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l+I
Citizenship and
Immigration Canada
Citoyennete et
Immigration Canada
PROTECTED WHEN COMPLETED -
8
PAGE 1OF1
DOCUMENT CHECKLIST
FOR A TEMPORARY RESIDENT VISA
This document checklist is one of the forms that you need to submit with your application.
If your documents are in a language other than English or French, check with the responsible visa office for your region to determine whether
they need to be translated.
If any of the required documents listed below are missing, your application may be returned.
Gather your documents in order of the checklist and check 0 each item.
I have enclosed the following items:
D
Application for Temporary Resident Visa (IMM 5257), duly completed.
D
D
D
D
D
Completed Family Information (IMM 5645), if applicable.
D
D
Valid passport (there must be one completely blank page other than the last page, available in each passport).
Note:
Note:
Complete this form only if it is required by the responsible visa office for your region.
Completed Schedule 1 - Application for Temporary Resident Visa (IMM 5257 - Schedule 1), if applicable.
Statutory Declaration of Common-law Union (IMM 5409), if applicable.
Use of a Representative (IMM 5476), if applicable.
Fee payment in an acceptable format. Please ensure to include the application processing fee and, if applicable, the biometric fee. Verify acceptable
methods of payment with the Visa office responsible for your area.
Note:
Visa offices do not accept payment receipts from Canadian banks.
Two photos meeting the requirements of the Visa applicatjon photograph specificatjons. On the back of two photos, write your name and date of
birth.
Note:
D
D
D
D
D
D
If this application form is completed on a computer and printed, place the barcode page (page 5 of 5) on the top of each individual
application package.
If you are required to provide biometric fingerprints and photo, you are not required to include paper photos with your application. For more
information about biometric requirements.
Photocopy of your current immigration document, if applicable.
(e.g. study permit, work permit or temporary resident permit)
Proof of financial support.
Photocopy of your valid return ticket and/or travel itinerary, if applicable.
Minor travelling alone or with one parent: custody documents or a letter of authorization from the other non accompanying parent or a letter of
authorization signed by both parents or legal guardians, if applicable.
Any additional documents required by the responsible visa office.
Optional: proof of completion of the upfront medical examination from the Panel Physician.
REQUIRED DOCUMENTS FOR PARENTS AND GRANDPARENTS SUPER VISA
D
A Letter of invitation from your child or grandchild residing in Canada.
D
One of the following documents to prove that your child or grandchild meets the Low Income Cut-Off (LICO) minimum:
- most recent copy of the Notice of Assessment or Option C printout,
- most recent copy of the T 4 or T1,
- original letter from employer stating title, job description and salary,
- employment insurance pay stubs,
- if self-employed, a letter from an accountant confirming their annual income,
- proof of other sources of income (pension statement, investments, etc.).
Note: Your child or grandchild may obtain an Option C printout free of charge by contacting the Canadian Revenue Agency (CRA) at
1-800-959-8281 .
D
D
Proof of parental relationship to your child or grandchild (copy of birth certificate, baptismal certificate or other official document naming you as parent).
Proof of medical insurance coverage for one year with a Canadian insurance company (copy of the insurance certificate or policy).
IMM 5484 (12-2013) E
(DISPONIBLE EN FRANCAIS - IMM 5484 F)
Canada
l+I
Citizenship and
Immigration Canada
Citoyennete et
Immigration Canada
PROTECTED WHEN COMPLETED -
8
PAGE 1OF1
DOCUMENT CHECKLIST
FOR A TEMPORARY RESIDENT VISA - IN CANADA APPLICANT
This document checklist is one of the forms that you must submit with your application.
If any of the required documents listed below are missing, your application may be returned.
Put an "X" in the
box when you have
enclosed the item
I have enclosed the following items:
• Completed Application for Temporary Resident Visa (IMM 5257)
D
Note: If this application form is completed electronically, place the barcode page (page 5 of 5) on the top of each individual application package.
~~~~~~~~~~~~~~~~~
•
Com~e~d~mfy~fu~a~n(IMM~4~--------------------------------D
• Completed Schedule 1 -Application for Temporary Resident Visa (IMM 5257 - Schedule 1), if applicable - - - - - - - - - - - - D
• Statutory Declaration of Common-law Union (IMM 5409), if applicable - - - - - - - - - - - - - - - - - - - - - - - - D
• Use of a Representative (IMM 5476), if applicable
D
~~~~~~~~~~-~--~~-~-~-~
• Fee payment receipt in an acceptable format:
- i.n1eme1 (print your receipt) or - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D
- at a financial institution in Canada (stamped receipt - IMM 5401)
D
• Valid passport (there must be one blank page other than the last page available in each p a s s p o r t ) - - - - - - - - - - - - - - - D
• Two photos meeting the requirements of Appendix A - Photo Specifications. On the back of the photos, write your name and date of birth _
D
• Photocopy of your current immigration document demonstrating your legal status in Canada (e.g.study or work p e r m i t ) - - - - - - - -
D
• If you are currently studying in Canada, proof of your current studies - a current letter and original transcript from the educational institution
~uareab~~g,atte~~~~uratte~ance _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~D
• If you are currently working in Canada, proof of your current employment - a letter from your employer
~---------0
Note: This list is non-exhaustive. You may be required to provide additional documents at a later date.
Mail the application:
Regular mail:
Courier:
CPP - Ottawa
P.O. Box 9640
Ottawa ON
K1G 6T2
CPP - Ottawa
Temporary Resident Visa Section
365 Laurier Avenue West
Ottawa ON
K1A 1L1
IMM 5721 (08-2012) E
(DISPONIBLE EN FRANCAIS - IMM 5721 F)
Canada
l+I
Citizenship and
Immigration Canada
Citoyennete et
Immigration Canada
PROTECTED WHEN COMPLETED - B
PAGE 1OF2
FAMILY INFORMATION
Type of application:
Ovisitor
D Worker D Student D Other
Complete ALL names in English and in your native language (for example, Arabic, Cyrillic, Chinese, Chinese commercial/telegraphic code, Korean, or Japanese
characters). Include ALL family members even if they are not accompanying you. If you need more space for any section, print out an additional page containing
the appropriate section, complete and submit it with your application.
BEFORE YOU START, READ THE INSTRUCTION GUIDE, TYPE OR PRINT IN BLACK INK.
SECTION A
Date of birth
y
Relationship
M
D
Full name
Marital status
SEE NOTE 1
Country
of birth
I
I
I
I
I
I
I
I
I
I
I
I
I
I
MOTHER
I
I
I
I
I
I
I
FATHER
I
I
I
I
I
I
I
APPLICANT
SPOUSE OR
COMMON-LAW
PARTNER
NOTE 1: If no spouse or common-law partner is listed in Section
...
I certify that I do not have a spouse or a common-law partner.
SECTION B
Present address
Will
accompany
you to Canada?
(If deceased give city and date)
Present occupation
YES
NO
D D
D D
D D
A.
read and sign below.
Year
Signature:
Date:
I
I
I
Month
I
I
Day
I
I
I
I
CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)
Date of birth
Will
Present address
(If deceased give city and date)
y
accompany
Relationship
M D
Marital status
Full name
you to Canada?
SEE NOTE 2
Country
Present occupation
of birth
YES
NO
D D
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
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I
I
I
I
I
I
I
I
I
I
I
I
D D
D D
D D
D D
D D
NOTE 2: If no children are listed in Section B, read and sign below.
I certify that I do not have any children, either natural or adopted .... Signature:
IMM 5645 (09-2010) E
(DISPONIBLE EN FRANCAIS - IMM 5645 F)
Date:
I
Year
I
I
I
Month
Day
I I
I
I
I
Canada
PAGE 2 OF2
SECTION C
BROTHERS AND SISTERS (Include ALL brothers and sisters ALL half-brother and sister and stepbrother and sister)
'
Date of birth
Full name
SECTION D
y
Relationship
M
D
Country
of birth
Marital status
Present address
Will
(If deceased give city and date)
accompany
you to Canada?
Present occupation
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
YES
NO
D D
D D
D D
D D
D D
D D
D D
CERTIFICATION
I certify that the information contained on this document is complete, accurate and factual. I also realize that once this document has been completed and
signed that it will form part of my Immigration Record and will be used to verify my family details on future applications.
Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
I
Year
Month
Day
I
Date: ._...._,_..1_..._1...._I_..1__._I_._1........
The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act to determine if you may be admitted to Canada as a temporary
resident. It will be stored in Personal Information Bank CIC PPU 055, Visitor Case File. It is protected and accessible under the Privacy Act and the Access to Information Act.
IMM 5645 (09-2010) E
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