Documente Academic
Documente Profesional
Documente Cultură
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1) If you are requesting a Physical file that could have originated overseas, note that CIC may experience delays in the receipt of documents. This
could result in a delayed response to your request. However, by selecting Notes in electronic file, your request will be processed within the
legislated deadline. If you want a case status update and/or reason for refusal, it can be obtained by selecting Notes in electronic file.
2) If you select Sponsorship File, you will receive the sponsor's information. If you want the sponsored person's information, select Immigration file:
permanent residence.
3) X-rays will not be provided even when selecting medical file.
For more information about access to information and privacy, you can visit the Citizenship and Immigration Canada's web site at
http://www.cic.gc.ca/english/department/atip/index.asp.
IMM 5563 (10-2014) E
Citizenship and
Immigration Canada
Citoyennet et
Immigration Canada
Print Form
Please select the Act under which you are submitting this request:
Access to Information Act
Privacy Act
Note: If you are submitting a request under the Access to Information Act, you must include the $5.00 application fee.
2
French
As is
Note: The information recorded by the officer will not be translated, only the system interface will be in the language
of your choice.
3
CD
No
Consent included
I am a Canadian citizen, a permanent resident of Canada and/or a person or corporation currently present in Canada.
Select the category that best describes you:
Academia
Mailing Address
Apt/Unit
7
Street no.
Media
Organization
Public
5
Street name
Proof included
Business or Organization Name (if applicable)
Decline to identity
Given name(s)
City/Town
8
Province
Postal code
E-mail address
Select the information you would like to receive by checking off one of the two boxes: 5a or 5b (Please refer to instructions).
a)
Given name(s)
b)
Physical file
File number
File number
File number
File number
Sponsorship file
File number
Sponsorship file
Citizenship file
File number
Citizenship/naturalization file
Landing record (non-certified copy only)
CIC's information pertaining to refugee file
Use the space below to provide any additional information to help clarify your request.
Requester's signature
Date (YYYY-MM-DD)
The information you provided on this form is collected under the authority of the Access to Information Act and the Privacy Act and will be used to administer these acts, as well as
to process and respond to requests. This information may also be used during consultations with other government institutions or during investigations by the Office of the
Information Commissioner and the Office of the Privacy Commissioner and/or during court reviews. It will be retained in Personal Information Bank CIC PSU 901 - Access to
Information and Privacy Requests. It may also be shared with other organizations in accordance with the consistent use of information as per paragraph 8(2) of the Privacy Act.
Pursuant to the Access to Information Act and the Privacy Act, individuals have the right to the protection of and access to their personal information. Details of these matters are
available at infosource.gc.ca and through the Citizenship and Immigration Canada's web site.