Complete this form if you are:
A representative is someone who has your permission to conduct business on your behalf with 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 to this person.
You are not obliged to hire a representative for immigration matters. The Government of Canada treats everyone equally, whether they use the services of a representative or not. If you choose to hire a representative, your application will not be given special attention nor can you expect faster processing or a more favourable outcome.
The representative you appoint is authorized to represent you only on matters related to the application you are submitting along with this form. If you have already submitted your application, you must specify which application you want your representative to represent you on (question 3 on the form).
You can appoint only one representative for each application you submit.
Unpaid representatives
Paid representatives
If you want us to conduct business with a representative who is, or will be charging a fee to represent you, he or she must be authorized. Authorized representatives are:
If you appoint a paid representative who is not a member of one of these designated bodies, your application will be returned.
You must notify us if your representative’s contact information changes or if you cancel the appointment of a representative.
5. Your representative’s full name
If your representative is a member of CSIC, a law society or the Chambre des notaires du Québec, print his or her name as it appears on the organization’s membership list.
8. Your representative’s declaration
Your representative must sign to accept responsibility for conducting business on your behalf.
10. Your declaration
By signing, you are authorizing us 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.
If you have dependent children aged 18 years or older, they must complete their own copy of this form if they have a representative.
Warning! It is a serious offence to give false or misleading information on this form.
If you have not yet submitted your application:
Send this form along with your application to the office listed in your respective application kit.
If you have already submitted your application:
Send this form to the office where you submitted your original application.
To authorize CIC and CBSA to release information from your case file to someone other than a representative, you will need to complete form Authority to Release Personal Information to a Designated Individual (IMM 5475).
The person you designate will be able to obtain information on your case file, such as the status of your application. He or she will not be able to conduct business on your behalf with CIC and CBSA.