pptc516 Eng
pptc516 Eng
pptc516 Eng
Personal information may also be used for purposes including research, statistics, quality assurance, program and policy evaluation, internal audit, compliance,
risk management, strategy development and reporting. Failure to complete the form in full may result in a delay or the application not being processed. The
Privacy Act gives individuals the right of access to, protection, and correction of their personal information. If you are not satisfied with the manner in which
IRCC handles your personal information, you may exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The collection,
use, disclosure and retention of your personal information is further described in IRCC’s Personal Information Bank – IRCC PPU 081 and IRCC PPU 082.
Type or print in CAPITAL LETTERS using black or dark blue ink.
A PERSONAL INFORMATION AND CERTIFIED TRUE COPY SERVICE REQUEST
Surname (last name) / Given name(s) (as it appears on the Canadian travel document)
Current home address of the applicant (parent or legal guardian for a child's application)
The Canadian travel document must be submitted with this request and may be retained by the office for verification
purposes. }
Canadian travel document number
A fee of CAN$45 is payable for each request of one to three certified true copies of a Canadian travel
Number of certified true copies required: } document. The fee is not refundable if the request is cancelled or if you are not eligible for the service.
Picked up in person at the Service Canada Centre - PASSPORT SERVICE OFFICE where the request for the certified true copy/copies was submitted. Or
Delivered by mail to the following mailing address, if different from current home address provided in section A:
Address (c/o, Number, Street, Apartment, City, Province/Territory/State (if applicable), Postal code, Country)
C TO BE COMPLETED BY THE CANADIAN TRAVEL DOCUMENT HOLDER (OR BY THE CHILD'S PARENT OR LEGAL GUARDIAN)
Full name Telephone number
Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.
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