(DISPONIBLE EN FRANÇAIS - IMM 0116 F)
PROTECTED WHEN COMPLETED - B
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DOCUMENT CHECKLIST: AGRI-FOOD PILOT
IMM 0116 (07-2020) E
This document is available in PDF format only. You must print this document, complete it and include it in your application as the cover page.
The checklist of required documents is subject to change. Applicants are advised to refer to the application kit on the IRCC website periodically
while preparing their application to ensure that they have included all forms and documents listed on the most up-to-date checklist.
Gather your documents in the order of the checklist and check R each item. Attach small items such as photos with a paper clip, otherwise leave
documents unbound. Place all documents in a sealed envelope. If your documents are not in English or French, you must include the English or French
translation with a certified copy of the original document, and an affidavit from the person who completed the translation (if the translation is not provided by
a member in good standing of a provincial or territorial organization of translators and interpreters in Canada). Do not send any additional documents when
submitting your application to the Centralized Intake Office (CIO).
NOTE: If your application lacks any of the documents listed in this checklist, it will be returned to you. If you are unable to provide any of
the requested documentation, include with your application, a written explanation with full details as to why that documentation is
unavailable and any documentation that would support your claim. Failure to provide supporting documents in certain circumstances may
result in the refusal of your application.
IMPORTANT NOTICE:
You have to answer all questions and sign all forms where applicable. When you sign these documents, you are certifying that all information provided
therein whether prepared by you or not, is complete and true in all respects.
If you or someone acting on your behalf directly or indirectly submits false documents or misrepresents facts relating to your application for a permanent
resident visa:
• Your application may be refused;
• The circumstances of your refusal will be entered into Canada’s global immigration database; and
• You and your family members could become inadmissible to Canada for five years under section 40(2) of the Immigration and Refugee Protection Act
It is your responsibility to notify us and provide the relevant supporting documentation if there are changes in the following:
• Family status (e.g. marriage or common-law union, divorce, annulment, legal separation, birth, adoption, death of the principal applicant or any
accompanying family member, including grandchildren born to dependent children);
• Education (eg.: completion of a degree); or
• Mailing address / email address / contact information.
Any changes which we have not been informed will delay processing or may result in the refusal of the application or the exclusion of a family member.
FORMS:
Do not submit originals unless otherwise stated as the documents you submit will not be returned.
You must keep a copy of the completed forms and all documents before sending them to the CIO.
Format
1
Generic Application Form to Canada (IMM 0008)
Completed, dated, and signed by the principal applicant
Original
2
Agri – Food Pilot – Schedule 1 (IMM 0114)
Completed, dated and signed by the principal applicant.
NOTE: the principal applicant must read the declaration and sign the form
Original
3
Offer of Employment to a Foreign National: Agri – Food Pilot (IMM 0115)
You must have a job offer for an eligible combination of occupation, under the National Occupation Classification (NOC),
and industry, under the North American Industry Classification System (NAICS).
The employer making the job offer should complete this form and provide it to the principal applicant to submit with the
application package.
You must read the declarations and sign the form.
Original
4
Additional Dependants / Declaration (IMM 0008 DEP) (if applicable)
Completed, dated and signed by the principal applicant if the applicant has more than five dependants (whether they are
accompanying or not).
Original
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IMM 0116 (07-2020) E
Do not submit originals unless otherwise stated as the documents you submit will not be returned.
You must keep a copy of the completed forms and all documents before sending them to the CIO.
Format
5
Schedule A: Background / Declaration (IMM 5669)
Completed, dated and signed by everyone in the following list:
• The principal applicant;
• Spouse or common-law partner (whether they are accompanying or not);
• Each dependent child over the age of 18 years (whether they are accompanying or not).
Provide your detailed personal history from the last 10 years or since the age of 18, if you are less than 28 years of age. Do
not leave any sections blank, or gaps in time. Must write “n/a” in any sections that are not applicable to the principal
applicant’s situation.
• Job;
• Periods of employment;
• Study;
• Vacations; or
• Being a homemaker.
Do not use abbreviations. Do not use general words such as “employee”, “working”, “manager”, etc. Specify the activity
such as for example “retail salesperson”, “architect”, “financial manager”, etc.
NOTE: If this form is not accurately completed, it will cause delays in the processing of the application.
Original
6
Supplementary Information – Your travels (IMM 5562)
Completed by the principal applicant.
Original
7
Additional Family Information (IMM 5406)
Completed, dated and signed by everyone in the following list.
• The principal applicant;
• Spouse or common-law partner (whether they are accompanying or not);
• Each dependent child over the age of 18 years (whether they are accompanying or not).
Original
8
Use of a Representative (IMM 5476)
Complete, date and sign and include this form in your application if you have a paid or unpaid representative.
Original
DOCUMENTS:
Do not submit originals unless otherwise stated as the documents you submit will not be returned.
You must keep a copy of the completed forms and all documents before sending them to the CIO.
Format
9
Travel documents and passports:
Copy of the pages of your passports or travel documents for , you, your spouse or common-law partner and your
dependent children, showing:
• The passport number;
• Date of issue and expiry;
• The photo, name, date and place of birth;
• Pages showing any amendments in name, date of birth, expiration, etc.
You must hold a valid regular passport. Diplomatic, official, service or public affairs passports are not valid for immigration to
Canada.
If you live in a country other than your country of nationality, include a photocopy of your visa for the country in which you
are currently living.
Copies
10
Proof of Language Proficiency:
Submit results of your language proficiency test that shows you meet a minimum of level 4 of the Canadian Language
Benchmark (CLB) or Niveaux de competence linguistique canadien (NCLC) for listening, speaking, reading and writing
competencies. The test results must not be more than two years old on the date your application is received.
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IMM 0116 (07-2020) E
Do not submit originals unless otherwise stated as the documents you submit will not be returned.
You must keep a copy of the completed forms and all documents before sending them to the CIO.
Format
11
Proof of Education:
You must provide proof that you have obtained a minimum of a (foreign or Canadian) secondary school diploma. Proof of
the completed studies must include copies of the education documents (diplomas, certificates or degrees) and transcripts (if
available) for successfully completed studies.
If your diploma, certificate or degree was not issued in Canada, you must also provide an Educational Credential
Assessment (ECA) report issued for immigration purposes by a designated organization approved by IRCC. The report
must show either that the foreign education is equal to a completed Canadian secondary or post-secondary certificate,
diploma or degree, or that the foreign education is an authentic and completed secondary or post-secondary level
certificate, diploma or degree issued by a recognized institution in the country where it was issued.
NOTE: The ECA report must be less than five years old on the date IRCC receives the application.
Copies
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Proof of Collective Agreement:
If the wage offered on the job offer form (IMM0115) is determined by a collective agreement, you must provide the
applicable section(s) of the collective agreement stipulating the wages/compensations for the occupation you will be
performing.
Copies
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Proof of previous relevant work experience (letter of employment, paystubs, etc.):
You must show that you have at least 12 months of authorized, full-time, non-seasonal work experience in Canada for one
or more eligible occupation (NOC) and industry (NAICS) combinations within the 36 months before the application is
received.
You must show that you performed:
• The activities identified in the lead statement of the NOC description; and
• A substantial number of the main duties, including all of the essential duties listed in the NOC description.
Submit the documents below:
• Copy of the most recent work permit in Canada (if applicable)
• Copy of all work permits held for declared work experience(s) (if applicable)
• Employer reference letters for the periods of work experience identified in the application. The letters must include:
o Specific period of your employment (to / from dates)
o The title held during the employment
o Description of the main responsibilities and duties
o Description of the employer’s principal business activities
o The corresponding occupation code (NOC)
o The corresponding industry code (NAICS)
o The applicant’s total annual salary and benefits
o The number of hours worked per week
o The employers name, signature, full address, telephone number and email address (if applicable)
• Copies of your T4 tax information slips and Notice of Assessment
• Work contracts
• Pay stubs
Copies
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Proof of Funds:
Submit proof that you have sufficient funds that are transferable and available for settlement in Canada. The funds must be
your own and should not be borrowed from another person. The amount of money needed is set by the size of the family
and is 50% of the Low income Cuff Offs (LICO). For more information, see the proof of funds.
Examples of items that can be submitted as proof of funds include:
• Current bank statement or certificate letter
• Evidence of savings balance
• Deposit statements
Note: You are not required to provide proof of funds if you are already working in Canada and that work is authorized.
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IMM 0116 (07-2020) E
Do not submit originals unless otherwise stated as the documents you submit will not be returned.
You must keep a copy of the completed forms and all documents before sending them to the CIO.
Format
15
If you are applying from inside Canada:
Submit proof that you have valid temporary resident status. The status must be valid on the day the application is submitted.
Below are examples of documents you may submit:
• Photocopies of passport pages clearly showing the stamp made by Canadian authorities on the most recent entry to
Canada.
• Photocopy of the current immigration document (if applicable).
Copies
16
Identity and Civil Status Documents
You must provide the following documents for you and your spouse or common-law partner:
• Birth Certificates
• Legal documents showing name or date of birth changes (if applicable)
• Marriage certificate(s), final divorce or annulment certificate(s). If married more than once, include certificates from each
marriage and divorce or annulment for the principal applicant, the spouse or common-law partner(s) (if applicable)
• Death certificate for former spouse(s) or common-law partner(s) (if applicable)
• National IDs, family house-hold registry book (if applicable)
• If you have a common-law partner, complete and include the Statutory Declaration of Common-law union (IMM 5409 –
original) and provide evidence of cohabitation with the partner for a period of at least 12 continuous months. Provide the
following documents listing both the principal applicant and spouse or common-law partner names. For example:
o Copies of joint bank account statements;
o Copies of leases;
o Utility bills, etc.
Copies, unless
otherwise stated
17
Children’s Information (if applicable):
• Children’s birth certificates (which name their parents).
• Adoption papers issued by recognized national authorities showing the legal, approved adoption of adopted dependent
children.
• Proof of full custody for children under the age of 18 and proof that the children may be removed from the jurisdiction of
the court.
• If the other parent of your children is not accompanying the principal applicant to Canada, you must submit a signed
Statutory Declaration from Non-Accompanying Parent/Guardian for Minors Immigrating to Canada (IMM 5604 – original).
You must submit one form for each child and a copy of the non-accompanying parent’s photo ID showing their signature.
Copies, unless
otherwise stated
18
Police Certificates and Clearances:
You must get a police certificate from each country or territory where the principal applicant has lived for six or more months
in a row since the age of 18. You are strongly encouraged to submit the police certificates with the application to the CIO. If
you are unable to obtain all the necessary police certificates, you may still send the application to the CIO without them.
However, IRCC strongly recommends that you take steps to obtain the police certificates now to avoid future delays. You
must be ready to submit them when requested by an officer.
NOTE: Police certificates are generally considered to be valid for one year from date of issue; therefore, depending on the
processing time of the application, you may be requested to submit new certificates.
Originals
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Photo Requirements:
Include two (2) photos for each member of your family, whether accompanying or not, and yourself. Follow the instructions
provided in the guide in Appendix A: Photo Specifications. Photos must have been taken within six (6) months before
application submission.
NOTE: On the back of one (1) of the photographs, write the name and date of birth of the person who appears in the
photo as well as the date of the photo was taken. Leave the other photograph blank.
Originals
20
Fees:
Copy of the receipt showing the amount paid. See “Step 3. Pay the Fees” for more information.
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IMM 0116 (07-2020) E
MAILING YOUR APPLICATION:
21
Mail to the CIO in Sydney, Nova Scotia:
• This document checklist;
• The complete application;
• Supporting documents required in this checklist; and
• Two (2) self-addressed mailing labels:
o One (1) in English or French, and
o One (1) in the official language of the principal applicant’s country or territory of residence.
NOTE: See “Step 4, Mail the application” section of the instruction guide for the CIO address and specific instructions for mailing the application.
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