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IMMIGRATION Table of Contents

Document Checklist – Work Permit

Canada
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Document Checklist – Work Permit- Live-in
caregiver

Live-In Caregiver Questionnaire

Work Permit

Lagos Visa Office

Instructions

This application is made available free by

Immigration, Refugees and Citizenship
Canada and is not to be sold to applicants.

Cette trousse est également disponible en

français

IMM 5914 E (05-2016)

Application for a Work Permit – Checklist

Complete and place this checklist on top of your application.

You must include a certified translation with any document that is not in English or French.

Failure to submit all required documentation may result in the refusal of your application or
processing delays.

All documents submitted in support of your application should be original.

After submission of all required documents, you may be required to attend an interview.

A medical exam will be required for work exceeding six months and certain other instances.

Do not undergo a medical exam until advised by this office. Medical results may take up to 4
weeks.

Any preparations you make or expenses you incur are done entirely at your own risk.

Do not finalize travel plans unless you have received your visa from the Deputy High Commission
of Canada to Nigeria in Lagos.

A parent or legal guardian will sign for a minor child.

Number of people travelling to Canada (principal applicant and accompanying family members):

In addition to a work permit, are you submitting applications for the

following?

Number
required:

Number
Open work permit - complete an application for a work permit. required:
Spouse or
common law
partner Number
Temporary resident visa (if not applying for an open work required:
permit) - no separate application form is required.

Number
Open study permit - for accompanying children aged 6-18 required:
Minor years old - no separate application form is required.
Children
Temporary resident visa (if a study permit is not required) - no Number
separate application form is required. required:

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 Study permit – complete an application for a study permit which Number
must include a letter of acceptance from a college or university in required:
Canada.
Dependant
over 18
Number
Temporary resident visa (if a study permit is not required) – required:
complete an application for a temporary resident visa.

You must submit the following items: √

Two passport photographs for each applicant. Signed, dated and taken in the past six
months. Write the name and birth date of the individual on the back.

Original passport for yourself and each family member requesting a visa, including
children. Each passport should:

 be accompanied with a copy of the passport bio-data page (for example: the page
with the name, photo, place of birth, date of issue, etc.);
 show that you are a citizen or lawfully admitted to your country of residence (for
example: study permit, work permit);
 have a minimum of two blank visa pages; and
 Include any previous passports showing travel history.

Curriculum vitae or resume – up to date, in English or French, for yourself and your
accompanying spouse or common-law partner.

Original Police clearance certificates - obtained from C.I.D Headquarters for the
applicant and any accompanying family member above 18 years of age for Nigeria.
Certificates are also required for each of the countries in which they stayed more than six
months since they turned 18.

Proof of employment - letter from your current employer and payslips (last 3 months).
Employment letter dated within two months of the application indicating occupation, job
description, position, salary, allowances, years of employment and authorized leave dates.

Self-addressed pre-paid return courier envelope to return your passports and

documents.

Job offer from your employer in Canada on headed paper indicating your job title, duties,
salary and dates of employment. Submit a copy of your contract if possible. If you
submit your application less than one month before you are supposed to start

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work, submit a letter from your employer stating that you can take up your job at a later
date.

Evidence that you meet the requirements of the job offer (e.g. employment
references outlining previous jobs and job duties, copies of relevant education certificates,
proof of professional qualifications).

If applicable, you must also submit: √

Marriage certificate and birth certificates for each family member, whether or not
they are requesting a visa.

Minor applicants under 18 years of age, travelling with only one parent or without
parents, need custody documents from the other parent or both parents, as applicable.

Proof of property – proof of personal property and assets, land titles, car registration,
lease agreement.

Proof of business if you are self-employed. Provide business registration, tax clearance
certificates, trade certificates, license and financial documents, etc. (certified business
bank account statement for past 6 months).

If you would like Immigration, Refugees and Citizenship Canada (IRCC) to release
information from your case file to someone other than yourself, you must authorize us by
completing Authority to release personal information to a designated individual (IMM 5745).

If you have answered “yes” to any of the background information questions on the
application form, provide a completed and signed Schedule 1 form (Application for
Temporary Resident Visa – IMM 5257B) and include it with your application.

Nurses, Doctors and other Medical Professionals

√
Please note that you will be required to undergo a medical examination

Letter confirming eligibility for interim licensing or registration with the regulatory
body in the province to which you are destined in Canada (for example: the College of
Registered Nurses or the College of Physicians and Surgeons). Clinical fellows destined to
British Columbia, Ontario or Alberta do not require a letter from the regulatory body.

Original police certificate issued during the past twelve months.

Intra-Company Transferees √

Letter from employer explaining why your transfer is necessary and how you meet the
requirements.

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Evidence of relationship between current employer and employer in Canada.

Live-In Caregivers √

Evidence of completion of high school.

Original police certificates from every country you have lived for more than six months
since the age of 18.

Contract with your employer in Canada.

Evidence of language ability in French or English.

Live-in Caregiver Questionnaire - fully completed.

Evidence that you meet the training or experience requirements of the programme (for
example: education certificates and reference letters outlining your duties and dates of
employment).

Truck Drivers √

Evidence of completion of high school.

Copy of driver’s license (and counterpart document D7 40, if applicable).

Original police certificate from your country of residence issued within the past 12
months.

Evidence of financial ability to support accompanying family members.

Provincial Nominees √

Provincial Nominee certificate.

Post-Doctoral Fellows √

Evidence of PhD completion (PhD certificate or letter from your university).

Visiting Researchers √

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Research proposal outlining:

 research to be undertaken in Canada;

 goals of research in relation to your academic pursuits in your own country;
 how you were chosen;
 amount and source of any funding you will receive.

Media Crew √

Full details of filming including purpose, location, dates, type of production, distribution
audience.

Telefilm Canada Co-op Agreement, if applicable.

Construction Workers √

Original police certificate from your country of residence issued within the past 12
months.

Quebec English Language Assistants

√
Please note that you will be required to undergo a medical examination

Original police certificate from your country of residence issued within the past 12
months.

Déclaration d’affectation from the Ministère de l’Éducation du Québec confirming details

of your placement.

Charitable Workers √

Original police certificate from your country of residence issued within the past 12
months.

Charity registration number of the employer in Canada.

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Application for a Work Permit in the Live-in Caregiver Program –
Checklist

Complete and place this checklist on top of your application. Any document not in English or
French must be accompanied by a certified translation.

Failure to submit all required documentation may result in the refusal of your application or
processing delays.

Do not finalize travel plans unless you have received your Letter of Authorization from the
Deputy High Commission of Canada to Nigeria in Lagos.

An interview may be required. You will be informed accordingly.

All documents submitted in support of your application must be original.

Do not undergo a medical exam until advised by this office. Medical results may take up to 4
weeks.

You must submit the following items: √

Live-in Caregiver Questionnaire, fully completed, dated and signed.

Original passport for yourself. Your passport should:

 show that you are a citizen or lawfully admitted to your country of residence (e.g.
study permit, work permit),
 be valid for the duration of your work period as work permit cannot be issued
beyond the validity of your passport,
 have two blank pages and minimum 6 months validity, and
 be accompanied with a photocopy of the passport bio-data page (i.e. the page with
the name, photo, place of birth, date of issue, etc.).

Reference letter from present or past employers which detail your duties.

Employer–employee contract that meets the labour standards and working conditions
in the province where you will be working. The contract must adhere to the requirements
of the Live in Caregiver Program.

Canadian Employer Income – if your employer agrees, you may include a copy of your
potential employer’s Income Tax Notice of Assessment (NOA) for the past 2 years.

Proof of successful completion of :

 a minimum of six months of full-time training in a classroom setting in a field or

occupation related to the job offered in Canada, OR
 One year of full-time paid employment within the last three years, including at
least six months of continuous employment with one employer in a job related to

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 the prospective employment in Canada.

Academic Documents – Originals and photocopies of school transcripts (beginning in

secondary school), certificates and diplomas.

Original Police clearance certificates for the applicant above 18 years of age.
Certificates are also required for each of the countries in which you stayed more than 6
months since you turned 18.

Self-addressed pre-paid return courier envelope to return your passports and

documents whether or not you are submitting your application by courier service or the
High Commission’s drop box.

If applicable, you must also submit: √

Certificat d’Acceptation du Québec (CAQ) if you will be working in Quebec.

Note: Labour Market Impact Assessment (LMIA) for caregiver destined to the province of
Quebec is valid for 3 months after the Certificat d’acceptation du Québec is issued.

Marriage Certificate if you are married, and Birth Certificates of all your children
and step-children.

If you would like someone to do business with our office on your behalf, completed
"Authority to release personal information" (IMM 5475).

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Live-In Caregiver Questionnaire

Include with your application for a work permit.

Name:

Employment Contract:

Have you worked for this employer previously? Yes | No

How was contact established?

Please provide any name or agency involved.

Employment History:

Please list all past employment since leaving school (include your employers contact details and
address; number of hours worked per week and description of duties):

1. Employers contact details

Name:

Phone:

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Address:

Hours worked per week:

Description of duties:

2. Employers contact details

Name:

Phone:

Address:

Hours worked per week:

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Description of duties:

3. Employers contact details

Name:

Phone:

Address:

Hours worked per week:

Description of duties:

4. Employers contact details

Name:

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Phone:

Address:

Hours worked per week:

Description of duties:

5. Employers contact details

Name:

Phone:

Address:

Hours worked per week:

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Description of duties:

Education:

Senior Secondary (date completed):

Post Secondary Education (specify):

Certificates and diplomas (beginning with "0" level or JSSC):

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Full details of classroom training as a caregiver: (if applicable please include dates, hours of
study and copies of certificates and transcripts)

Do you speak,read and write:

English fluently | well | with difficulty | not at all

French fluently | well | with difficulty | not at all

Canadian Contacts:

Please provide the contact details of any friends or relatives residing in Canada

Surname:

Given Name:

Address:

Relationship:

Canadian Experience:

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Have you previously visited, worked or studied in Canada? Yes | No
If so please provide details:

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