Citizenship and Immigration Canada
www.cic.gc.ca
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Release of information to an individual
This form is for people who wish to authorize Citizenship and Immigration Canada to release their personal information to an individual they designate.
The individual you designate will be able to obtain information on your case file, such as the status of your application. However, he or she will not be a representative who can conduct business on your behalf with CIC.
A person must be appointed as a representative to conduct business on your behalf with CIC.
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.
The file below is available to you in Portable Document Format (PDF). This is a universal file format that allows you to read, print or download an online document while maintaining the fonts, graphics and general layout of that document. To view a PDF document, you must have a PDF reader installed. If you do not already have such a reader, there are numerous PDF readers available for free download or for purchase on the Internet.
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.
This form includes the following items:
- Authority to Release Personal Information to a Designated Individual [IMM 5475] PDF, 39 KB
