Refugee protection: related forms
This section contains policy, procedures and guidance used by IRCC staff. It is posted on the department’s website as a courtesy to stakeholders.
In-Canada claims
| Form number | Title | Purpose |
|---|---|---|
| IMM 1442B | Full Document Entry – Generic (FOSS) | A generic form used for all secure documents (Refugee Protection Claimant Document, Interim Federal Health Certificate, visitor record, work or study permits, temporary resident permit). |
| IMM 5292B | Full Document Entry – Generic (FOSS) | A generic form for non-secure documents (A44 report, eligibility decisions in respect of ineligible claims where the claimant is not eligible for a PRRA) |
| IMM 0008 | Generic application form for Canada | A generic application for permanent residence that must be completed by all refugee claimants |
| IMM 0008/DEP | Additional Dependants/Declaration | To be completed by refugee claimants when there are additional dependants who cannot be listed on the IMM 0008. |
| IMM 5669 Schedule A | Background/Declaration | Annex to the IMM 0008 – must be completed by all applicants for permanent residence from inside Canada. |
| IMM 0008 Schedule 12 | Additional Information – Refugee claimants inside Canada | Annex to the IMM 0008 – must be completed by all refugee claimants from inside Canada. |
| N/A (IRB form) | Basis of Claim document | Immigration and Refugee Board form completed by the claimant when making their refugee claim. |
| IMM 1392B | Declaration | Signed statement given by person concerned declaring information given is the truth (used when officer decides it is necessary). |
| IMM 1017 | Medical Report – Section A Client Identification and Summary | Used for the immigration medical examination (for claimant to take to a Panel Physician). |
| IMM 1262 | Acknowledgement of Conditions | Acknowledgement of the conditions imposed on the claimant. |
| IMM 1265 | Interpreter Declaration | Interpreters declaration of accurate interpretation. |
| BSF 536 | Entry for Further Examination or Admissibility Hearing | To allow the entry to Canada of a foreign national awaiting further examination. |
| IMM 5265B | Notice of Seizure | To notify a person that their possessions have been seized pursuant to R253 (1) (b). |
| BSF 667 | Search | To record search details including the type of search, authorization, officers involved and search results (used by CBSA officers only). |
| IMM 2048B | Personal Service Contract (Interpreters) | Personal service contract between CIC or CBSA and an interpreter. |
| IMM 5243B | Referral to Refugee Protection Division | To transmit information manually to the IRB when FOSS is unavailable |
| BSF 529 | Notification to the Person Concerned by an Immigration Officer | Used in cases of re-determination of eligibility, when FOSS is unavailable. |
| IMM 5476 | Use of a Representative/Release of Information | Used when the claimant is assisted by an authorized immigration representative. |
| IMM 5317B | Withdrawal of a Claim for Refugee Protection prior to Referral to RPD | Used when a claimant withdraws their claim before it has been referred to the IRB. |
| BSF 528 | Notification to RPD, RAD and Person Concerned – Suspension | To provide notification that eligibility consideration has been suspended. |
| IMM 5021B | Voluntary Departure – Confirmation | Confirmation by port of departure of voluntary departure from Canada. Copy for file. |
| IMM 0421B | Order for Detention | Used when detaining a person under the IRPA. |
| BSF 524 (formerly IMM 5245B) | Request for Admissibility Hearing / Detention Review pursuant to the Immigration Division Rules | When an admissibility hearing is scheduled, or when a detention review is required. |
| BSF 525 | Notice of Admissibility Hearing | Indicates the place, date, and time of an admissibility hearing. |
| IMM 5569 | Notification of the Return of a Non-Resident Alien Under the Terms of the Agreement Between Canada and the United States for Cooperation in the Examination of Refugee Status Claims by Nationals of Third Countries | To notify the U.S.A. Department of Homeland Security when a person will be returned to the United States under the Safe Third Country Agreement. |
| BSF 502 | Notice to Transporter | To notify a transportation company that an improperly documented person came to Canada on that carrier. |
Reviews and interventions
| Form number | Title | Purpose |
|---|---|---|
| IMM 5354 | Request for Consideration of Minister's Intervention | For use by officers when in possession of information that may support a possible intervention, cessation or vacation process. |
PRRA
| Form number | Title | Purpose |
|---|---|---|
| IMM 5508E | Application for a Pre-removal Risk Assessment | Generic form used to gather information for making a risk assessment for individuals who are facing removal and who wish to apply for protection under PRRA. |
| IMM 5523E | Applying for a Pre-removal Risk Assessment | Individuals who are facing removal from Canada may, if entitled to do so, apply for a Pre-Removal Risk Assessment using this application form and guide. |
| IMM 5535E | Application for a Risk Assessment further to Section 115(1) of the Immigration and Refugee Protection Act. | Individuals who: are not entitled to apply for a Pre-Removal Risk Assessment; and are described in Section 115(1) of the Immigration and Refugee Protection Act and who are now facing removal, may apply for protection using this application. |
Resettlement
| Form number | Title | Purpose |
|---|---|---|
| Forms for use outside Canada: | ||
| Form number | Form title | Purpose |
| IMM 0008 | Generic Application Form for Canada | Application form for permanent residence in Canada. |
| IMM 0008E, schedule 2 | Application for Permanent Residence in Canada - Schedule 2 Refugees Outside Canada | To apply for resettlement to Canada as a Convention refugee or a member of the country of asylum class. |
| IMM 5669E | Schedule A- Background/Declaration | To provide background information. |
| IMM 0500E | Immigration Loan/Contribution | To authorize transportation loans, right of permanent residence loan and loan for medical examination and related costs. |
| IMM 0501B | Immigration Loan and Undertaking to Repay | Application for immigration loan and undertaking to repay the loan. |
| IMM 5292B | Generic Document - 3 Part Distribution | A generic form used for:
|
| IMM 5544B | Resettlement Needs Assessment Form | To document information on the medical condition of refugees to help resettlement workers and private sponsors make appropriate reception and settlement arrangements |
| IMM 5485B | Single Journey Travel Document for Resettlement to Canada | For use when no other travel document is available |
| IMM 5413 | Refugee sponsorship application | Contains forms and information necessary for Sponsorship Agreement Holders (SAH), Constituent Groups (CG), Groups of Five (G5) and Community Sponsors (CS) to sponsor a refugee outside Canada |
| IMM 5373E | Undertaking / Application to Sponsor | Undertaking to sponsor Convention Refugees Abroad and Humanitarian-Protected Persons Abroad Part of IMM 5413 application package |
| IMM 5440E | Settlement Plan and Financial Assessment- Sponsorship Agreement Holders and Constituent Groups | Part of IMM 5413 application package |
| IMM 5373AE | Settlement Plan and Financial Assessment- Group of Five | Part of IMM5413 application package |
| IMM 5373BE | Financial Profile - Group of Five | Part of IMM5413 application package |
| IMM 5515E | Settlement Plan and Financial Assessment- Community Sponsors | Part of IMM5413 application package |
| IMM 5729E | Consent to Disclose and Collect Personal Information | Part of IMM5413 application package |
| IMM 5493E | Application for Refugee sponsorship: Joint Assistance sponsorship | |
| IMM 1324E | Undertaking/Application for a Joint Assistance Sponsorship | To provide an undertaking to sponsor a refugee requiring special assistance and whose admissibility depends upon the additional support of a sponsor |
| IMM 5494E | Settlement Plan-Joint Assistance Sponsorship | Part of IMM5493E application package |
| IMM 5504 | Request for a Joint Assistance Sponsorship Refugee Profile | Part of IMM5493E application package |
| IMM 5571E | Request for Processing Family Members under the One-Year Window (OYW) of Opportunity Provisions | To determine eligibility of family members to be processed under OYW opportunity (Quebec uses its own form) |
| IMM 5578E | Request to process following family members under the one-year window of opportunity provisions. | |
| For more forms related to in-Canada processing of resettled refugees (including assistance programs available), visit the inland processing section. | ||
Permanent residence
For forms related to processing permanent residence applications from protected persons and related immigration categories, see the permanent residents section.
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