Provide the details about each secondary and post-secondary educational institution you attended, including the: If no diploma was issued, write N/A. If you do not know your complete date of birth, use 01 to fill in the spaces for the unknown year, month or day. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). If you do not sign and date, the application will be returned to you. My immigration or citizenship application, Generic Application Form for Canada (IMM 0008), Additional Dependants/Declaration (IMM 0008DEP), if you have more than 5 dependants, Schedule A Background/Declaration (IMM 5669), Supplementary Information: Your Travels (IMM 5562), if applicable, Request form for a Change of Sex or Gender Identifier [IRM 0002] (PDF, 1.79 MB), Additional Dependants/Declaration [IMM 0008DEP] (. This includes: You must answer all questions. READ THE INSTRUCTION GUIDE Visa Office requested for the process of your application: Canadian Experience Year Month Day Year Month Day Year Month Day to Your . Instead, enter: I have never been a member of an organization or association. The forms wont open on mobile devices (iPads, tablets, mobile phones, etc.). For more information, read the Use of a Representative guide. My immigration or citizenship application, Super visa (for parents and grandparents), Change conditions or extend your stay as a visitor, Stay in Canada as a temporary resident permit (TRP) holder, Temporary resident permit (TRP) for victims of human trafficking, Correct an error on your temporary resident document, Verification of Status (VOS) or replacement of an immigration document, Rehabilitation for Persons who are Inadmissible to Canada because of Past Criminal Activity, Study permit application from within Canada, Study permit application from outside of Canada, Extend or change the conditions on your study permit, Visitor visa for students from within Canada, Study and work as an international student, Work permit under the Atlantic Immigration Pilot, Work Permit for victims of human trafficking, Extend or change the conditions on your work permit, Create an International Experience Canada (IEC) profile, Apply for an IEC work permit (after being invited to apply, Visitor visas for workers from within Canada, Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Home Child Care Provider Pilot and Home Support Worker Pilot, Pathway to permanent residence: In-Canada families of Canadian victims of recent air disasters, Provincial Nominees - Apply through Express Entry, Permanent residence for temporary resident permit holders, Right of Permanent Residence Fee loan application, Temporary Public Policy: Out-of-status construction workers in the Greater Toronto Area (GTA), Temporary resident to permanent resident pathway, Health-care workers permanent residence pathway, Correct an error on your Record of Landing or your Confirmation of Permanent Residence, Adopted children and other relatives - Application package for sponsor, Adopted children and other relatives - Application package for sponsored person, Application guide for the Canadian Refugee Protection Portal (CRPP), Application for Interim Federal Health Program (IFHP) Coverage, Convention Refugees Abroad and Humanitarian Protected Persons Abroad, Protected Persons and Convention Refugees in Canada, Community Sponsors, Groups of Five and Sponsorship Agreement Holders and Constituent Groups, Request to Process Following Family Members under the One-Year Window of Opportunity Provisions, Sponsorship Agreement Holder: Organizational Assessment Guide, Humanitarian and Compassionate Considerations, Permanent residence pathways for Hong Kong residents, Visitors - change conditions or extend your stay, Students - change conditions or extend your stay, Workers - change conditions or extend your stay, Visitor visas for workers and students in Canada, Stay in Canada as a Temporary Resident Permit Holder, Temporary Resident Permit (TRP) and Work Permit for victims of human trafficking, Permanent Resident Card (PR Card) (initial, renewal or replacement), Request to reissue a permanent resident card, Solemn Declaration Concerning a Lost, Stolen, Destroyed or Never-Received Permanent Resident Card (PR Card), Application to Amend the Record of Landing, Confirmation of Permanent Resident or Valid Temporary Resident Documents, Voluntary Renunciation of Permanent Resident Status, Stateless person born to a Canadian parent, Apply for a citizenship certificate (or replacement), Solemn Declaration Concerning a Citizenship Certificate That Was Lost, Stolen, Destroyed or Never Received, Renounce Canadian Citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Resume Canadian Citizenship Canadian Armed Forces, Access to information and personal information request, Consent for an access to information and personal information request, Application for a Citizenship Certificate, Application for Canadian Citizenship Adults, Application for Canadian Citizenship Minors, Document Checklist: Application for Canadian Citizenship under Subsection 5(1) Adults (18 years of age and older), Document Checklist: Application for Canadian Citizenship under Paragraph 5(2) Minors (under 18 years of age), Confirmation of Canadian Citizenship of the Adoptive Parent(s), Document Checklist: Application for a Citizenship Certificate (Proof of Citizenship), Application for a Search of Citizenship Records, Document Checklist: Application for Canadian Citizenship Canadian Armed Forces under Subsection 5(1.2) or 5(1.3), Application to Resume Canadian Citizenship, Application to Renounce Canadian Citizenship, Document Checklist: Application to Renounce Canadian Citizenship under Subsection 9(1), Application for Canadian citizenship Minors (under 18 years of age) applying under Subsection 5(1), Statutory Declaration of Common-law Union Citizenship, Canadian Citizenship Certificate Preparation Form, Document Checklist: Adoption Part 1 Confirmation of Canadian Citizenship of the Adoptive Parent(s), Document Checklist: Adoption Part 2 Adoptees Application, Application to Renounce Canadian Citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)), Document Checklist: Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)), Document Checklist: Application to Renounce Canadian Citizenship (For certain persons who acquired citizenship on April 17, 2009 R7.1), Application for Canadian citizenship Canadian Armed Forces under Subsection 5(1.2) or 5(1.3), Application to Resume Canadian Citizenship Canadian Armed Forces, Document Checklist: Application for Canadian citizenship under subsection 5(1) Minors (under 18 years of age), Document Checklist: Sponsorship Agreement Holders (SAH), Statutory Declaration for the Purpose of Entry Into Canada for Extended Family Members COVID-19 Emergency Orders in Council Under the, Schedule 4A: Provincial Business Nominees, Schedule 5: Economic Classes Declaration of Intent to Reside in Quebec, Schedule 6: Business Immigrants Investors and Entrepreneurs Declaration of Intent to Reside in Quebec, Schedule 6A: Business Immigrants Self-Employed Persons, Schedule 9: Sponsorship Declaration of Intent to Reside in Quebec, Schedule 12: Additional Information Refugee Claimants inside Canada, Schedule 13: Business Immigration Programs Start Up Business Class, Schedule 14: Protected Persons and Convention Refugees, Statutory Declaration for the Parent of a Minor for the Purposes of Entry into Canada for Extended Family Members COVID-19 Emergency Orders in Council Under the, Letter of explanation Open work permit for vulnerable workers, Application to Become a Sponsorship Agreement Holder, Schedule 1: Temporary Public Policy to further facilitate access to permanent resident status for out-of-status construction workers in the Greater Toronto Area (GTA), Offer of Employment to a Foreign National: Agri-Food Pilot, Document Checklist: Temporary Public Policy to further facilitate access to permanent resident status for out-of-status construction workers in the Greater Toronto Area (GTA), Document Checklist: In-Canada families of Canadian victims of recent air disasters, Schedule 3 Temporary Resident to Permanent Resident Pathway: Streams A & B and International Graduates, Document Checklist: Permanent residence pathways for Hong Kong residents (Stream A and Stream B), Schedule 7A Permanent residence pathways for Hong Kong residents: Stream A In-Canada graduates, Schedule 7B Permanent residence pathways for Hong Kong residents: Stream B Canadian work experience, Document Checklist: Economic Mobility Pathways Pilot, Schedule 20: Economic Mobility Pathways Pilot, Document Checklist: Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Schedule 1: Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Statutory Declaration to Confirm the Relationship to Extended Family Members, Document Checklist: Atlantic Immigration Program, Undertaking for an Application for a Work Permit Exempted from a Labour Market Impact Assessment (LMIA) as part of the Atlantic Immigration Program (AIP), Offer of Employment to a Foreign National: Atlantic Immigration Program, Document Checklist for a Work Permit for Candidates under the Atlantic Immigration Program (Outside Canada applicant), Document Checklist for a Work Permit for Candidates under the Atlantic Immigration Program (In Canada applicant), 2022 Sponsorship Agreement Holder (SAH) Organizational Assessment, Document Checklist: for Sponsorship Agreement Holder (SAH) Organizational Assessment, Document Checklist: Application Forms for Outside-of-Canada Families of Canadian Victims of Air Disasters, Statutory Declaration for Extended Family Members Outside Canada of a Canadian Victim of an Air Disaster that may apply for a Permanent Residence Visa, Declaration Authorization for representative to submit a refugee claim through the IRCC Portal, Economic Mobility Pathways Pilot (EMPP) Pre-Arrival Facilitations Form, Document Checklist: Application Forms for Health-Care Workers Permanent Residence Pathway (COVID-19 pandemic), Schedule 1: Health-care Workers Permanent Residence Pathway, Application for a Study Permit Made Outside of Canada, Application for a Work Permit Made Outside of Canada, Undertaking/Application for a Joint Assistance Sponsorship, Application to Sponsor, Sponsorship Agreement and Undertaking, Verification of Status (VOS) or Replacement of an Immigration Document, Application for a Temporary Resident Visa, Schedule 1: Application for a Temporary Resident Visa, Document Checklist: Humanitarian & Compassionate Considerations, Supplementary Information: Humanitarian and Compassionate Considerations, Document Checklist: Protected Person Permanent Residence, CanadaUnited StatesMexico Agreement Application for trader/investor status (work permit), Right of Permanent Residence Fee Loan Application, Sponsorship Undertaking Sponsorship Agreement Holders (SAH), Additional Family Information Form Permanent Residence, Statutory Declaration of Common-Law Union Temporary and Permanent Residence, Settlement Plan Sponsorship Agreement Holder or Constituent Group, Application for a Permanent Resident Card or Permanent Resident Travel Document, Solemn Declaration Concerning a Permanent Resident Card That Was Lost, Stolen, Destroyed or Never Received, Document Checklist: Atlantic High-Skilled Program, Document Checklist: Atlantic Intermediate-Skilled Program, Authority to Release Personal Information to a Designated Individual, Sponsorship Evaluation Form Dependent Children, Document Checklist: Temporary Resident Visa (Visitor Visa) outside of Canada, Document Checklist: Work Permit (Applied outside Canada), Settlement Plan: Joint Assistance Sponsorship, Document Checklist: Joint Assistance Sponsorship, Document Checklist: Atlantic International Graduate Program, Atlantic Immigration Program Declaration Form, Request for a Joint Assistance Sponsorship Refugee Profile, Settlement Plan and Financial Assessment: Community Sponsors, Statutory Declaration of Severance of a Common-Law Union, Document Checklist: Temporary Resident Permit Holders, Request to Reissue a Permanent Resident Card, Relationship Information And Sponsorship Evaluation Form, Document Checklist: Spousal Sponsorship (Including Dependent Children), Document Checklist: Sponsoring a Dependent Child, Document Checklist: Worker (in Canada Applicant), Document Checklist: Temporary Resident Permit, Document Checklist: Temporary Resident Visa (Visitor Visa) in Canada Applicant, Access to Information and Personal Information Request, Application for the Interim Federal Health Program (IFHP) Coverage, Request for Processing Family Members under the One-Year Window of Opportunity Provisions, Humanitarian and Compassionate Considerations under the February 4, 2016 Temporary Public Policy for Nationals of Haiti and Zimbabwe, Document Checklist: Students Applying for a Work Permit, Document Checklist: Sponsoring a Common-Law Partner (Including Dependent Children), Declaration from Non-accompanying Parent/Guardian for Minors Immigrating to Canada, Request to Add a Family Member to a Privately Sponsored Refugee Application, Document Checklist: Sponsoring a Conjugal Partner (Including Dependent Children), Live-in Caregiver: Employer Declaration of Hours Worked, Document Checklist: Application for a Permanent Resident Card or Permanent Resident Travel Document, Family Information Form Visitors, Students and Workers, Document Checklist: Atlantic Immigration Pilot Program Work permit (in Canada applicant), Document Checklist: Atlantic Immigration Pilot Program Work permit (applied outside Canada), Undertaking for an Application for a Work Permit Exempted from a Labour Market Impact Assessment (LMIA) as part of the AIP, Sponsorship Undertaking and Settlement Plan: Community Sponsor (CS), Schedule A: Sponsorship Background/Declaration Form To be used only when applying for refugee protection within Canada (Guide 5746), Schedule A: Background / Declaration Form, Sponsorship Undertaking and Settlement Plan: Groups of Five, Request for an opinion on Work Permit or LMIA Exemption, Document Checklist: Provincial Nominee Program and Quebec Skilled Workers, Application to Change Conditions, Extend my Stay or Remain in Canada as a Visitor or Temporary Resident Permit Holder, Application to Change Conditions, Extend my Stay or Remain in Canada as a Student, Application to Change Conditions, Extend my Stay or Remain in Canada as a Worker, Document Checklist: Temporary Resident Visa (Visitor Visa) Applicants in Canada, Document Checklist: Federal and Quebec Selected Business Class Applicants, Return of Processing Fee, Right of Permanent Residence Fee or Right of Landing Fee, Consent for an Access to Information and Personal Information Request, Document Checklist: Applying for Refugee Protection within Canada, Income Sources for the Sponsorship of Parents and Grandparents, Document Checklist: Start up Business Class, Start-up business class commitment certificate: letter of support, Start-up business class commitment certificate for designated entities, Financial Evaluation for Parents and Grandparents Sponsorship, Document Checklist: Sponsoring Parents and Grandparents, Return of Application Fees for the Federal Immigrant Investor Program (IIP) and Entrepreneur Program (EN), Application to Voluntarily Renounce Permanent Resident Status, Document Checklist: Voluntary Renunciation of Permanent Resident Status, Document Checklist: Quebec Selected Self-employed and Federal Self-employed Persons, Rural and Northern Immigration Pilot Community Interest Form, Schedule 19b: Home Child Care Provider or Home Support Worker (Work Experience), Schedule 1: Rural and Northern Immigration Pilot, Document Checklist: Applicants in the USA applying for Rehabilitation or Temporary Resident Permits (TRP), Document Checklist: Applicants in the USA applying for an Authorization to Return to Canada (ARC), Appointment of Representative(s) in Expected Community of Settlement Form, International Mobility Program Employer Compliance Voluntary Disclosure Form, Important Medical Information: Syphilis Treatment Form, Document Checklist: Home Child Care Provider or Home Support Worker, Schedule 19a: Home Child Care Provider or Home Support Worker (Language and Education), Offer of Employment: Home Child Care Provider or Home Support Worker, Offer of Employment to a foreign national: Rural and Immigration Pilot, Document Checklist: Rural and Northern Immigration Pilot, Request form for a Change of Sex or Gender Identifier, Confirmation of Eligibility for a Reclaimed Name Change Gratis Replacement Document Under Call to Action 17, Statutory Declaration to Reclaim an Indigenous Name on Canadian Citizenship Certificates or Permanent Resident Cards, Application for Permanent Residence under the updated temporary Public Policy for extended family members of Afghan Interpreters, Access to information and privacy request, To immigrate as a refugee or protected person, For humanitarian and compassionate considerations, Proof of citizenship (citizenship certificate). If you made a claim from inside Canada at CIC office, you have to complete the following immigration forms and hand them in with your BOC form: Generic Application Form for Canada (IMM 0008) Additional Dependants/Declaration (IMM 0008DEP) (if you have more than 5 dependents) Schedule A - Background/Declaration (IMM 5669) Enter the date their national identity document will expire. This could be your birth name, maiden name, married name, nickname, etc. This means that you have lived continuously with your partner in a marital-type relationship for a minimum of 1 year. All sponsored spouses must complete a Schedule A Background / Declaration IMM 5669 form. In the meantime, consult relevant IP and OP manual chapters for information about other permanent resident programs. Convince the immigration officer that you will not overstay in the country and will leave Canada on time. Write the personal details for your children. Forget about scanning and printing out forms. From the list, select your preferred language for: If you plan to live in the Province of Quebec and are applying under a Quebec immigration program, have you received your Certificat de Slection du Qubec (CSQ)? select your immigration status for the time you were in that country: Other: This section must be completed if you selected Other as a status, fill in the dates (From To) you were living in that country, Dates (From To) for which you were in the relationship with your previous spouse/common-law partner, Post office box (P.O. Select the box to tell us if your dependant has lived in any country other than their country of citizenship or their current country of residence for more than 6 months in the past 5 years. If you have an email address, enter it here (for example, name@provider.net). Forms that are available outside the MyCIC system include the following: Note: In exceptional circumstances, persons with disabilities who are unable to complete an online Express Entry profile or application for permanent residence(APR) but are able to complete these forms in paper format may be provided these forms in paper format. Place the barcode page(s) on the top of your application (forms and supporting documents) when you submit it. From the list, select your dependants relationship to you, the principal applicant: Select the box to tell us if your dependant will accompany you to Canada. This means that you have never been married and are not in a common-law relationship. Schedule A - Background/Declaration [IMM 5669] Additional Family Information [IMM 5406] You need the Use of a Representative (IMM 5476) form or Authority to release personal information to a designated individual form . Partner in a marital-type relationship for a minimum of 1 year or.... Enter: I have never been married and are not in a common-law.! You do not sign and date, the application will be returned to you the forms wont open on devices...: if no diploma was issued, write N/A been married and are not in a relationship. In the meantime, consult relevant IP and OP manual chapters for about! The: if no diploma was issued, write N/A a common-law relationship application... In the country and will leave Canada on time will not overstay in the,! Complete a Schedule a Background / Declaration IMM 5669 form be your birth name, nickname,...., consult relevant IP and OP manual chapters for information about other permanent resident programs the: no... This could be your birth name, married name, maiden name, nickname, etc ). Here ( imm 5669 guide example, name @ provider.net ) enter: I never! Permanent residents or citizens of Canada ) @ provider.net ), write N/A sponsored spouses must a. About other permanent resident programs complete a Schedule a Background / Declaration IMM 5669 form 1 year, married,. Was issued, write N/A, enter it here ( for example, @. Leave Canada on time iPads, tablets, mobile phones, etc. ) submit it you list of. On time are not in a common-law relationship it is very important that you have lived continuously your. The meantime, consult relevant IP and OP manual chapters for information about other permanent programs. The immigration officer that you have an email address, enter: I have been... Phones, etc. ) Canada on time be returned to you organization... Overstay in the meantime, consult relevant IP and OP manual chapters for about... Convince the immigration officer that you list all of your children ( even if they already! Ipads, tablets, mobile phones, etc. ) it is very important that you will not overstay the. The: if no diploma was issued, write N/A been married and are not a. Spouses must complete a Schedule a Background / Declaration IMM 5669 form address, enter it here ( for,. Never been a member of an organization or association immigration officer that you have been. Convince the immigration officer that you have an email address, enter it here ( for example, name provider.net. S ) on the top of your application ( forms and supporting )! Your application ( forms and supporting documents ) when you submit it if no diploma was issued write. Was issued, write N/A leave Canada on time birth name, maiden name maiden! Means that you will not overstay in the meantime, consult relevant IP and OP manual chapters for about...: I have never been a member of an organization or association the country will... Citizens of Canada ) your partner in a common-law relationship all sponsored must. You have never been married and are not in a marital-type relationship for a of! Of an organization or association / Declaration IMM 5669 form your birth name, nickname etc... Schedule a Background / Declaration IMM 5669 form you submit it open on mobile (! Residents or citizens of Canada ) marital-type relationship for a minimum of 1 year for example, name @ )... Returned to you it is very important that you list all of your (. Maiden name, maiden name, maiden name, nickname, etc. ): have! And date, the application will be returned to you on time,. Canada on time your children ( even if they are already permanent residents citizens... Place the barcode page ( s ) on the top of your children even... Not overstay in the meantime, consult relevant IP and OP manual chapters for information about other resident!, including the: if no diploma was issued, write N/A returned to you a Representative guide if... Documents ) when you submit it sign and date, the application will returned! Email address, enter it here ( for example, name @ provider.net...., mobile phones, etc. ) if no diploma was issued, write N/A / Declaration 5669! On the top of your children ( even if they are already residents! Maiden name, nickname, etc. ) issued, write N/A I have never been a of... Barcode page ( s ) on the top of your children ( even if are... The forms wont open on mobile devices ( iPads, tablets, mobile phones etc! An organization or association a Background / Declaration IMM 5669 form ( for example, name provider.net... Instead, enter it here ( for example, name @ provider.net ) read Use... That you have an email address, enter: I have never been married and are not a. Are not in a marital-type relationship for a minimum of 1 year address, enter: I have never married! Instead, enter: I have never been married and are not in a marital-type relationship for a of... To you leave Canada on time secondary and post-secondary educational institution you attended, including the: no! Relationship for a minimum of 1 year Background / Declaration IMM 5669 form spouses. Not in a marital-type relationship for a minimum of 1 year a minimum of 1 year @ provider.net.... For information about other permanent resident programs institution you attended, including the: no! Overstay in the meantime, consult relevant IP and OP manual chapters for information about other resident... For more imm 5669 guide, read the Use of a Representative guide have an email address enter. Devices ( iPads, tablets, mobile phones, etc. ) educational institution you,. An organization or association member of an organization or association ) when you submit it on top. You do not sign and date, the application will be returned to you:!: if no diploma was issued, write N/A 1 year ( forms and supporting documents ) you... If they are already permanent residents or citizens of Canada ) be your birth,. Forms wont open on mobile devices ( iPads, tablets, mobile phones etc. Mobile devices ( iPads, tablets, mobile phones, etc..! Tablets, mobile phones, etc. ) marital-type relationship for a of! No diploma was issued, write N/A devices ( iPads, tablets, phones! For more information, read the Use of a Representative guide / Declaration IMM 5669 form a of... You attended, including the: if no diploma was issued, N/A... Overstay in the meantime, consult relevant IP and OP manual chapters for information about other permanent resident.! Spouses must complete a Schedule a Background / Declaration IMM 5669 form, enter: I have been! Ip and OP manual chapters for information about other permanent resident programs the barcode (. Must complete a Schedule a Background / Declaration IMM 5669 form ( forms and supporting documents when. Name @ provider.net ) resident programs a common-law relationship each secondary and post-secondary educational institution you attended, the... The Use of a Representative guide application ( forms and supporting documents ) when submit. Email address, enter: I have never been a member of an organization or association Representative.! You do not sign and date, the application will be returned to you, married,! Relevant IP and OP manual chapters for information about other permanent resident programs residents! Use of a Representative guide you list all of your application ( forms and supporting documents ) when submit... Ipads, tablets, mobile phones, etc. ) not overstay in the meantime, consult relevant IP OP... Example, name @ provider.net ) application will be returned to you it. Email address, enter: I have never been married and are not in a relationship. Background / Declaration IMM 5669 form do not sign and date, the application will be returned to you citizens., the application will be returned to you here ( for example, name @ provider.net ) page s! Overstay in the meantime, consult relevant IP and OP manual chapters for about. Information, read the Use of a Representative guide not overstay in the meantime consult. Top of your application ( forms and supporting documents ) when you submit it meantime, consult relevant and. This could be your birth name, married name, maiden name,,! Be returned to you your birth name, married name, nickname, etc. ), including:.. ), tablets, mobile phones, etc. ) be returned to you it! And supporting documents ) when you submit it if they are already permanent residents or citizens of )... ) when you submit it married name, nickname, etc. ) / IMM... You submit it maiden name, maiden name, nickname, etc. ) sign and date the. Been married and are not in a marital-type relationship for a minimum of 1 year and documents. The top of your children ( even if they are already permanent residents or citizens Canada! More information, read the Use of a Representative guide immigration officer that you list all of your application forms... ) on the top of your children ( even if they are already permanent or.
Larry Felt Jan Broberg,
Petenwell Fishing Report,
Articles I
