Fillable REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR (Government of Canada)

Fill Online, Printable, Fillable, Blank REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR (Government of Canada) Form

Use Fill to complete blank online GOVERNMENT OF CANADA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR (Government of Canada)

On average this form takes 25 minutes to complete

The REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR (Government of Canada) form is 4 pages long and contains:

  • 0 signatures
  • 18 check-boxes
  • 90 other fields

Country of origin: CANADA
File type: PDF

Use our library of forms to quickly fill and sign your Government of Canada forms online.

BROWSE GOVERNMENT OF CANADA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
(DISPONIBLE EN FRANÇAIS - IMM 1436 F)
PROTECTED WHEN COMPLETED - B
Page 1 of 4
REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR INFORMATION CONTAINED IN THE
CONFIRMATION OF PERMANENT RESIDENCE
IMM 1436 (06-2020) E
PART A - PERSONAL DETAILS CONTAINED ON YOUR VALID TEMPORARY RESIDENT DOCUMENTS
OR CONFIRMATION OF PERMANENT RESIDENCE
1 - Client ID number/UCI
2 - Surname(s) (Family name) (As it currently appears on your document) 3 - Given name(s) (As it currently appears on your document)
4 - Other name(s) used 5 - Other given name(s) used
6 - Gender
F
Female
M
Male
X Another
gender
7 - Date of birth (YYYY-MM-DD) 8 - Place of birth (City, state/province and country or territory)
9 - Citizenship 10 - Passport number Indicate if:
On entry
Current
11 - Date of issue (YYYY-MM-DD) 12 - Expiry date (YYYY-MM-DD)
13 - Marital status
Never married Married
If you are married, is your spouse a
Canadian citizen or permanent resident?
Yes
No
Widowed Separated Divorced Common-law partner
►
14 - Language of correspondence
►
English French
15 - Current mailing address
P.O. box Apt./Unit Street no. Street name
City/Town Country or territory Province/State Postal code District
16 - Residential address Same as mailing address? No Yes
Apt./Unit Street no. Street name City/Town
Country or territory Province/State Postal code District
17 - Telephone no.
Canada/US Other
18 - Alternate Telephone no.
Canada/US Other
Type Ext. No. Country Code Type Ext. No. Country Code
19 - E-mail address: (Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify.)
20 - Date of original entry (YYYY-MM-DD) 21 - Date permanent residence or temporary residence was granted (YYYY-MM-DD)
PART B - INFORMATION TO BE AMENDED
1 - Please indicate for which of the following you need a correction. If you have more than one valid temporary resident document, indicate the document ID number or if unknown,
the document issue date and expiry date of the requested document.
Confirmation of permanent residence (or record of landing) Exclusion Order Departure Order
Authorization to Return to Canada
Permit to Come Into or Remain in Canada -
Temporary Resident Permit
Protected Person
Work Permit
►
ID No.:
OR Issue date:
(YYYY-MM-DD)
and Expiry date:
(YYYY-MM-DD)
Study Permit
►
ID No.:
OR Issue date:
(YYYY-MM-DD)
and Expiry date:
(YYYY-MM-DD)
Visitor Record
►
ID No.:
OR Issue date:
(YYYY-MM-DD)
and Expiry date:
(YYYY-MM-DD)
Save
Reset Form
Print Form
Page 2 of 4
IMM 1436 (06-2020) E
PART B - INFORMATION TO BE AMENDED (continued)
2 - Surname(s) (Family name) 3 - Given name(s)
4 - Date of birth (YYYY-MM-DD) 5 - Place of birth (City, state/province)
6 - Country or territory of birth 7 - Citizenship 8 - Gender
F Female M Male
X Another
gender
9 - Marital status
Never married Married Common-law partner Widowed Divorced Separated
10 - Date of original entry
(YYYY-MM-DD)
11 - Date permanent residence or temporary
residence was granted (YYYY-MM-DD)
12 - Other change (Provide a description in PART C, section 2 below)
PART C
1 - If you are applying for an amendment to your confirmation of permanent residence (or record of landing) and you are not a Canadian citizen, have you, since
your admission to Canada as a permanent resident, been convicted of a crime or offence in Canada or elsewhere?
No Yes
►
If yes, attach copies of the relevant court documents.
2 - Reasons for requesting the amendment(s). (Attach another sheet if you need more space.)
STATEMENT
I certify that the statements made on this application document are true and correct. I understand that the approval of my request to amend my date of birth may affect my eligibility
for benefit and services from other government institutions as that term is defined in the Privacy Act and may also result in the recovery from me by other government institutions of
payments or benefits made to me under income support programs for which I was not eligible at the time the payments or benefits were paid.
Signature
Date
(YYYY-MM-DD)
Save
Reset Form
Print Form
Page 3 of 4
IMM 1436 (06-2020) E
Personal information provided on this form is collected by Immigration, Refugees, and Citizenship Canada (IRCC) under the authority of the Immigration and
Refugee Protection Act (IRPA). The personal information will be used for the purpose of processing an application. The personal information provided may
be disclosed to other federal government institutions, law enforcement bodies, non-governmental organizations, provincial/territorial governments and
foreign governments for the purpose of validating identity, admissibility and eligibility.
Personal information may also be used for other purposes including research, statistics, program and policy evaluation, internal audit, risk management,
subsequent program eligibility, strategy development and reporting.
Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to,
protection, and correction of their personal information. If you are not satisfied with the manner in which IRCC handles your personal information, you may
exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal
information is further described in IRCC’s Personal Information Bank – IRCC PPU 042.
Save
Reset Form
Print Form
Page 4 of 4
IMM 1436 (06-2020) E
DOCUMENT CHECKLIST
REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR INFORMATION CONTAINED IN THE
CONFIRMATION OF PERMANENT RESIDENCE
Ensure the following documents are included with your application. Check R each box once you enclose the item. Failure to provide a fully
completed application or the necessary documents will result in the return of your application. Please make sure you complete this
document and include it in your application as the cover page. Submit photocopies of documents unless we ask for originals as they will not
be returned to you.
I HAVE ENCLOSED THE FOLLOWING ITEMS:
(See "Gather documents" section in the Instruction Guide for examples)
Original Request to Amend Valid Temporary Resident Documents or Information contained in the Confirmation of Permanent Residence
completed and signed.
Photocopy of federal or provincial/territorial government issued photo identification OR if unavailable, photocopy of government issued
or internationally recognized photo identification from outside Canada prior to your entry to Canada. (See "Gather Documents" section in
the Instruction Guide for examples)
Photocopy of another form of government issued or internationally recognized identification from outside Canada before your entry to
Canada indicating an error was made. (See "Gather Documents" section in the Instruction Guide for examples)
Photocopy of letter of acceptance or enrolment from your current designated learning institution, if applicable.
Copies of court documents if you have been convicted of a crime since becoming a permanent resident (if you are not a Canadian
citizen).
Original Use of a Representative (IMM 5476) form completed and signed, if applicable.
Proof of urgency, if applicable.
IMMIGRATION DOCUMENT CONTAINING ERROR
Original Work Permit, Study Permit, Visitor Record or Permit to Enter and Remain in Canada (IMM 1442, IMM 1208, IMM 1102, IMM
1097 or IMM 1263).
Photocopy of the Record of Landing (IMM 1000) or Confirmation of Permanent Residence
Mail your completed application form and all required documents to:
Request to amend Valid Temporary Resident Documents or Information contained in the Confirmation of Permanent Residence
Operations Support Centre (OSC)
PO Box 8784 STN T CSC
Ottawa, Ontario K1G 5J3
Save
Reset Form
Print Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR (Government of Canada)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 February 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document