Fillable Form 1: DOCUMENT CHECKLIST LIVE-IN CAREGIVER Citizenship and (Canadian Immigration and Study Abroad Information Platform)

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Form 1: DOCUMENT CHECKLIST LIVE-IN CAREGIVER Citizenship and (Canadian Immigration and Study Abroad Information Platform)

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PROTECTED WHEN COMPLETED - B
Citizenship and
Immigration Canada
Citoyenneté et
Immigration Canada
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
(DISPONIBLE EN FRANÇAIS - IMM 5282 F)
IMM 5282 (03-2010) E
DOCUMENT CHECKLIST
LIVE-IN CAREGIVER
Send the following documents in your application. Check ; each box once you enclose the item.
If you do not enclose all required documents, your entire application will be returned to you, causing delays in the processing of your
application. Your application will be processed as a new application when you re-submit.
PAGE 1 OF 2
OPTION 1: Proof of 24 months of authorized full-time employment as a live-in caregiver within four years from the date
you entered Canada under the Live-in Caregiver Program
Your application will be assessed according to the calculation option you select above.
For the option you have selected, you must provide the proof of authorized full-time employment shown below:
Letter from your current employer showing your start date and that you still work for them AND
6
Contract(s) with your current and previous employer(s)
(these must be the same contracts reviewed and approved by Human Resources and Skills Development/Service Canada and
Citizenship and Immigration Canada at the time the Labour Market Opinion and work permit applications were reviewed) AND
7
Statement of earnings showing hours worked and deductions made by the employer(s) AND
8
Record of wages and deductions sent to Canada Revenue Agency (CRA) by your employer(s) AND
9
Record of employment (ROE) for all previous employers AND
10
Option C Printout from your date of entry into the Live-in Caregiver Program
(this document may be obtained free of charge from the CRA by calling 1-800-959-8281)
11
You must select ONE of the following two options for calculating whether you have met the employment requirement to be
eligible for permanent residence as live-in caregiver:
Option 2
A total of 3,900 hours (within a minimum of 22 months which may include a maximum of 390 hours of overtime) of authorized
full-time employment as a live-in caregiver within four years from the date you entered Canada under the Live-in Caregiver Program.
5
Option 1
24 months of authorized full-time employment as a live-in caregiver within four years from the date you entered Canada under the
Live-in Caregiver Program, OR
4
Photos
Two (2) passport-size photos of you and any family members in Canada
Print the name of the person on the back of the photos. Staple photos to the In-Canada Application for Permanent Residence Status
(IMM 5002) form in the appropriate area provided. Do not staple through the face of the person on the photo. Attach photos for your
spouse or common-law partner and dependent children 18 years of age or older to their respective application form. Do not submit
photos of family members outside of Canada.
3
Forms
In-Canada Application for Permanent Residence Status (IMM5002) and Schedule 1 - Background/Declaration (IMM5002 Schedule 1),
completed by:
• You, the principal applicant
• Your spouse or common-law partner if he or she is in Canada and is not a permanent resident or Canadian citizen
• Your dependent children 18 years of age or older who are in Canada and are not permanent residents or Canadian citizens
1
Use of a Representative (IMM 5476), if applicable
2
IMM 5282 (03-2010) E
PAGE 2 OF 2
Photocopies of identity and relationship documents (for each person included in the application)
Do not send original documents of the following as they will not be returned. Photocopies do not need to be certified.
Valid passport pages for you and each of your family members in Canada
The pages must clearly show the passport number, name, date of birth, passport issue and expiry date, entry and
exit stamps, visas for Canada and any other countries, and stamp made by a Canadian authority showing most
recent entry into Canada.
19
20
21
Proof of your common-law relationship, if applicable
For example: evidence of joint bank, trust, credit union or charge card accounts; jointly signed residential lease,
mortgage or purchase agreement; statutory declarations of individuals with personal knowledge that your relationship
is genuine and continuing.
22
Birth certificates or baptismal certificates for you and all your family members in Canada
If you are married, include your marriage certificate
Divorce, annulment or death certificates, if you were previously married
Custody papers for dependent children from a previous marriage/relationship
23
24
Other documents
Originals of your police certificate(s)
Details of your criminal convictions, if applicable
Photocopy of your pardon obtained from the National Parole Board, if applicable
Certified translations for all documents that are not in English or French
For example: police certificates, birth certificates, etc.
25
26
27
28
Fee
Copy 2 of the Receipt form or Internet Receipt.
No other form of payment is acceptable.
29
This Document Checklist (IMM 5282)
30
You have addressed the envelope with correct postage to:
Case Processing Centre, Vegreville, AB, T9C 1W3
31
OPTION 2: Proof of 3,900 hours (within a minimum of 22 months which may include a maximum of 390 hours of overtime)
of authorized full-time employment as a live-in caregiver within four years from the date you entered Canada
under the Live-in Caregiver Program
Live-in Caregiver - Employer Declaration of Hours Worked (IMM 5634) completed and signed by your current and previous
employer(s) AND
12
Statement of earnings showing hours worked and deductions made by the employer(s) AND
15
Record of wages and deductions sent to Canada Revenue Agency (CRA) by your employer(s) AND
16
Record of employment (ROE) for all previous employers AND
17
Option C Printout from your date of entry into the Live-in Caregiver Program
(this document may be obtained free of charge from the CRA by calling 1-800-959-8281)
18
Timesheets signed by your current and previous employer(s) clearly indicating the date and number of hours worked for all overtime
hours claimed AND
13
Contract(s) with your current and previous employer(s)
(these must be the same contracts reviewed and approved by Human Resources and Skills Development/Service Canada and
Citizenship and Immigration Canada at the time the Labour Market Opinion and work permit applications were reviewed) AND
14
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Form 1: DOCUMENT CHECKLIST LIVE-IN CAREGIVER Citizenship and (Canadian Immigration and Study Abroad Information Platform)

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Completed 18 December 2021

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