by browsing Baidu and Google maps. We will rely on you to tell us those addresses and the periods you lived at each one. (Exception: We do not need exact addresses from Chinese citizens applying for police certificates for periods they held a household registration booklet.)

We will keep your information confidential. We won’t disclose it to the government or others without your consent. We can advise you best if you provide truthful, complete, and accurate information.

Contact Info for the Applicant

Name as written in your current passport*

Given Names SURNAME

Did you use any other name in China during the period(s) you want the police certificate(s) to cover?

Yes

No

If yes, list the name*

Given Names SURNAME

Phone*

Email*

WeChat ID (or write "none")*

Providing a WeChat ID can facilitate timely communications with our law firm.

Current home address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Should the police certificate be mailed to your current home address?*

Yes

No

Address where the police certificate should be mailed*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Info for the Person Filling This Questionnaire

Are you (the person filling this questionnaire) the same person applying for the police certificate?*

Yes

No

Name*

Relationship to Applicant (e.g., spouse, employer, attorney)*

Phone*

Email*

WeChat ID (or write "none")*

Providing a WeChat ID can facilitate timely communications with our law firm.

Law Enforcement History

In Mainland China, have you ever been arrested, detained, or convicted by any law enforcement officer for any crime, offense, or administrative violation?*

No

Yes

Please explain the circumstances*

Specifications for the Police Certificate

Why do you need the police certificate?*

If you chose "Other," explain in more detail why you need the police certificate*

Have you already filed Form DS-260, Immigrant Visa Electronic Application, with the U.S. State Department?*

Yes

No

Have you already filed Form DS-160, Online Nonimmigrant Visa Application, with the U.S. State Department?*

Yes

No

Do you have an attorney or immigration specialist helping with that visa application?*

Yes

No

How many originals do you need of each police certificate?*

Please enter a number from 1 to 4.

Do you need the police certificate(s) to be apostilled or authenticated?*

No

Apostilled (by a foreign affairs office in China)

Authenticated (by a foreign embassy or consulate in China)

Most countries, such as the U.S., Canada, Australia, and New Zealand, do not require a police certificate to be apostilled or authenticated. For more information about apostille or authentication of documents in China, see http://cs.mfa.gov.cn/wgrlh/lsrz/lsrzjjs/.

For any period you want a police certificate to cover, did you hold any of the following? (Check all that apply)*

Mainland China household registration (hukou 户口）

Hong Kong Permanent ID Card

Macau Bilhete de Identidad de Residente Permanente

Taiwan ID Card

China visa or residence permit stamped in a foreign passport

Hukou Holder

Have you cancelled your hukou?*

Yes

No

I don’t remember

Do you have the hukou cancellation certificate?*

Yes. I have the original.

Yes. I have just a copy, not the original.

No

What is the name of the police station (派出所), where you cancelled your hukou, including the name of the city?*

Date Hukou Canceled

National ID card number (身份证号码)*

List the period you want the police certificate to cover (during which you held a hukou):

Start Date*

End Date*

Foreigner with Visa or Residence Permit

Do you have a current, unexpired passport?*

Yes. It contains China stamps (visas, residence permits, or entry/exit stamps).

Yes. It does NOT contain China stamps.

No.

Do you have all the original passports used in China during the periods you want the police certificate(s) to cover?*

Yes

No

If you answered "no," why not? For example, was a passport stolen, lost, destroyed, or taken by the government when you applied for a renewal? If lost or stolen, do you have a police report? Do you have a photocopy of all pages with China stamps?*

Did you hold a visa or foreigner's residence permit for STUDY during the periods to be covered by the police certificate(s)?*

For a sample residence permit, see https://lawandborder.com/sample-china-immigration-documents/#5_Residence_Permit

Yes

No

List the schools you were authorized to attend*

School name (in Chinese, if you can)

Date authorized attendance started (YYYY-MM-DD)

Date authorized attendance ended (YYYY-MM-DD)

Did you get a diploma or completion certificate?

If you CANNOT provide us with the following documents, why not? (a) your diploma or transcripts; and (b) your student ID.*

Did you hold a foreigner's residence permit for WORK during the period for which you are seeking a police certificate?*

For a sample residence permit, see https://lawandborder.com/sample-china-immigration-documents/#5_Residence_Permit

Yes

No

List the employers for which you were legally authorized to work:*

Employer name (in Chinese if you can)

Date authorized employment started (YYYY-MM-DD)

Date authorized employment ended (YYYY-MM-DD)

Please do not list any periods when you were not authorized to work for the particular employer.

Address History

Enter the following info for each address where you resided in China during the period(s) to be covered by the police certificate(s). Start with your earliest address. Note: You do not need to fill this in for any period you were a Chinese citizen holding a hukou.

Untitled

Row ID	Province 省 / Autonomous Region 自治区 / Municipality 直辖市	City 市 / Prefecture 地区	District 区 / County 县	Town 镇 / Subdistrict 街道 / Village 乡	Street 街道, Building 楼号, Unit 单元、Apt. No. 房号	Date you moved in to that address	Date you moved out of that address	Is this a hotel or a school/university campus?	During the period you resided at that address, did you complete the temporary residence registration process each time required by law?	Do you have at least one TRRF for this address?	Actions

There are no Entries.

Referral

How did you hear about our law firm?*

Referred by a lawyer

Referred by a client or another person

Website mentioned our firm

Search engine

Other

Name of the person who referred you:*

Name of the website:*

Search terms used:*

Explain:*

Thank you for completing this Client Questionnaire. Upon clicking the “submit” button, we will direct you to complete payment, and we will send you a confirmation email.