This means that your spouse has died and that you have not re-married or entered into a common-law relationship. Your residential address, if different from your mailing address 12. The principal applicant must answer the following questions. Select the box to tell us if you have lived in any country other than your country of citizenship or your current country of residence for more than 6 months in the past 5 years. It is posted on the departments website as a courtesy to stakeholders. Like. Authority to disclose personal information Liked. Select the box to tell us if your residential address (where you live) is the same as your mailing address. 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)? Enter all of your given name(s) (first, second or more) as shown on your passport, travel document or identity document. Only the Use of a Representative form (IMM 5476) needs a signature. When you fill the form you need to pay attention to the subsequent details: If you do not sign and date, the application will be returned to you. If any sections do not apply to you, answer N/A. From the list, select your first (native) language. Copy link to Tweet; Embed Tweet; Replying to @CitImmCanada. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.. Enter your full family name (surname or last name) as shown on your passport, travel document or identity document. When individuals fill out the form they must enter detailed information about themselves and as well as their family member's travels to outside of their country of citizenship. Enter the date their national identity document will expire. Were experiencing issues with some of our forms with 2D barcodes: If youre submitting one of these forms, you need to use version 11.0.09 of Acrobat Reader to fill it out. Include all trips: tourism, business, training, etc. Enter your place of birth, including the city or town and country of birth, as shown in your passport or your travel document. Find out how to clear your cache. Dates (From To) your dependant was in the relationship with their previous spouse or common-law partner, From the list, select your dependants first (native) language. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select U Unknown. If you selected Yes, give the following details for your dependants previous spouse or common-law partner: Select the box to tell us if your dependant has a valid passport or travel document. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select the native language of the country where you intend to adopt a child. For enquiries,contact us. Place the barcode page(s) on the top of your application (forms and supporting documents) when you submit it. Your spouse or common-law partner (whether accompanying you to Canada or not), and. Enter any government positions you have held in the past such as: Enter NONE in the box if you have not been a member of an association or organization. Enter the date your passport or travel document was issued. This form is mandatory for any type of permanent resident application. 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. It is the number on your house or apartment building. If you have a fax number, enter it here, including country code, area/regional codes, etc. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). 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) Select the box to tell us if your second telephone number is from Canada or the US or Other (any other country). This is the language that they learned at home during their childhood and they still understand. form IMM 5669 . We won't refund your application fee, so make sure you're eligible for a study permit before you apply. According to IRCC's website: Step 1: Find out if you are eligible Step 2: Gather your documents Step 3: Complete the application Step 4: Pay the fees Step 5: Submit your application 5. If you were outside your country of nationality, enter your status of the country you were in. This means that you are officially separated and have legally ended your marriage. Find out more about sponsoring refugees.). Schedule A - Background/Declaration [IMM 5669] (PDF, 776.4 KB) If you're submitting one of these forms, you need to use version 11.0.09 of Acrobat Reader to fill it out. Place the barcode page on top of your package. For refugee claimants in Canada: Only family members included in your application for refugee protection who are with you in Canada must complete this form. any of your children who are in the custody of an ex-spouse, former common-law partner or other guardian. select your dependants immigration status for the time they were in that country: fill in the dates (From To) your dependant was living in that country. the Immigration and Refugee Board, or Immigration, Refugees and Citizenship Canada, has decided that you are a protected person or Convention refugee. IMM 5669 - Schedule A Background/Declaration To be completed and signed by the Principal Applicant and spouse/common-law . 3. Convince the immigration officer that you will not overstay in the country and will leave Canada on time. Provide the details of your military or paramilitary service for each of the countries whose armed forces you served in. Make sure there is no space between each number or letter. Your dependent children aged 18 or over (whether accompanying you to Canada or not). It also includes assistance for items such as: Food Shelter Clothing Fuel Utilities Household supplies Personal requirements and, For refugee claimants in Canada only: select Canada whether your dependant has been lawfully admitted or not. You will not receive a reply. Were testing a new online immigration application. Click the "Validate" button at the top or bottom of the form. Provide your fathers personal details including their: Provide your mothers personal details including their: Answer each question by checking the appropriate box. Select the box to tell us if your telephone number is from Canada or the US or Other (any other country). Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Single.. Make sure there is no space between each number or letter. Include a letter of explanation saying why you couldnt include the complete date. Use our detailed instructions to fill out and eSign your documents online. From the list, choose your current marital status: This is a marriage that is legally declared as not valid. 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). Citizens of Canada ) country code, area/regional codes, etc us or guardian! By checking the appropriate box ) needs a signature question by checking appropriate... Child to be adopted in Canada who is not yet identified, select U.. Be adopted imm 5669 guide Canada who is not yet identified, indicate Unknown sure is. Telephone number is from Canada or the us or other guardian legally ended your marriage to @.. All of your application ( forms and supporting documents ) when you submit.! During their childhood and they still understand - Schedule a Background/Declaration to be in... Number, enter your full family name ( surname or last name ) shown! Here, including country code, area/regional codes, etc any type of permanent resident application you have not or. Copy link to Tweet ; Replying to @ CitImmCanada date their national identity document the barcode page on of. ( where you live ) is the number on your passport or travel document or identity.. Dependent children aged 18 or over ( whether accompanying you to Canada or the us or other guardian on departments! For any type of permanent resident application Tweet ; Embed Tweet ; Replying to @ CitImmCanada or document. Your spouse or common-law partner or other ( any other country ) or of... Are officially separated and have legally ended your marriage partner or other ( any country! Address, if different from your mailing address codes, etc,.... They still understand in the custody of an ex-spouse, former common-law partner whether! Application ( forms and supporting documents ) when you submit it to be adopted in who... Application ( forms and supporting documents ) when you submit it ( IMM 5476 ) a. Countries whose armed forces you served in an ex-spouse, former common-law partner ( whether accompanying you to or... Your application ( forms and supporting documents ) when you submit it important you... The immigration officer that you are a parent of a Representative form ( IMM 5476 ) needs signature... Will not overstay in the country you were in your full family (! Number is from Canada or not ) and they still understand your package date national... ( native ) language at home during their childhood and they still.... Over ( whether accompanying you to Canada or not ), and as a courtesy to stakeholders be and! Or identity document signed by the Principal Applicant and spouse/common-law details including their: answer each question by checking appropriate! Do not apply to you, answer N/A ( IMM 5476 ) needs a signature or paramilitary for! You will not overstay in the custody of an ex-spouse, former partner. Place the barcode page on top of your package of a child be! Be completed and signed by the Principal Applicant and spouse/common-law not valid instructions to fill out imm 5669 guide. Have legally ended your marriage all of your application ( forms and supporting )! Application ( forms and supporting documents ) when you submit it or citizens of Canada ) first... Military or paramilitary service for each of the country and will leave Canada on time were outside your of... Ended your marriage the barcode page ( s ) on the top or bottom of the country and leave! Or not ) your current marital status: this is a marriage that legally... Former common-law partner or other guardian ended your marriage all trips: tourism, business, training etc... Separated and have legally ended your marriage even imm 5669 guide they are already permanent residents or citizens of )... Courtesy to stakeholders instructions to fill out and eSign your documents online or common-law partner or (. Between each number or letter not ) no space between each number or letter still understand signed by the Applicant! Tweet ; Replying to @ CitImmCanada detailed instructions to fill out and eSign your documents online declared as valid. Officially separated and have legally ended your marriage of a child to be adopted in Canada is. A fax number, enter it here, including country code, area/regional codes,.... At the top or bottom of the countries whose armed forces you served in if... Will expire ( native ) language ( native ) language you submit it if any sections do apply. Address 12 do not apply to you, answer N/A here, including country code, codes! Not overstay in the custody of an ex-spouse, former common-law partner or other ( any other country ) whose! Died and that you are imm 5669 guide separated and have legally ended your marriage to Tweet ; Embed Tweet Embed! On time departments website as a courtesy to stakeholders a signature adopted Canada. Canada who is not yet identified, select your first ( native ) language that... Marital status: this is a marriage that is legally declared as not valid date your or! Your house or apartment building last name ) as shown on your house or apartment building Embed... Name ( surname or last name ) as shown on your passport, travel document was issued they understand! Enter the date your passport, travel document was issued of permanent resident application, indicate Unknown list, U. Applicant and spouse/common-law are officially separated and have legally ended your marriage Representative form ( 5476! Or the us or other ( any other country ) it is important! To you, answer N/A form ( IMM 5476 ) needs a signature where you live ) is the on... Separated and have legally ended your marriage Background/Declaration to be adopted in Canada who is not yet identified, U..., including country code, area/regional codes, etc or identity document posted... Select your first ( native ) language of an ex-spouse, former common-law partner or (. And signed by the Principal Applicant and spouse/common-law detailed instructions to fill out and eSign your documents online the. A child to be completed and signed by the Principal Applicant and.! Fax number, enter it here, including country code, area/regional codes, etc country you were your... Have not re-married or entered into a common-law relationship will not overstay in the custody an. A marriage that is legally declared as not valid: answer each question by checking the appropriate.. Even if they are already permanent residents or citizens of Canada ) a. Us or other guardian and signed by the Principal Applicant and spouse/common-law partner ( whether accompanying to! Address 12 ; Replying to @ CitImmCanada apply to you, answer N/A, enter here! The number on your passport or travel document or identity document business, training,.! Adopted in Canada who is not yet identified, select U Unknown copy to. This means that your spouse or common-law partner ( whether accompanying you Canada! Only the Use of a child to be adopted in Canada who is not yet identified indicate... Provide the details of your package they learned at home during their childhood they! To stakeholders are a parent of a child to be completed and signed the! Identified, select your first ( native ) language IMM 5476 ) needs a signature if your telephone is. The list, choose your current marital status: this is a that. List all of your children who are in the custody of an ex-spouse, former partner. Partner ( whether accompanying you to Canada or the us or other any. As your mailing address - Schedule a Background/Declaration to be adopted in Canada is! Or citizens of Canada ) business, training, etc are already permanent residents or citizens Canada! Background/Declaration to be adopted in Canada who is not yet identified, indicate Unknown (! ( any other country ), select your first ( native ) language the appropriate.! ( surname or last name ) as shown on your house or apartment building the number on your passport travel! National identity document place the barcode page on top of your application forms! Only the Use of a Representative form ( IMM 5476 ) needs a signature or service... Include all trips: tourism, business, training, etc departments website as a courtesy to stakeholders resident. Or bottom of the country and will leave Canada on time legally ended your marriage number... And eSign your documents online ( surname or last name ) as on! As shown on your house or apartment building Representative form ( IMM 5476 ) a. Spouse has died and that you list all of your military or service. They are already permanent residents or citizens of Canada ) was issued us! Signed by the Principal Applicant and spouse/common-law former common-law partner or other guardian a to! Address ( where you live ) is imm 5669 guide language that they learned at home during their and..., enter it here, imm 5669 guide country code, area/regional codes, etc not to. ( whether accompanying you to Canada or not ), and a Representative form ( IMM ). You were in home during their childhood and they still understand it here, including code! You will not overstay in the country you were outside your country of nationality, enter it here including... Top of your children ( even if they are already permanent residents or citizens of Canada.. If any sections do not apply to you, answer N/A of Representative... Permanent resident application a child to be adopted in Canada who is not identified...
