Welcome! If you are using a representative to help you with
a Citizenship and Immigration Canada (CIC) application,
you need to complete the Use of a Representative form,
also known as form IMM 5476.
A representative is someone who conducts business with CIC
for you and with your permission.
This may be a family member, friend,
immigration consultant, lawyer or other.
The person you appoint may fill out your forms,
submit your application or talk to CIC about your file.
You are not required to hire a representative.
The Government of Canada treats all applicants equally,
whether they have a representative or not.
CIC forms have instruction guides to help you complete
your applications.
The guides provide step-by-step instructions.
They tell you how to answer each question and they provide clear
information about the documents you must submit to us.
If you hire a representative, we will not give your application
special attention or process it faster.
It will not affect the final decision made
about your application.
You can appoint only one representative for each
application you submit.
You can choose to appoint or to cancel a representative
at a later date, after your application has been submitted.
To do so, you must send us a completed IMM 5476 form to tell
us that you have changed representatives or that you
no longer wish to use one.
Let's take a closer look at how to complete the
Use of a Representative form.
Answer each question by typing your information
into the white spaces.
A check mark will appear in the boxes as you click on them.
You can save the form to your computer. Ready?
Follow along with the video as you complete the form.
You may press Pause and Play as you answer each question.
And don't forget!
The Video Centre on our website has other useful tutorials
to help you complete your application.
Be sure to take a look.
With form IMM 5476 in front of you, let's get started!
First, are you appointing a representative?
If you are, check the top box and complete sections
A, B and D of the form.
If you are cancelling a representative,
check the other box and complete sections A, C and D.
You may appoint a representative and cancel the appointment
of another on the same form.
In this case, you must check both boxes here.
In Section A, enter the following information:
1. Your family name and all of your given names;
2. Your date of birth;
3. If you have already submitted your application,
the name of the office where you submitted the application,
the location of the office, and the type of application.
If you have not already submitted your application,
complete this form and include it with your application;
4. Your Citizenship
and Immigration Canada identification number,
if you have one and if you know it.
You may know it as your Client ID,
your immigration file number or your UCI number.
In Section B, you appoint your representative
to work on your application.
This person can only represent you for the application
you list on your form.
Carefully read the bullet statements in Section B.
Make sure that they apply to you and that you understand them.
5. Enter your representative's family name and all given names.
6. If your representative is unpaid or uncompensated,
check the box that best describes who they are.
Unpaid representatives include friends,
family and members of groups who are not paid to help you.
A lawyer, consultant or Quebec notary can also be listed here
as long as they do not charge a fee to represent you.
If you have paid or will pay your representative,
that person must be a member of one of the groups listed.
Check the correct box and provide your representative's
membership ID number, and the province or territory.
If you appoint a paid representative who is not
a member of one of these organizations,
we will return your application to you.
7. Enter your representative's contact information: the name of
the firm or organization, if applicable, mailing address,
postal code or ZIP code, telephone number,
fax number and e-mail address.
By entering an e-mail address, you authorize CIC to send any
file updates and personal information related to your
application to this e-mail address.
You must notify us if your representative's
contact information changes.
8. This is your representative's declaration.
Your representative must read the bullet statements carefully
and confirm that they are true, then sign and date the form.
In Section C, you cancel the appointment of a representative.
This means that you no longer wish to authorize
your representative to receive information
or to conduct business for you.
If you are not cancelling a representative,
move to Section D.
If you are cancelling a representative,
read the withdrawal statement and make sure you understand it.
Then list the representative's full name and the name of his
or her firm or organization.
Section D is the declaration section,
where you sign to confirm that all of the information
you entered is true, correct and complete.
Read the statements carefully, then sign and date the form.
If your spouse or common-law partner is included in this
request, he or she must also sign and date the form.
You have now completed the form.
If you used a computer, you can save your file.
You are now ready to print!
Be sure to sign and date your form.
We cannot process it without your signature and the date.
Remember: if you decide to cancel the appointment of your
representative, you must complete a new IMM 5476 form.
Be sure to send it to the office where you submitted your
original application so we can keep your file updated.
If you have questions about this form,
read the instruction guide, which is available
at cic.gc.ca/repform.