Canada Immigration Police Clearance Request Form
This file is a request form for police certificates required by Canada Immigration for individuals who have lived in other countries for six months or longer since turning 18. The form authorizes the release of information to Canada Immigration about any previous criminal convictions. It is essential for smooth processing of immigration applications.
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How do I fill this out?
To fill out this form, begin by providing your personal information, including your surname, given names, and any other surnames used. Continue by filling in details of your date of birth, citizenship, place of birth, sex, and current address in Canada. Lastly, sign and date the authorization for police or relevant authorities to disclose any information about previous criminal convictions.

How to fill out the Canada Immigration Police Clearance Request Form?
1
Provide your surname, given names, and other surnames used.
2
Enter your date of birth, citizenship, place of birth, sex, and current address in Canada.
3
Fill in the dates and addresses for each country where you lived for six months or longer.
4
Sign and date the authorization for police to disclose information.
5
Submit the form as directed.
Who needs the Canada Immigration Police Clearance Request Form?
1
Individuals applying for Canadian immigration who resided in other countries for six months or more since the age of 18.
2
People requiring background checks for employment purposes within Canada.
3
Applicants for Canadian permanent residency or citizenship.
4
Students applying for educational visas in Canada who need police certificates.
5
Professionals seeking work permits in Canada.
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What are the instructions for submitting this form?
Submit the completed form to the appropriate authorities as directed. This may include mailing it to the specified address, submitting it online through the designated submission form, or sending it via email or fax to the relevant contact details provided. Ensure you follow the specific instructions given to avoid delays in processing your application. My advice is to double-check the submission guidelines and use a reliable method to ensure your form is received promptly.
What are the important dates for this form in 2024 and 2025?
There are no specific dates applicable for this form in 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to obtain police certificates for Canada Immigration applicants who have lived in other countries for six months or longer since turning 18. It authorizes the release of information to Canada Immigration about any previous criminal convictions, ensuring the detailed background check required for immigration processing. Properly completing and submitting this form is essential for the smooth processing of immigration applications, making it a critical component of the immigration process.

Tell me about this form and its components and fields line-by-line.

- 1. Surname: The applicant's last name.
- 2. Given name(s): The applicant's first names.
- 3. Other surname(s) used: Any other surnames the applicant has used, such as maiden names or previous married names.
- 4. Name in original script: The applicant's name in their original script, such as Farsi, Arabic, or Chinese.
- 5. Date of birth: The applicant's birth date.
- 6. Citizenship: The applicant's citizenship.
- 7. Place of birth: The place where the applicant was born.
- 8. Sex: The applicant's gender.
- 9. Current address in Canada: The applicant's current address in Canada.
- 10. Dates: The periods during which the applicant lived in other countries.
- 11. Addresses while resident: The addresses where the applicant lived in other countries.
- 12. Signature of applicant: The applicant's signature.
- 13. Date: The date on which the form was signed.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or refusal of your immigration application.
- Processing delays: The application will be delayed due to incomplete information.
- Application rejection: The application may be rejected if the required document is not provided.
How do I know when to use this form?

- 1. Canadian immigration: When applying for immigration to Canada.
- 2. Employment background check: When an employer requires a background check.
- 3. Educational visa application: When applying for a student visa.
- 4. Work permit application: When seeking a work permit in Canada.
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