Guide 5290 - Live-in Caregivers

Table of Contents



Overview

Application package

This application package consists of:

  • an instruction guide and
  • the required forms

The instruction guide is a tool that provides:

  • the information you must know about this application before sending it to Citizenship and Immigration Canada (CIC) and
  • assistance with how to fill out the forms and the required supporting documents

Read the instruction guide thoroughly and then fill out each of the applicable forms.

The forms are specifically designed with questions that will assist the processing of your application.


Symbols used in this guide

This guide uses the following symbols to indicate information of particular importance.

Required step
What you must do to have your application processed.
Important information
Important information that you need to be aware of in order to avoid delays or other problems.
Get more information
Where to get more information.
Note:
Tips that will assist you with this application.

The application process

The instructions provided in this guide follow the basic steps you will need to know to complete your application.

  1. Gather documents
  2. Complete the application
  3. Pay the fees
  4. Mail the application

Before you apply

The Live-in Caregiver Program

A live-in caregiver is a person who:

  • was approved to participate in the Live-in Caregiver Program at a visa office outside of Canada; and
  • has a valid work permit to work as a live-in caregiver for children, seniors or the disabled with an employer in Canada.

    Find out more about the Live-in caregiver program and how to become eligible.


Who may use this application?

This application package is for persons currently in the Live-in Caregiver Program who are applying for permanent residence.


Family members

Your family members include your spouse or common-law partner, your dependent children and any children that are their dependent children.

Spouse
Refers to either of the two persons (opposite or same sex) in a marriage legally recognized in the country in which it took place, as well as in Canada.
Common-law partner
Refers to a person who is living in a conjugal relationship with another person (opposite or same sex), and has done so continuously for a period of at least one year. A conjugal relationship exists when there is a significant degree of commitment between two people.

This can be shown with evidence that the couple share the same home, support each other financially and emotionally, have children together, or present themselves in public as a couple.

Common-law partners who have been in a conjugal relationship for at least one year but are unable to live together or appear in public together because of legal restrictions in their home country or who have been separated for reasons beyond their control (for example, civil war or armed conflict) may still qualify and should be included on the application.

Dependent children
Refers to the children of the applicant or those of the spouse or common-law partner.

They must be:

  • under the age of 19 and not have a spouse or common-law partner, or
  • 19 years of age or older and unable to be financially self-sufficient since before the age of 19 due to a physical or mental condition.
Dependent child of a dependent child
Refers to children of dependent children of the applicant or those of the spouse or common-law partner.

Quebec residents

If you choose to live in the province of Quebec, the provincial immigration authority Ministère de l’Immigration, de la Diversité et de l’Inclusion (MIDI) must also approve your application. You are not required to fill out extra forms; we will refer your application to the MIDI for approval.

If the MIDI notifies us that it is refusing your application, we will continue to process your application for permanent residence provided that you chose to live in another Canadian province.


What are the employment requirements?

You must have completed the required length of authorized full-time employment within four years from the date you entered Canada as a live-in caregiver to be eligible to apply for permanent residence under the Live-in Caregiver Program.

There are two options for determining whether you meet the employment requirements of the Program; you will be required to select one of the following two options on the Document Checklist (IMM 5282).

  1. Having completed 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
  2. Having completed 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.

Note: Although the Live-in Caregiver Program is managed by the federal government, employment standards legislation pertaining to caregivers falls within provincial or territorial jurisdiction. The definition of “full-time employment” and “hours of overtime” differs from one province/territory to another. Contact your provincial or territorial authority for more information on employment standards


Staying informed

Selection criteria, requirements and other information for applicants can sometimes change. Please note that:

  • Applications will be processed according to the rules and regulations in effect at the time of the assessment. These may change at any time.
  • Our Website contains the latest news, selection criteria updates and application links. Check periodically for updated information.

Step 1. Gather documents

What documents are required?

Use the Document Checklist (IMM 5282) (PDF, 187 KB) to assist you in gathering the necessary documentation.

Note. If any of the required documents are missing, or photocopies are not clear, your application may be returned to you.

Note: Additional documents may be required during the processing of your application.


Translation of documents

Any document that is not in English or French must be accompanied by:

  • the English or French translation; and
  • an affidavit from the person who completed the translation; and
  • a certified copy of the original document.

Note: An affidavit is a document on which the translator has sworn, in the presence of a commissioner authorized to administer oaths in the country in which the translator is living, that the contents of their translation are a true translation and representation of the contents of the original document. Translators who are certified members in good standing of one of the provincial or territorial organizations of translators and interpreters of Canada do not need to supply an affidavit.

Important information. Translations by family members are not acceptable.



Note

Medical requirements

Do not undergo an immigration medical exam unless we advise you to do so. You will likely not be required to pass a medical exam. However, if it is required, we will provide instructions on medical exams after you submit your application.

All your family members who are not already Canadian citizens or permanent residents must undergo and pass an immigration medical exam, even if your family members will not be processed for permanent residence with your application. Family members who do not undergo and pass a medical exam will not be eligible to be sponsored at a later date. Your family members will be contacted by the visa office in their area with instructions on their medical exams.


Police certificates

You, and your family members who are 18 years of age and older and are not permanent residents or Canadian citizens must provide a valid police certificate, clearance or record of no information for each country other than Canada in which you and your family members have lived for more than six months consecutively during the past 10 years. If you or your family members were under 18 years of age when you lived there, you do not need to provide a police certificate.

It is your responsibility to contact the police or relevant authorities.

We will also do our own background checks to determine if you have any arrests or criminal convictions, or if you are a security risk to Canada.

Consult our Website at: www.cic.gc.ca/english/information/security/police-cert/index.asp for specific and up-to-date information on how to obtain police certificates from any country.

How to obtain police certificate

Step 1. Apply for certificates

Certificates are usually issued by the police of the country concerned, but in some countries you will have to apply to municipal, provincial, federal or other government authorities. The country’s embassy or consulate in Canada may be able to give additional information.

When applying for police certificates, you should include for each person:

  • a completed “Request for Police Certificates/Clearances and Authorization for Release of Information” form which can be found in Appendix B. Make enough photocopies for each applicant.
  • a set of fingerprints, if required by the authority of the country. Your local police or RCMP may be able to tell you where you can get fingerprints done. Take the “Fingerprint Request Letter” which can be found in Appendix B and your photo identification (passport, travel document, etc.) with you when you go to get fingerprints taken. You may have to pay a fee.
  • your complete mailing address (certificates will be sent directly to you).

Step 2. Submit the certificates

Include the police certificates with your application.

  • If the police authorities notify you that they will submit the certificates directly to us, include this notice with your application.
  • All police certificates must be originals; photocopies are not acceptable.
  • If your certificates are in a language other than English or French, attach an original translation prepared by an accredited translator.

What if I cannot get the police certificates?

If you cannot get police certificates from any of the countries where you have lived, you must provide a written explanation with your application and an original letter from the police authority confirming that they will not issue a certificate.


Step 2. Complete the application

Filling out the application

Follow the step-by-step instructions below to complete the application form.

The following are the forms that must be filled out and submitted:

If you choose Option 2

  • Live-in Caregiver – Employer Declaration of Hours Worked (IMM 5634)

Optional:

Note. It is a serious offence to give false or misleading information on these forms. The information you provide on your application may be subject to verification.



Important information

Be complete and accurate

Complete all sections. If a section does not apply to you, write “Not Applicable” or “NA”. If your application is incomplete it may be returned to you and this will delay the processing of your application.

If you need more space for any section, print out an additional page containing the appropriate section, complete it and submit it along with your application.


Generic Application Form for Canada (IMM 0008)

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.

Download and fill out the application form on a computer.

You also have the option of saving your form and completing it later.

Note: Completing the form electronically is easier and reduces the risk of errors that can slow down the application process.

In order to help you fill out the application form, read and follow the steps below.


Application Details

Question 1

From the list, select the Program under which you are applying:

  • Family
  • Economic
  • Refugee
  • Other
Question 2

From the list, select the Category under which you are applying:

  • If you chose “Family” in question 1, select one of the following:
    • Spouse
    • Common-law partner
    • Conjugal partner
    • Dependent child/adopted child
    • Child to be adopted in Canada
    • Parents/grandparents
    • Orphaned sibling/nephew/niece/grandchild
    • Other relative
  • If you chose “ Economic” in question 1, select one of the following:
    • Skilled worker
    • Skilled trades
    • Investor
    • Entrepreneur
    • Self-employed
    • Provincial nominee
    • Canadian experience class
    • Quebec selected skilled worker
    • Quebec selected entrepreneur
    • Quebec selected self employed
    • Quebec selected investor
    • Live-in Caregiver Program (LCP)
    • Startup Business
  • If you chose “Refugee” in question 1, select one of the following:
    • In Canada – Refugee Claim
    • In Canada – Protected Person (for Convention Refugees or other protected persons applying for permanent residence from within Canada)
    • Outside Canada – Refugee (for Convention Refugees or other protected persons applying for permanent residence from outside Canada)
  • If you chose “Other” in question 1, select one of the following:
    • In Canada – Humanitarian & Compassionate Considerations
    • Permit Holder Class
Question 3

Indicate the total number of family members included in your application. This includes yourself and any family members, regardless of whether they intend to accompany you to Canada or not.

For refugee claimants in Canada only: Indicate the total number of family members included in your application for refugee protection who are with you in Canada.

Question 4

Immigration Office requested for the processing of your application

Indicate the name of the Immigration Office which serves:

  • your country of nationality, or
  • the country in which you are residing, provided that you have been lawfully admitted to that country for at least one (1) year.

Note: Do not select the Centralized Intake Office (CIO) as the immigration office requested to process your application. Although you may be required to submit your application to the CIO, you must indicate the name of an appropriate visa office using the criteria above.

Note: If you are applying from within Canada or being sponsored from within Canada, this question does not apply to you. Go to Question 5.

Question 5

Language preference

From the list, select your preferred language for:

  1. correspondence
  2. interview (if you select English or French, an interpreter will not be required), and
     
    Note: If your native language does not appear in this list, select “other”.
  3. interpreter requested (necessary if English or French is not selected for the interview).
Question 6

Where do you intend to live in Canada?

From the list select the:

  1. Province/Territory
  2. City/Town
Question 7

If you intend to live in the Province of Quebec and are not a refugee claimant or member of the protected persons or live-in caregivers classes, have you received your Certificat de Sélection du Québec (CSQ)?

  1. Check the corresponding box
  2. If you checked “Yes”, please indicate the CSQ number
  3. If you checked “No”, indicate the date when you applied for your CSQ (if you have not yet applied, please do so before applying for permanent residence)

Note: If you are applying for refugee protection, check “no” for Question 7a and leave 7c blank.


Principal Applicant's Personal Details

The following questions must be answered by the Principal Applicant.

Question 1

Indicate your full family name (surname or last name) as it appears on your passport, travel or identity document.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate your family name(s).

Indicate all of your given name(s) (first, second or more) as they appear on your passport, travel or identity document. Do not use initials.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate “Child” or leave the given name field blank.

Question 2

Nickname/Alias

Check the box to indicate if you have ever used any other name than those indicated in question one. This could be your birth name, maiden name, married name, nickname, etc. If “Yes”, provide your nickname/alias by indicating it in the family name and given name(s) fields.

Question 3

Indicate your Unique Client Identifier number (UCI) or Client Identification number (Client ID), if known (8-digit number). Otherwise, leave it blank. If this is your first application with CIC you will not have a UCI or a Client ID.

Question 4

From the list, select your sex (male, female or unknown).

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select “Unknown”.

Question 5

Indicate your height in either centimetres or feet and inches.

Question 6

From the list, select your eye color.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select “Other”.

Question 7

Indicate your complete date of birth.

Note: If you do not know your complete date of birth, please use a “*” (star sign/asterisk) to fill in the spaces for the unknown year, month or day.

Question 8

Indicate your place of birth, including the city or town,

From the list, select your country of birth.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate “Unknown” for the city or town and select the country where you intend to adopt a child.

Question 9

Citizenship(s)

  1. From the list, select your country of citizenship.
  2. If you are a citizen of more than one country, select your other country of citizenship.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select the country where you intend to adopt a child.

Question 10

Current country of residence

From the list, select the appropriate information to indicate:

  • The name of your current country of residence. Your country of residence is the country in which you are residing, provided that you have been lawfully admitted to that country.

For refugee claimants in Canada only: select Canada whether you have been lawfully admitted or not.

  • Your immigration status in that country (indicate one of the following):
    • Citizen
    • Permanent resident
    • Visitor
    • Worker
    • Student
    • Other
    • Protected Person
    • Refugee Claimant
    • Foreign National
  • Other: This section must be completed if you selected "Other" as a status.
  • The dates (From – To) you have been living in your current country of residence.

For out-of-status applicants:

  • Under “Status” select “Other”;
  • Under “Other” type in “Out of status, requires restoration”;
  • Leave the “From” and “To” boxes blank.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select the country where you intend to adopt a child and “Citizen” as the immigration status in that country.

Question 11

Enter the date of your last entry to Canada, if applicable.

Indicate the place you last entered Canada (example: Toronto airport, Lacolle border crossing, seaport Yarmouth, etc.).

Question 12

Previous countries of residence

Check the box to indicate whether you have lived in any country other than your country of citizenship or your current country of residence for more than six (6) months in the past five (5) years.

If you checked "Yes", from the list select the appropriate information to indicate the following:

  • The name of the country you lived in
  • Your immigration status for the time you were in that country: Citizen
    • Permanent resident
    • Visitor
    • Worker
    • Student
    • Other
    • Protected Person
    • Refugee Claimant
    • Foreign National
  • Other: This section must be completed if you selected "Other" as a status
  • The dates (From – To) you were living in that country.
Question 13
  1. From the list, choose your current marital status:

    Annulled Marriage:

    This is a marriage that is legally declared as not valid. An annulment can also be a declaration by the Catholic Church that the marriage union did not have a binding force.

    Common-
    Law:

    This means that you have lived continuously with your partner in a marital-type relationship for a minimum of one (1) year.

    Divorced:

    This means that you are officially separated and have legally ended your marriage.

    Legally Separated:

    This means that you are married, but no longer living with your spouse.

    Married:

    This means that you and your spouse have had a ceremony that legally binds you to each other. Your marriage must be legally recognized in the country where it was performed and in Canada.

    Single:

    This means that you have never been married and are not in a common-law relationship.

    Widowed:

    This means that your spouse has died and that you have not re-married or entered into a common-law relationship.

  2. Enter the date (year, month and day) you were married or you entered into your current common-law relationship.

  3. Indicate the family name(s) and given name(s) of your current spouse or common-law partner.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select “Single”.

Question 14

Check the box to indicate whether you have previously been married or in a common-law relationship. If you checked "Yes", provide the following details for your previous spouse/common-law partner:

  • Family name(s)
  • Given name(s)
  • Type of relationship:
    • Common-law or
    • Married
  • Dates (From – To) for which you were in the relationship with your previous spouse/common-law partner
  • Date of birth.

Contact Information

Question 1

Indicate your current mailing address (where information should be mailed) by typing the following information:

  • Post Office Box (P.O. Box) number, if applicable. If you do not indicate post office box, the Street number must be provided
  • Apartment (Apt.) or Unit, if applicable
  • Street number (No.), if applicable. It is the number on your house or apartment building. This must be provided if you did not type 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

Note: All correspondence will go to this address unless you indicate your e-mail address.

If you wish to have a representative who can conduct business on your behalf, you must provide their address in this section and on the Use of a Representative (IMM 5476) form.

For more information read the Use of a Representative section in this guide.

Question 2

Check the box to indicate whether your residential address (where you live) is the same as your mailing address. If "No", indicate the following information:

  • Apartment (Apt.) or Unit, if applicable
  • Street Number (No.). It is the number on your house or apartment building.
  • Street Name
  • City or Town
  • Country
  • Province or State
  • Postal Code/zip code
  • District, if applicable
Question 3

Check the appropriate box to indicate if the telephone number is from Canada/the United States (US) or Other (any other country).

From the list, select the type of telephone:

  • Residence (home)
  • Cellular (cell/mobile)
  • Business (work)

Indicate your telephone number including the country code, area/regional codes, etc.

If you have an extension number, indicate it after your phone number under "Ext."

Question 4

Check the appropriate box to indicate if your alternate telephone number is from Canada/the United States or Other (any other country).

From the list, select the type of telephone:

  • Residence (home)
  • Cellular (cell/mobile)
  • Business (work)

Indicate your telephone number including the country code, area/regional codes, etc.

If you have an extension number, indicate it after your phone number under "Ext."

Question 5

Check the appropriate box to indicate if the facsimile (fax) number is from Canada or the United States or Other (any other country).

If applicable, indicate your facsimile (fax) number, including country code, area/regional codes, etc.

Question 6

If applicable, indicate your e-mail address using a format similar to the following: name@provider.net

Note: By indicating your e-mail address, you are hereby authorizing CIC to transmit your file and personal information to this specific e-mail.


Passport

Question 1

Check the appropriate box to indicate if you have a valid passport or travel document.

Question 2

If you checked "Yes", provide your passport or travel document number. Make sure there is no space between each number or letter.

Question 3

From the list, select the country that issued your passport or travel document.

Question 4

Enter the date your passport or travel document was issued.

Question 5

Enter the expiry date of your passport or travel document.


National Identity Document

Question 1

Check the appropriate box to indicate if you have a valid identity document.

Question 2

If you checked "Yes", provide your identity document number. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of the country that issued your identity document.

Question 4

Enter the issue date of your identity document.

Question 5

Enter the expiry date of your identity document.


Education/Occupation Detail

Question 1

From the list, select your highest level of education.

Type of education

None
No education.
Secondary or less
High school diploma obtained after elementary school and before college, university, or other formal training.
Trade/ Apprenticeship certificate/Diploma
Diploma completed in a specific trade, such as carpentry or auto mechanics.
Non-university certificate/Diploma
Training in a profession that requires formal education but not at the university level (for example, dental technician or engineering technician).
Post-secondary - No degree
Post-secondary studies at a college or university but no degree earned.
Bachelor’s degree
Academic degree awarded by a college or university to those who completed an undergraduate curriculum; also called a baccalaureate. Examples include a Bachelor of Arts, Science or Education.
Post Graduate – No degree
Post Graduate studies at a college or university but no degree earned (Master or PhD).
Master’s degree
Academic degree awarded by a graduate school of a college or university. You must have completed a Bachelor’s degree before a Master’s degree can be earned.
Doctorate - PhD
Highest university degree, usually based on at least three (3) years of graduate studies and a thesis. Normally, you must have completed a Master’s degree before a PhD can be earned.
Question 2

Indicate the total number of years of formal education that you have completed, including elementary and secondary school.

Question 3

Indicate your current occupation.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate “Unknown”.

Question 4

Indicate your intended occupation in Canada.

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate “Unknown”.


Language Detail

Question 1
  1. From the list, select your first (native) language. This is the language that you learned at home during your childhood and which you still understand.

    Note: If your native language does not appear in this list, select “Other”.

  2. If your native language is not English or French, select from the list which one you would most likely use:

    • English
    • French
    • Neither

Note: This question is not used for selection purposes. One of Canada’s objectives with respect to immigration is to support and assist the development of minority language communities in Canada.

 

Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select the native language of the country where you intend to adopt a child.

Question 2

From the list, select whether you are able to communicate in English and/or French:

  • English
  • French
  • Both
  • Neither

Dependant(s)

You, the principal applicant must answer each question on behalf of each of your dependant(s).

Note: Remember that all questions in this section are about your dependant.

You can add up to five (5) dependants in this form.

To add a new dependant to the application, click the “Add Dependant” button, located at the bottom of the page.

To remove a dependant from the application, click the “Remove Dependant” button.

If you have more than five (5) family members, you must complete the Additional Dependants/Declaration (IMM 0008DEP) (PDF, 471 KB) form for each additional family member in order to include everyone in your application.


Note

Important

You must list all family members in your application for permanent residence, whether they are accompanying you to Canada or not. You must also provide details on family members whose location is unknown (including those missing or presumed dead). If you don’t, you will not be able to sponsor family members at a later date if they are not listed on your application.


Dependant's Personal Details

Questions 1-9

Questions 1 to 9 are identical to the questions you answered for yourself. Refer to the previous instructions to help you answer the questions for your dependant(s).

Question 10
  1. From the list, select your dependant’s relationship to you, the principal applicant:
    • Adopted Child
    • Child
    • Common-law partner
    • Grandchild
    • Other
    • Spouse
    • Step-Child
    • Step-Grandchild
  2. Complete if you chose “Other”
Question 11
  1. Check the box to indicate whether or not, your dependant will accompany you to Canada.
  2. If you answered “No”, provide the reason why your dependant is non-accompanying.
Question 12

From the list, select the type of dependant:

Type 1
The dependent is under the age of 19 and single (not married and not in a common-law relationship).
Type 2
The dependent is 19 years of age or older, has been financially dependent on a parent since before the age of 19 due to a physical or mental condition.
 
The following types of children are for applicants who started an immigration process before August 1st, 2014.
Type A
The dependant is under the age of 22 and single (not married and not in a common-law relationship).
Type B
The dependant has been continuously enrolled in and in attendance as a full‑time student at a post-secondary institution accredited by the relevant government authority and has depended substantially on the financial support of a parent either:
  • since before the age of 22, or
  • since marrying or entering into a common-law relationship (if it happened before the age of 22).
Type C
The dependant is 22 years of age or older, has depended substantially on the financial support of a parent since before the age of 22, and is unable to provide for himself or herself because of a medical condition.
Question 13

Current country of residence

From the list, select the appropriate information to indicate:

  • The name of your dependant’s current country of residence. The country of residence is the country in which they are residing, provided they have been lawfully admitted to that country.

For refugee claimants in Canada only: select Canada whether your dependant has been lawfully admitted or not.

  • Your dependant’s immigration status in that country (indicate one of the following):
    • Citizen
    • Permanent resident
    • Visitor
    • Worker
    • Student
    • Other
    • Protected Person
    • Refugee Claimant
    • Foreign National
  • Other: This section must be completed if you selected "Other" as a status.
  • The dates (From – To) your dependant has been living in their current country of residence.

For out-of-status applicants:

  • Under “Status” select “Other”;
  • Under “Other” type in “Out of status, requires restoration”;
  • Leave the “From” and “To” boxes blank.
Question 14

Enter the date of your dependant’s last entry to Canada.

Indicate the place they last entered Canada (example: Toronto airport, Lacolle border crossing, seaport Yarmouth, etc.).

Question 15

Previous countries of residence

Check the box to indicate whether your dependant has lived in any country other than their country of citizenship or their current country of residence for more than six (6) months in the past five (5) years.

If you checked “Yes”, select the appropriate information from the list to indicate the following:

  • The name of the country your dependant lived in
  • Your dependant’s immigration status for the time they were in that country:
    • Citizen
    • Permanent resident
    • Visitor
    • Worker
    • Student
    • Other
    • Protected Person
    • Refugee Claimant
    • Foreign National
  • Other: This section must be completed if you selected “Other” as a status
  • The dates (From – To) your dependant was living in that country.
Question 16
  1. From the list, choose your dependant’s current marital status:

    • Annulled Marriage
    • Common-Law
    • Divorced
    • Legally Separated
    • Married
    • Single
    • Widowed
  2. Enter the date (year, month and day) your dependant was married or entered into their current common-law relationship.
  3. Indicate the family name(s) and given name(s) of your dependant’s current spouse or common-law partner.
Question 17

Check the box to indicate whether your dependant has previously been married or in a common-law relationship. If you checked "Yes", provide the following details for your dependant’s previous spouse/common-law partner:

  • Family name(s)
  • Given name(s)
  • Type of relationship:
    • Common-law or
    • Married
  • Dates (From – To) for which your dependant was in the relationship with their previous spouse/common-law partner.

Passport

Question 1

Check the appropriate box to indicate if your dependant has a valid passport or travel document.

Question 2

If you checked “Yes”, provide their passport or travel document number. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of the country that issued their passport or travel document.

Question 4

Enter the issue date of their passport or travel document.

Question 5

Enter the expiry date of their passport or travel document.


National Identity Document

Question 1

Check the appropriate box to indicate if your dependant has a valid identity document.

Question 2

If you checked “Yes”, provide their identity document number. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of the country that issued their identity document.

Question 4

Enter the issue date of their identity document.

Question 5

Enter the expiry date of their identity document.


Education/Occupation Detail

Question 1

From the list, select your dependant’s highest level of education.

For definitions, refer to the type of education table.

Question 2

Indicate the total number of years of formal education that they completed, including elementary and secondary school.

Question 3

Indicate their current occupation.

Question 4

Indicate their intended occupation in Canada.


Language Detail

Question 1
  1. From the list, select your dependant’s first (native) language. This is the language that they learned at home during their childhood and which they still understand.

    Note: If the native language does not appear in this list, select “Other”.

  2. If your dependant’s native language is not English or French, select from the list which one they would most likely use:
    • English
    • French
    • Neither

Note: This question is not used for selection purposes. One of Canada’s objectives with respect to immigration is to support and assist the development of minority language communities in Canada.

Question 2

From the list, select whether they are able to communicate in English and/or French:

  • English
  • French
  • Both
  • Neither
Question 3

Check Yes or No to indicate if you have taken a test from a designated testing agency to assess your proficiency in English or French.


Consent and Declaration of Applicant

Refer to the following table in order to complete your form properly.

  1. Once the application is completed, click on the "Validate" button located at the top or bottom of the form. This will generate a barcode* page or pages.

    *See image below:

    Barcode

    Note: This barcode page will not appear if you fill out your application by hand.

  2. Print all pages of your application form.

  3. Read all of the statements in all sections carefully and:


    Note
    1. Write your name in the space provided.
    2. Check the appropriate box to indicate if you agree that the information contained in this application related to your intended occupation, education and work experience may be shared with prospective employers in order to assist them in hiring workers.
    3. Sign and date in the spaces provided.

    By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

  4. Place the barcode page(s) on the top of your application (forms and supporting documents) when you submit it.


Additional Dependants/Declaration Form (IMM 0008DEP)

Who must fill out this application form?

This form must be completed by:

  • You, the principal applicant, on behalf of each of your dependants not included in the Generic Application Form for Canada (IMM 0008).

The questions are the same that you answered for yourself and other dependants on the IMM 0008.

Follow the previous instructions to help you answer the questions.


Consent and Declaration of Applicant

Read all of the statements in all sections carefully and then:

  1. Write your dependant’s name in the space provided.
  2. Check the appropriate box to indicate if you agree that the information contained in this application related to your dependant’s intended occupation, education and work experience may be shared with prospective employers in order to assist them in hiring workers.
  3. Sign and date in the spaces provided.

By signing, you certify that your dependant fully understands the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

Note: If you are less than 18 years of age, your form must be signed by one of your parents or a legal guardian.


Schedule A – Background/Declaration (IMM 5669)

Who must fill out this application form?

This form must be completed by:

  • you, the principal applicant;
  • your spouse or common-law partner (whether accompanying you to Canada or not), and
  • your dependent children aged 18 years or older  (whether accompanying you to Canada or not).

For refugee claimants in Canada: Only family members included in your application for refugee protection who are with you in Canada must complete this form.

Question 1

Indicate your full family name (surname or last name) as it appears on your passport, travel or identity document.

Indicate all of your given name(s) (first, second or more) as they appear on your passport, travel or identity document. Do not use initials.

Question 2

Indicate your name in your native language or script (if applicable).

For example: Arabic, Cyrillic, Chinese, Farsi, Korean, Japanese characters or Chinese commercial/telegraphic code.

Question 3

Indicate your date of birth.

Note: If you do not know your complete date of birth, please use a “*” (star sign/asterisk) to fill in the spaces for the unknown year, month or day.

Question 4

Provide your father’s personal details including his:

  • family name (surname or last name),
  • given name(s),
  • date of birth,
  • town or city of birth,
  • country of birth,
  • date of death (if applicable).
Question 5

Provide your mother’s personal details including her:

  • family name (surname or last name),
  • given name(s),
  • date of birth,
  • town or city of birth,
  • country of birth,
  • date of death (if applicable).
Question 6

Answer each question of the section by checking the appropriate box.

If you answered “Yes” to one or more of these questions, you must write an explanation of what happened in the space provided. If you need more space, attach a separate sheet of paper.

Question 7

Education

Indicate the number of years of formal education you have which you have completed at each of the levels indicated.

Provide the details about each secondary and post secondary educational institution you attended, including the:

  • period of time that you attended the institution,
  • name of the institution,
  • city and country,
  • type of certificate or diploma issued, and
  • field of study.

If no diploma was issued, write “N/A”. If you need more space, attach a separate sheet of paper.

Question 8

Provide the details of your personal history since the age of 18, or the past 10 years, whichever is most recent.

Start with the most recent information. Under “Activity”, write your occupation or job title if you were working. If you were not working, provide information on what you were doing (for example: unemployed, studying, travelling, retired, in detention, etc.). If you were outside your country of nationality, indicate your status in that country.

Note: Please ensure that you do not leave any gaps in time.

Important information. Failure to account for all time periods will result in a delay in the processing of your application.

Question 9

Indicate the names of all membership or association with organizations you are or were a member of, including:

  • political organizations,
  • social organizations,
  • youth or student organizations,
  • trade unions, and
  • professional associations.

If you were not a member of an association or organization, do not write “not applicable”. Rather, write: “I have never been a member of an organization or association”.

Note: Do not use abbreviations. Write the city and country where you were a member.

Question 10

Indicate any government positions you have held in the past such as:

  • Civil servant;
  • Judge;
  • Police officer;
  • Employee in a security organization;
  • Etc.

Write “NONE” in the box if you have not been a member of an association or organization.

Include:

  • the name of the country and the level of jurisdiction (examples: national, regional or municipal),
  • the name of the department or the branch you worked for, and
  • activities and/or positions that you held.

Note: Do not use abbreviations.

Question 11

Give complete details about your military or paramilitary service (if applicable). Provide the details of your military or paramilitary service for each of the countries whose armed forces you served in. If you were not in any military or paramilitary service, write “NONE”. Do not leave gaps in time.

Question 12

Indicate the residential addresses where you have lived since your 18th birthday or the past 10 years, whichever is most recent, complete with the postal code. Do not use P.O. box addresses.


Note

Authority to disclose personal information
Declaration of applicant

Read all of the statements in all sections carefully. Sign and date in the boxes provided. By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

Note: The bottom section of Schedule A should not be completed at this time.


Additional Family Information (IMM 5406)

Who needs to fill out this application form?

This form must be completed by:

  • You, as the principal applicant,
  • Your spouse or common-law partner (whether accompanying you to Canada or not), and
  • Your dependent children aged 18 or over (whether accompanying you to Canada or not).

SECTION A

Write the personal details for:

  • yourself,
  • your spouse or common-law partner, (if applicable)
  • your mother, and
  • your father.

SECTION B

Write the personal details for your children. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). This includes:

  • married children,
  • adopted children,
  • children of your spouse(step-children) or common-law partner,
  • any of your children who have been adopted by others,
  • any of your children who are in the custody of an ex-spouse, former common-law partner or other guardian.

You must answer all questions. If any sections do not apply to you, answer “N/A”.

SECTION C

Write personal details about your:

  • brother(s),
  • sister(s),
  • half-brother(s) and half-sister(s),
  • step-brother(s) and step-sister(s).

SECTION D

After carefully reading the statements contained in this section, sign and date the declaration.


Live-in Caregiver – Employer Declaration of Hours Worked (IMM 5634)

Who must fill out this application form?

This form must be completed and signed by your employer(s) and submitted with your application for permanent residence if you choose “Option 2” for calculating whether you have met the employment requirement to be eligible for permanent residence as live-in caregiver.

What is Option 2?

“Option 2” is defined as 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.

Employer(s) identification

Reminder: the employer(s) must complete this form.
Write your last name (surname) and given name(s).

Indicate the relationship between you (the employer) and the person receiving care. Examples include:

  • parent
  • grand-parent
  • legal guardian
  • self
  • etc.

Write your full residential address, including your postal code.

Write the following:

  • telephone number at home,
  • other numbers where you can be reached (cell phone or work), and
  • e-mail address (if applicable)

Write the Labour Market Impact Assessment (LMIA) confirmation number

Employee identification

Write the employee’s last name (surname) and given name(s).

Write the employee’s date of birth.

Employer Declaration

Read and sign the employer’s declaration.

  1. Write the dates the employee worked for you
  2. Write the total number of authorized full-time hours worked by your caregiver
  3. Write the total number of authorized overtime hours worked by your caregiver

Use of a Representative (IMM 5476)

Who may use this form?

Complete this form only if you:

  • used the services of a representative to help you prepare or submit your application; or
  • are appointing a representative; or
  • are cancelling a representative’s appointment.

If you have dependent children aged 18 years or older, they are required to complete their own copy of this form if a representative is also conducting business on their behalf.

Your spouse or common-law partner does not have to complete a separate request and must sign in the box provided under question 10.

What is a representative?

A representative is someone who has provided advice, consultation, or guidance to you at any stage of the immigration application process, or in an immigration proceeding. If someone represented or advised you to help you submit your application, then that person is your representative. A representative is also someone who has your permission to conduct business on your behalf of Citizenship and Immigration Canada (CIC) and the Canada Border Services Agency (CBSA).

When you appoint a representative:

  • you also authorize CIC and CBSA to share information from your case file with this person;
  • your application will not be given special attention nor can you expect faster processing or a more favourable outcome;
  • the representative is authorized to represent you only on immigration matters related to the application you submit with this form;
  • you can appoint only one (1) representative for each application you submit;
  • you are not obliged to hire a representative. We treat everyone equally, whether they use the service of a representative or not.

Important information. You must notify us if your representative’s contact information changes or if you cancel the appointment of a representative.

Types of representatives

Family, friends, and non-profit groups often help applicants who feel the need for support and advice on immigration matters. You can appoint a representative who does not charge fees or receive any other compensation for providing immigration advice or services to represent you before CIC or the CBSA.

There are two (2) types of representatives.

Uncompensated representatives include:

  • friends and family members who do not, and will not, charge a fee or receive any other consideration for their advice and services;
  • organizations that do not, and will not, charge a fee or receive any other consideration for providing immigration advice or assistance (such as a non-governmental or religious organization);
  • consultants, lawyers and Quebec notaries, and students-at-law under their supervision, who do not, and will not, charge a fee or receive any other consideration to represent you.

Compensated representatives:

Compensated representatives charge a fee or receive some other form of consideration in exchange for the advice and representation that they provide. If you want us to conduct business with a compensated representative then they must be authorized by CIC.

Note: If an immigration representative is being paid or compensated by someone other than the applicant, then the representative is still considered to be a compensated representative.

It is important to know that anyone who represents or advises you for payment — or offers to do so — in connection with immigration proceedings or applications is breaking the law unless they are an authorized representative or they have a specific agreement or arrangement with the Government of Canada that allows them to represent or advise you. This applies to advice or consultation which happens before or after an immigration application is made or a proceeding begins.

Authorized representatives are:

  • immigration consultants who are members in good standing of the Immigration Consultants of Canada Regulatory Council (ICCRC);
  • lawyers and paralegals who are members in good standing of a Canadian provincial or territorial law society and students-at-law under their supervision;
  • notaries who are members in good standing of the Chambre des notaires du Québec and students-at-law under their supervision.

If you appoint a compensated representative who is not a member of one of these designated bodies, your application will be returned. For more information on using a representative, visit our website.

General Application Information

  • Check one box to indicate if you are appointing or cancelling the appointment of a representative.
  • Check both boxes and complete all sections if you are cancelling a representative and appointing a new one at the same time.

Section A – Applicant Information

Question 1

Write your last name (surname or family name) and given name(s).

Question 2

Write your date of birth.

Question 3

If you have already submitted your application, write:

  • the name of office where the application was submitted;
  • location of office;
  • type of application you are sending.
Question 4

Write your Citizenship and Immigration Canada Identification (ID) or Unique Client Identifier (UCI) number (if known).

Section B – Appointment of Representative

Question 5

Write your representative’s full name.

If your representative is a member of the Immigration Consultants of Canada Regulatory Council (ICCRC), a law society or the Chambre des notaires du Québec, print his or her name as it appears on the organization’s membership list.

Question 6

Check one box to indicate if your representative is unpaid or paid.

If your representative is paid, write the membership ID number of:

  • the Immigration Consultants of Canada Regulatory Council (ICCRC); or
  • a Canadian provincial or territorial law society; or
  • the Chambre des notaires du Québec.
Question 7

Write your representative’s contact information.

Note: By indicating your representative’s e-mail address, you are hereby authorizing CIC to transmit your file and personal information to this specific e-mail address.

Question 8

To accept responsibility for conducting business on your behalf, your representative must:

  • sign the declaration
  • date the declaration, and
  • include the Party ID, only if it is known.

Section C – Cancel the Appointment of a Representative

Question 9

Fill in this section if you wish to cancel the appointment of a representative. Write the representative’s full name.

Section D – Your Declaration

Question 10

By signing, you authorize CIC to complete your request for yourself and your dependent children under 18 years of age.

If your spouse or common-law partner is included in this request, he or she must sign in the box provided.

Release of information to other individuals

To authorize CIC to release information from your case file to someone other than a representative, you will need to complete the form Authority to Release Personal Information to a Designated Individual (IMM 5475) (PDF, 1.8 MB). The form is also available from Canadian embassies, high commissions and consulates abroad.

The person you designate will be able to obtain information on your case file, such as the status of your application. However, they will not be able to conduct business on your behalf with CIC.


Step 3. Pay the fees

Calculating your fees

Use the table below to calculate the total amount of fees to be paid. There are two (2) types of fees:

1. The processing fee which must be included with your application

Processing Fee Number of
persons
Amount
per person
Amount Due
Principal applicant 1 x $550 $550
Spouse or common-law partner   x $550  
Dependent child under 19, unmarried and not in a common-law relationship   x $150  
Dependent child aged 19 or older who has been unable to be financially self-supporting since before the age of 19 due to a physical or mental condition   x $150  
Total Payment: $

Note: For applicants who started an immigration process before August 1st, 2014, consult the page Definition of Dependent Children Before August 1st, 2014.

And

2. The Right of Permanent Residence Fee, which will be requested at a later stage if your application is approved.

Right of Permanent Residence Fee Number of
persons
Amount
per person
Amount Due
Principal applicant 1 x $490 $490
Spouse or common-law partner   x $490  
Total Payment: $

Note: Dependent children are exempt from paying the right of Permanent Residence fee.


Incorrect fee payment

Important information. Incorrect fee payments may delay processing of your application.

Payment issue – No fee included

CIC will return your application.

Note: Processing of your application will only start after you return your application with requested fees.

Payment issue –Insufficient fees included

CIC will inform you of how much to pay and how to pay.

Note: Processing of your application will only continue after you provide the missing fees.

Payment issue –Overpayment

CIC will:

  • start processing your application, and
  • send you a refund as soon as possible.

Note: You do not have to request a refund, it will be done automatically.


Payment method options

Payment of fees online is the preferred method of payment.

On line fee payment

Resources required

You can pay your fees on line if you have:

  • a credit card (Visa, MasterCard or American Express);
  • access to a computer with an Internet connection;
  • a valid e-mail address, and
  • access to a printer (you will need to print the receipt).

Instructions

Follow these step-by-step instructions to pay using the Internet.

  • Go to Pay my fees online at the CIC website.
  • Follow the on-line instructions.
    • At the end, click on the button to print the CIC official receipt with barcode.

Note

Note. Do not exit without printing the receipt!

  • Fill in the Payer Information Section by hand.
  • Attach the bottom portion (copy 2) of this receipt to your completed application.

Proof of payment

The receipt printed off of the Internet in step 2 of the instructions above will serve as your proof of payment.

Obtaining an original receipt form–Inside Canada

You may obtain an original receipt form (IMM 5401) by ordering through our website.


Additional fees

You must also pay for the following for yourself and your family members (if applicable):

  • medical examinations
  • police certificates

Step 4. Mail the application

Where to mail the application

Mail your completed application in a stamped envelope to the address shown below:

Affix sufficient postage (top right of the envelope)
Sender (top left of the envelope)
(Your name)
(Your Address)
(Your Postal Code)
Recipient (centre of the envelope)
Case Processing Centre
6212-55th Avenue
Vegreville, AB
T9C 1W3

Send the document checklist

Make sure you use the document checklist and include it with your application.



Note

Sign the form

The application must be signed and dated before it is submitted.

If you are:

  • 18 years of age or older, sign and date in the boxes provided at the bottom of the page,
  • less than 18 years of age, your form must be signed by one of your parents or legal guardian.

Note: If your application is not signed and dated, it will be returned to you.


Submit the application form

When submitting your application, to ensure your encoded data is captured, you must include the last page or pages which contain your unique barcodes. See the image below:

Sample Barcodes

Note: This page is only available when you complete your application electronically (on a computer).


What happens next?

Application process

The decision on your application

If your application has been properly completed and includes all the required documents, you will receive a letter informing you of the decision on your case and what you must do next. If you qualify for permanent residence, your family members outside Canada will be required to undergo a medical examination, and you and your family members will have to pass criminality and security checks.

We may contact you to arrange an interview to verify or expand on information contained in your application.

If your application is approved

Then we will contact you to arrange a final interview. You will likely be granted permanent resident status at that interview.

If your application is refused

Then we will inform you in writing and you may be asked to leave Canada.

Questions?

If you still have questions after reading this guide, visit our Website or phone our Call Centre listed on the Contact Information page.


Leaving Canada

If you go on a vacation outside of Canada, you are not automatically deemed ineligible for permanent residence under the Live-in Caregiver Program. However, it is important to note that if you leave Canada while your application is being processed, we cannot guarantee that you will be allowed to re-enter. Each time you re-enter Canada you will need to be re-assessed and meet all eligibility criteria for entering the country.



Important information

Updating your contact information

During the application process, you must advise us of any change of address or telephone number by:


Checking application status on line

You can check the status of your application on-line by doing the following:

  1. Go to Check application status on the CIC website.
  2. Follow the instructions provided.

Note:  Your application status will only appear on-line once the application is received and the initial review by CIC is completed.

To obtain details on how to remove your application status information from the Internet, visit the Help Centre section.


Protecting your information

Your personal information is:

  • only available to Citizenship and Immigration Canada (CIC) and Canada Border Service Agency (CBSA) employees who need to see it in order to provide the services to you, and
  • not disclosed to anyone else except as permitted under the provisions of the Privacy Act.

For more information. You can obtain additional information on the protection of your data by visiting the Help Centre on our website.


How to contact CIC

Visit the Contact Us page for more information.


Appendix A: Maintaining your status and eligibility for an open work permit in Canada

Status while in Canada

Completing an application for permanent residence as a live-in caregiver does not mean that your work permit or temporary status will be automatically extended. You must maintain your legal status in Canada while your application for permanent residence is in process. Therefore, you must apply for a renewal of your work permit before it expires. It is illegal to work in Canada without a valid work permit.

If your work permit expires before you submit an application to extend it, you have 90 days from the expiration date to apply to restore your status. If you do not apply to restore your status within 90 days of the expiry of your work permit, you will be without status and have to leave Canada.

Use the guide Applying to change conditions or extend your stay in Canada as a Worker (IMM 5553) to apply for any type of work permit or to restore your status.


What is an open work permit and am I eligible to apply for one?

An open work permit allows you to work for any employer for the length of time specified on the work permit. It can only be granted once you receive approval in principle on your permanent resident application.

As a live-in caregiver, you can apply for an open work permit by completing Application to Change Conditions, Extend my Stay or Remain in Canada as a Worker (IMM 5710). You should submit it along with your permanent resident application, including the fees. Submitting your work permit application simultaneously allows you to continue working for your current employer under the same conditions until you receive first stage approval. However, if you want to change employer after submitting your permanent resident and open work permit applications, you will have to submit a new work permit application with a Labour Market Impact Assessment (LMIA) and appropriate fees.

To be eligible for an open work permit, you must:

  • submit an application for permanent residence under the Live-in Caregiver Class;
  • have held valid work permits under the program for two years or more; and
  • have worked for at least 3,900 hours or 2 years as a live-in caregiver within four years.

Appendix B: Request for Police Certificates/Clearances and Authorization for Release of Information

Date Modified: