Schedule 1: Health-care Workers Permanent Residence Pathway (IMM 1018)
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Schedule 1: Health-care Workers Permanent Residence Pathway [IMM 1018] (PDF, 3.5 MB)
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Schedule 1 – Health-care Workers Permanent Residence Pathway (COVID-19 pandemic) [IMM 1018]
Who must fill out this application form?
This form must be completed by:
- You, the principal applicant.
Note
Completing the form
You must answer all questions on this application form unless indicated otherwise.
Section A – Requirements of the temporary public policy for refugee claimants working in the
health-care sector
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.
Section B – Spouses and common-law partners of refugee claimants, working in health-care sector,
that passed away due to COVID-19
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”.
Section C – Applicant information
- 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
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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
Section D – Work experience in the healthcare sector, providing direct patient care
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
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Enter the job title of the position.
- Question G
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Enter the National Occupation Classification (NOC) code of the position worked.
- Question H
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Provide a detailed list of the main duties (most significant duties)
- Question I
-
Provide details for periods of leave or unpaid work
Section E – Internship
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.
Section F – Declaration
For your form to be considered, it must be signed and dated.
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