Canada Child Benefits Application
Use this form to apply for all child benefit programs, including
the Canada child tax benefit (CCTB), the goods and services
tax/harmonized sales tax (GST/HST) credit, and the universal
child care benefit (UCCB). The information you give on this form
will be used for all programs, unless you indicate otherwise.
For more information about our programs, go to
www.cra.gc.ca/benefits, see Booklets T4114, Canada Child
Benefits, and RC4210, GST/HST Credit, or call 1-800-387-1193.
How do I apply?
You can apply by using "Apply for child benefits" at
www.cra.gc.ca/myaccount or by sending this completed form,
with any other required documents, to your tax centre (see
"Where do you send this form?" on the next page).
If you are the mother of a newborn and you live in a province or
a territory that offers the Automated Benefits Application (ABA)
service, you can use this service to apply for all your child benefits.
If this is the case, do not re-apply using the Canada Revenue
Agency (CRA) online service or this form. For more information on
the ABA service, go to www.cra.gc.ca/aba.
You should apply even if:
•
your child only lives with you part of the time (see "Do you share
custody of a child?" on the next page);
• your current adjusted family net income is too high. We
recalculate your entitlement every July based on your adjusted
family net income for the previous year; or
•
your child is living with you for a determined temporary period of
time, for example, over the summer holidays:
–
A temporary change in care must be for more than 14 days
and has to include the first day of any month and the last day
of the previous month.
–
A temporary shared custody situation must be for a period of
at least two consecutive months and the child lives with each
individual on a more or less equal basis.
Part 1 – Information about the applicant
Who should complete Part 1?
The person who is primarily responsible for the care and
upbringing of the child should complete Part 1.
For CCTB purposes, when both a male and a female parent live
in the same home as the child, the female parent is usually
considered to be primarily responsible for the care and
upbringing of the child (defined on the next page) and should
apply. However, if the male parent is primarily responsible, he can
apply if he attaches to his application a signed note from the female
parent that states he is primarily responsible for all of the children in
the household.
Supporting documents
Once we receive your application, we may ask you to provide
supporting documents to prove you are primarily responsible for
the care and upbringing of the child, such as:
•
a signed statement from a nursery or school authority confirming
the child's home address and guardian on record;
•
a signed statement from a person in a position of authority
(such as a lawyer or a social worker);
•
a registration form or a receipt from an activity or club the child
was enrolled in for the period you indicated; or
•
a court order, decree or separation agreement.
You do not have to provide these documents with your application
however, if you choose to do so, we may still contact you if we need
more information.
Does your application include a period that started more than
11 months ago?
If so, you must attach clear photocopies of both sides of all pages of
the following documents for the entire period that started more than
11 months ago:
•
proof of citizenship status (for example, a Canadian birth
certificate) or immigration status in Canada for you and your
spouse or common-law partner, if you have one;
•
proof that you resided in Canada, such as a lease agreement,
rent receipts, utility bills, or bank statements;
•
proof of birth for each child (see Part 3 below); and
•
proof that you were the person who is primarily responsible
for the care and upbringing of the child(ren) (defined on the
next page) (see "Supporting documents" on this page).
Note
If your application is late, you may not get payments for the entire
period requested.
What is your current marital status?
Tick "Married" if you have a spouse. Tick "Living common-law" if
you have a common-law partner. If you have been separated for
less than 90 days, you are still considered to be married or living
common-law. For more information, see the definitions on the
next page.
Part 2 – Information about your spouse or
common-law partner
Complete Part 2 of the application only if you ticked box 1 or 2 in
Part 1.
Part 3 – Information about the child(ren)
Complete this part to provide information about the child(ren).
Do not provide information about a child for whom you have
already applied, unless the child left your care and has now
returned.
When do you need to provide proof of birth?
You need to attach proof of birth for the child if we have not
previously paid benefits to anyone for this child, and any of the
following applies:
•
the child was born outside Canada; or
•
the child was born in Canada and is one year of age or older.
Attach clear photocopies of both sides of all pages of one of the
following documents for proof of birth:
•
birth certificate or birth registration;
•
hospital record of birth or record of the physician, nurse,
or midwife who attended the birth;
•
passport;
•
Record of Landing or Confirmation of Permanent Residence
issued by Citizenship and Immigration Canada;
•
citizenship certificate; or
•
Notice of Decision or a Temporary Resident's Permit issued
under the Immigration and Refugee Protection Act.
RC66 E (14)