Schedule 1: Health-care Workers Permanent Residence Pathway (IMM 1018)

If you are a refugee claimant that worked in the health-care sector during the COVID-19 pandemic, answer questions 1 to 9, unless you intend to reside in Quebec, in which case you need to answer questions 1 to 7 only.

For details about the temporary public policy, please see “Before you apply”.

If your spouse or common-law partner would have met the temporary public policy criteria but have passed away because they contracted COVID-19, skip Section A and fill out Section B.

If you are a refugee claimant that worked in the health-care sector during the COVID-19 pandemic, skip this section.

If your spouse or common-law partner would have met the temporary public policy criteria but have passed away because they contracted COVID-19, fill out all the questions of Section B, unless you intend to reside in Quebec, in which case you need to answer questions 1 to 6 only.

For details about the temporary public policy, see “Before you apply”.

Question A

Enter your full family name (surname or last name) as shown on your passport, travel or identity document.

Question B

Enter all of your given name(s) (first, second or more) as shown on your passport, travel or identity document. Do not use initials

Question C

Provide your passport or travel document number exactly as shown on the document. Make sure there is no space between each number or letter.

Question D

Enter your date of birth. If you do not know your complete date of birth, please use an “*” (asterisk) to fill in the spaces for the unknown year, month or day. For example, if the day and month of your date of birth is unknown you could enter 1964/*/*.

Question E

Enter your country of birth as shown in your passport or your travel document.

Question F

Enter your country of citizenship as shown in your passport.

Question G

Enter the name of your current country of residence. Your country of residence is the country in which you are residing.

Question H

Enter your telephone number including the country code, area/regional codes, etc. (et cetera). If you have an extension number, indicate it after your phone number under “Ext. (extension)”

Question I

If you have an email address, enter it here. (e.g.:name@provider.net)

Note: By indicating your e-mail address, you are hereby authorizing IRCC to transmit your file and personal information to this specific e-mail.

Question J

From the list, choose and enter your current marital status.

Question K

Enter your current residential address (where you live) by typing the following information:

• Post Office Box (P.O. Box) number, if applicable. If you do not enter a post office box, you must provide the Street number
• Apartment (Apt.) or Unit, if applicable
• Street number (No.), if applicable. It is the number on your house or apartment building. You must provide a street number if you did not enter in a P.O. Box
• Street name, if applicable
• City or Town
• From the list, select the Country of your current mailing address
• Province or State
• Postal code/zip code
• District, if applicable

If you intend to reside in Quebec, do not fill this section.

In you are the spouse or the common-law partner of someone that was a refugee claimant, that passed away from the COVID-19 and that was working in the health-care sector during the pandemic, please fill out this section with the information of your spouse or common-law partner.

Click on the + sign to add additional work experience including:

• Paid work experience you have in a designated occupation, starting with the most recent.
• Unpaid work experience in a designated occupation that were part of an internship that is considered an essential part of a post-secondary study program, a vocational training or as part of a professional order requirement.
• Periods of paid or unpaid sick leave may be counted when assessing the 120 hours or the 6-month experience requirement if you contracted COVID-19. Periods of paid or unpaid leave due to illness/disability, maternity/parental leave, quarantine or isolation requirements due to COVID-19, caring for family who contracted COVID-19 or lack of child care due to COVID-19 may be counted when assessing the 6-month experience requirement.

Question A

Enter the name of the health-care worker

Question B

Enter their Unique Client Identifier (UCI)

Question C

Enter a start and end date of the employment. If this is the current employment enter “Ongoing”.

Question D

Enter the business name of the employer.

Question E

Enter the address of the work location.

Question F

Enter the job title of the position.

Question G

Enter the National Occupation Classification (NOC) code of the position worked.

Question H

Provide a detailed list of the main duties (most significant duties)

Question I

Provide details for periods of leave or unpaid work

If you intend to reside in Quebec, do not fill this section.

If part of your work experience was an internship that was required to complete a post-secondary study program, a vocational training program or as part of a professional order requirement, fill out the details of the diploma, certificate or professional order requirement you were completing. Otherwise, skip this section.

Question A

Provide details about the school/institution where you are taking the program or completing a professional order requirement.

Question B

Enter the name of the health-care program you are taking

Question C

Enter the date you started and ended the program. If the program is ongoing, write the expected date of completion.

For your form to be considered, it must be signed and dated.