This application is for persons in Canada who have been determined to be protected persons or Convention Refugees by the Immigration and Refugee Board, or by Citizenship and Immigration Canada, and wish to apply for permanent residence in Canada.
This form is not for refugees living outside Canada. Find more information about Canada’s Refugee and Humanitarian Resettlement Program.
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If you cannot view and print this application from this website we can mail it to you. Place an order for an application if you need it mailed. Be certain that you need this application before placing an order. The delivery of this application may take several weeks. The original receipt form (IMM 5401) will be included and does not have to be ordered separately.
This application includes the following items: