pptc516 Eng

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

PROTECTED WHEN COMPLETED - A

Save Reset Form Print Form

REQUEST FOR CERTIFIED TRUE COPY OF CANADIAN TRAVEL DOCUMENT


PRIVACY NOTICE STATEMENT — Personal information provided on this form is collected by Immigration, Refugees, and Citizenship Canada (IRCC) under
the authority of the Canadian Passport Order. The personal information provided will be used for the purpose of processing applications, determining
entitlement to passport services and administering passport services The personal information provided may be disclosed to other federal government
institutions, provincial/territorial governments, foreign governments, investigative bodies and/or law enforcement for the purpose of validating identity,
determining current and ongoing entitlement to passport services and administering or enforcing any law or carrying out a lawful investigation.

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)

Number Street Apartment City Province/Territory/State (if applicable) Postal code

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.

Language of certified true copy: English French

B CERTIFIED TRUE COPY DELIVERY


The service standard is ten (10) business days from the day the request is received.

I would like the certified true copy to be:

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 current home address provided in section A. 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

Signature Date Signed at

(YYYY-MM-DD) City Country

PPTC 516 (05-2019) E (DISPONIBLE EN FRANÇAIS - PPTC 516 F)

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

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.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy