BSF766 - Application for a Declaration of Relief under Subsection 42.1(1) of the Immigration and Refugee Protection Act (IRPA)
A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.
Protected B when completed
Note: Print or type the details of your application in the spaces provided below. YOU MUST RESPOND FULLY TO ALL QUESTIONS. IF YOU NEED MORE SPACE, USE ADDITIONAL SHEETS OF PAPER. On each additional sheet, print your name and Canadian immigration identification number in the top righthand corner, sign your initials below your name, and write the page number in the bottom right-hand corner. Also, identify the section and question number for
each answer for which you are providing additional information. This application form is produced by the Canada Border Services Agency and is available free of charge at www.cbsa.gc.ca.
Section A – Applicant Information
Personal Information
- 1. Canadian immigration ID number (e.g., UCI or other immigration identifier)
- 2. Surname(s)/Family name(s) / Given name(s)
- 3. Other name(s) - List below any other names you have used, if applicable
- Nickname(s):
- Maiden name:
- Alias(es):
- Other(s) (please explain, e.g., legal change of name):
- 4. Date of birth (DD-MM-YYYY)
- 5. Gender: Male/Female/Other :
- 6. Town/city and country of birth
- 7. Citizenship/Nationality (country)
- How citizenship/nationality was acquired (e.g., by birth, marriage, etc.)
- Date citizenship/nationality was acquired (DD-MM-YYYY)
- Present status
- 8. Language(s) spoken (include dialects)
- 9. Official language for correspondence: English/French
- Select the official language that you would like the CBSA to use with you in correspondence, and in processing your application (including the drafting of a recommendation for Ministerial decision)
- 10. Current marital status: Single / Common-Law / Married / Legally Separated / Annulled Marriage / Divorced / Widowed / Unknown
- 11. If you are married or in a common-law relationship, provide the date on which you were married or entered into the common-law relationship (DD-MM-YYYY)
- Provide the name date of birth, and citizenship/nationality of your current spouse/common-law partner
- 12. Surname(s)/Family name(s) / Given name(s)
- 13. Date of birth (DD-MM-YYYY)
- Citizenship/nationality
- Status in Canada (if applicable)
- 14. Is your current spouse/common-law partner’s residential address the same as your (the applicant's) address? Yes/No
- If NO, provide the following information for your spouse/common-law partner
- 15. Street No.
- Street Name
- P.O. Box
- Apt./Unit
- City/Town
- Province/State
- Postal Code/Zip Code
- Country
- 16. Have you previously been married or in a common-law relationship? Yes/No
- If YES, provide the following details for your previous spouse(s)/common-law partner(s)
- 17. Surname(s)/Family name(s) / Given name(s)
- 18. Date of birth (DD-MM-YYYY)
- 19. Type of relationship (e.g., married or common-law)
- 20. In a relationship from (DD-MM-YYYY) To (DD-MM-YYYY)
- 21. Current status of relationship (e.g., legally separated, annulled marriage, divorced, or widowed)
- 15. Street No.
Current Contact Information
You must immediately notify the Ministerial Relief Unit of any change in this address to avoid your application being closed.
- 22. Street No.
- Street Name
- P.O. Box
- Apt./Unit
- City/Town
- Province/State
- Postal Code/Zip Code
- Country
- Telephone No.
- Residence/Cellular/Business
- Secondary Telephone No.
- Residence / Cellular / Business
- E-mail Address
Mailing Address (if different from above)
You must immediately notify the Ministerial Relief Unit of any change in this address to avoid your application being closed.
- 23. Street No.
- Street Name
- P.O. Box
- Apt./Unit
- City/Town
- Province/State
- Postal Code/Zip Code
- Country
Details of Family Members
24. You must provide the following details about each of your family members (any dependant children, including dependant children of your spouse or common-law partner, and dependant children of those dependant children) living inside and outside of Canada. If you have more than three family members, use additional sheets of paper.
- Family Member
- Surname(s)/Family name(s)
- Given name(s)
- Date of birth (DD-MM-YYYY)
- Citizenship/nationality
- Address
- Street No.
- Street Name
- P.O. Box
- Apt./Unit
- City/Town
- Province/State
- Postal Code/Zip Code
- Country
- Status in Canada (if applicable)
- Relationship to you
Section B – Inadmissibility
Inadmissibility(ies) against which you are seeking a Declaration of Relief
1. Check all boxes that apply and fill in data as appropriate. Under "Inadmissibility grounds", provide specific details, for example: membership in an organization (indicate whether the group was involved with organized criminality, terrorism, espionage, subversion, etc.); being a senior official in a designated regime; engagement in and/or instigation of an act or acts (indicate whether you were engaged in terrorism, espionage, subversion, violence, organized criminality and/or transnational crime (e.g., people smuggling, trafficking in persons, and/or money laundering, etc.)); and/or being a danger to the security of Canada; Where applicable, make sure to name the organization(s), identify the designated regime(s), and/or specify the type of act(s) you committed that resulted in your inadmissibility.
- IRPA subsection 34(1)
- IRPA Paragraph (a) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (b) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (b.1) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (c) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (d) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (e) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (f) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA subsection 35(1)
- IRPA Paragraph (b) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA subsection 37(1)
- IRPA Paragraph (a) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
- IRPA Paragraph (b) / Inadmissibility grounds / Date found inadmissible (DD-MM-YYYY) / City and country where found inadmissible
Circumstances of Inadmissibility
Check all boxes below that apply to the circumstances in which you were found inadmissible under the above-noted provisions. If available, attach a copy of the removal order, or inadmissibility or refusal decision.
- 2. I was found inadmissible to Canada by the Immigration and Refugee Board and a removal order was issued
- 3. If you have been issued a removal order in Canada, has it been enforced? Yes/No
- If NO, please indicate why
- 4. I was refused Canadian temporary residence because there are reasonable grounds to believe I am inadmissible
- 5. I was refused Canadian permanent residence because there are reasonable grounds to believe I am inadmissible
- 6. Is your inadmissibility currently under litigation or do you intend to litigate your inadmissibility? Yes/No
Other Inadmissibility(ies)
-
7. Have you been reported to be or found to be inadmissible to Canada under any other section of the IRPA / the former Immigration Act than those listed above? Yes/No
Note: Inadmissibilities not related to security, human or international rights violations, and/or organized criminality grounds cannot be remedied by a declaration of relief under subsection 42.1(1) of the IRPA; however, this information may be considered in the context of the Minister's assessment of national interest factors.
If YES, provide details of the inadmissibility, including the specific inadmissibility grounds, the date on which you were reported or found to be inadmissible, and the city and country where the report was written/inadmissibility decision was made. Identify the Immigration, Refugees and Citizenship Canada (IRCC), Immigration and Refugee Board (IRB), Canada Border Services Agency (CBSA) or Canadian visa office where the report was written/decision was rendered. Attach a copy of the report, removal order or inadmissibility decision, if available.
IMMEDIATELY NOTIFY THE MINISTERIAL RELIEF UNIT IF YOU ARE REPORTED OR FOUND TO BE INADMISSIBLE ON ANY ADDITIONAL GROUNDS
Additional Information
Respond to the following questions by checking all boxes that apply.
- 8. Have you ever been refused refugee status in, or an immigrant or visitor visa to, Canada or any other country? Yes/No
- 9. Have you ever been refused admission to, or ordered to leave, Canada or any other country? Yes/No
- 10. Are you currently the subject of reporting conditions in Canada?
- If YES, please provide a copy of your conditions.
- 11. Have you ever been sought, arrested, detained or put in jail under any circumstances? (This question is not limited to criminal activity) Yes/No
- 12. Have you ever used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives? Yes/No
- 13. If you were found inadmissible for involvement in a group, organization, military, paramilitary, or designated government or regime, was your involvement voluntary? Yes/No N/A
- 14. (a) If you were associated with a military, paramilitary, designated government or regime, were you aware of its involvement in armed hostilities? Yes/No N/A
- (b) If you were associated with a military, paramilitary, designated government or regime, did you participate in or provide support for its involvement in armed hostilities? Yes/No N/A
- 15. (a) Have you ever been associated with a group or organization that used, uses, or advocates the use of armed struggle or violence to reach political, religious or social objectives? Yes/No
- (b) If YES, were you aware, during your association, of the group's or organization's involvement in violent activities? Yes/No N/A
- 16. (a) Have you ever engaged in an act of espionage, subversion, terrorism, organized crime and/or transnational crime (e.g., human smuggling, human trafficking, money laundering, etc.)? Yes/No
- (b) If YES, was your involvement voluntary? Yes/No N/A
- 17. Have you ever advocated or been involved in an act of genocide or in the commission of a war crime or crime against humanity, such as: willful killing; torture; attacks; deportation; enslavement; starvation; unlawful destruction of property or other inhumane acts against civilians or prisoners of war; whether in peace or war? Yes/No
- 18. Are you a person whose entry into or stay in Canada is restricted pursuant to a relevant decision/resolution/measure (also known as a sanction) of an international organization of states or association of states, of which Canada is a member? Yes/No
- 19. Have you been granted or denied Ministerial relief in the past? Yes/No
- If YES, please provide a copy of the decision.
If the answer to any of the above questions is YES, provide details here (indicate the question number), and include with your application form any available supporting documentation.
Section C – Background Information
Part 1 – Formal Education and Training
- 1. Starting with the most recent, list all formal education and training. Include all elementary and secondary schools, and post-secondary, technical and vocational institutions attended, regardless of whether you completed the program or obtained a diploma, degree or certificate.
- From (Month Year)
- To (Month Year)
- Name of institution and field of study
- Town, city, country
- Level, degree, diploma or certificate obtained
Part 2 – Employment and Volunteer Work
- 2. Starting with the most recent, list all employment, including full-time, part-time, temporary and self-employment, and volunteer work from the age of 16 to present. Do not leave any gaps in time. If you were not working, provide information on what you were doing (e.g., unemployed, studying, travelling, retired, volunteering, in detention, etc.)
- From (Month Year)
- To (Month Year)
- Occupation/Job Title
- Employer/company/organization name
- Town, city, country
- Duties/Responsibilities
Part 3 – Membership in and Association with Organization(s)
- 3. Starting with the most recent, list all organizations in which you have participated, or of which you were (or still are) a member, with which you were (or still are) associated, and/or which you supported (or are still supporting). Under "Type of organization", identify the type of group (e.g., political, social, youth, student, etc.) or vocational organization (e.g., trade union, professional associations, etc.). Make sure to list any applicable wings, factions, splinter groups, etc., to which you belong(ed), with which you associate(d) or which you support(ed). Do not use abbreviations.
- I have never belonged to, participated in, associated with, contributed to, assisted or supported any organization,
financially or otherwise. -
- From (Month Year)
- To (Month Year)
- Name of organization
- Type of organization
- Town, city, country
- Title(s), role(s) and/or position(s) held
- Activities/Duties/Responsibilities
Part 4 – Government Position(s) Held
- 4. Starting with the most recent, list all government position(s) held, such as office worker, civil servant, jail guard, judge, intelligence officer, etc. Do not use abbreviations.
- I have never held a government position.
- From (Month Year)
- To (Month Year)
- Level of jurisdiction (e.g., national, regional, municipal)
- Department/Branch
- Town, city, country
- Title(s), role(s) and/or position(s) held
- Duties/Responsibilities
- 5. If any of the government positions you held involved intelligence gathering and/or analysis, indicate which position(s), and provide details of your activities here:
Part 5 – Military, Paramilitary and/or Police Service
- 6. Have you performed ANY type of military (e.g., armed forces, militia, military police, territorial defense, etc.), paramilitary or police service? Yes/No
- If YES, provide the information requested in part 5 for all service, whether voluntary or mandatory (required to serve, e.g. obligatory national service), regular or reserve, full- or part-time, in any country.
- 7. Type of service: military (be specific), paramilitary or police
- 8. Name of organization
- 9. Nature of participation: Voluntary/Mandatory
- 10. Served from (DD-MM-YYYY) Served to (DD-MM-YYYY)
- 11. Your title(s) and rank(s) at the start and conclusion of your service
- 12. Awards, medals and commendations received (include date(s))
- 13. Disciplinary measures against you (e.g., fines, sentence, jail, court martial, dishonourable discharge, etc.). Include date(s)
- 14. Country(ies) in which service was performed
- 15. Describe your role(s), duty(ies) and responsibility(ies) (e.g., guard, border officer, police constable, detective, infantryperson, artillery, military police, radio operator, special forces, intelligence officer, interrogation, etc.). Identify all ranks/positions and corresponding dates of promotion. List all locations of service (bases/ town/ cities/ areas and country), and the associated: dates; branches and units in which you served; the number of people you supervised; the name(s) and rank(s) of your immediate supervising officer, your unit/regimental commander, and the operational group/corps commander:
- 16. If MANDATORY was selected for any of the military, paramilitary, or police services you completed, provide details in the following table.
- Name of organization
- Was there a minimum length of service required? Yes/No
- If YES, what was the minimum length of service required?
- Was there a draft age (age when required to join)? Yes/No
- If YES, what was the draft age?
- Under what circumstances did your service end (e.g., completed service, deserted, medical reasons, etc.)?
- 17. Have you ever participated in, provided, or received any form of military, paramilitary or police training, whether or not you actually joined those services? This includes, but is not limited to: security training; leadership training; strategy and strategic planning; skills training (e.g., weapons, equipment, field craft, fitness, etc.); tactics, techniques, and procedures associated with a given role; support to operations (e.g., logistics, administration, food services, medical, etc.); specialized training (e.g., counter-insurgency, commando, intelligence, unarmed combat, interrogation, sniper, special or covert operations, etc.)? Yes/No
- If YES, provide details (e.g., type, length, dates and locations of training, course content, name of instructing organization, etc.). Be specific:
- 18. Did you participate, directly or indirectly, in any conflict(s), violence, exchange(s) of weapon fire, etc., during any of your military, paramilitary, or police service, or during your training? Yes/No
- If YES, provide details of the incident(s) and the circumstances. Be specific:
- 19. Have you ever witnessed or participated in ill treatment of prisoners or civilians, hostage-taking, looting, or desecration of cultural or religious artifacts or buildings? Yes/No
- If YES, provide details. Be specific:
Part 6 – Criminal History
(Immediately notify the Ministerial Relief Unit of any change in criminal activity, charges, and/or your criminal record)
- 20. Have you ever committed/been party to or been arrested for, charged with, on trial for, or convicted of a crime or offence, or subject to any arrest warrants or criminal proceedings, in any country, including Canada? Yes/No
- If YES, and attach any supporting records (e.g., charge sheet, criminal record, pardon or rehabilitation confirmation, etc.) if available. For "Offence type and code", describe the type of offence and list the applicable section number(s) and title(s) of the associated criminal/civil legislation(s) (e.g., "operating a vehicle while impaired (driving under the influence of alcohol or drugs /DUI), Canadian Criminal Code (CC) 253(1)(b)"; "assault causing bodily harm, CC 267(b)"; "receipt of stolen goods, 18 U.S. Code § 2315", etc.). List all offences and crimes, including those for which you were not charged.
- 21. Crime/offence type and code (if applicable)
- 22. Date of alleged crime(s) or offence(s) (DD-MM-YYYY)
- 23. Date charge(s) laid (DD-MM-YYYY)
- 24. City and country where offence occurred/charges laid
- 25. Date of disposition (DD-MM-YYYY)
- 26. Details of disposition (identify the outcome of the charges (e.g., withdrawn, dismissed, acquittal, conviction, suspended or deferred sentence, guilty plea, absolute or conditional discharge, peace bond, probation order, etc.), and indicate which court rendered the disposition). If you were convicted, clearly identify your conviction:
- 27. Were you sentenced? Yes/No
- If YES, what was the sentence imposed?
- 28. Date sentence served
- From (Month Year)
- To (Month Year)
- 29. Institution and location (city and country) where sentence was served
- 30. Did you complete serving your full sentence? Yes/No
- If NO, provide reason(s)/explanation (e.g., received credit for pre-trial time in custody, granted parole (released early but subject to supervision, restrictions and conditions), granted compassionate release, served two or more sentences simultaneously, etc.):
- 31. Have you received a record suspension (pardon), had your record expunged or been deemed to be rehabilitated? Yes/No
- If YES, provide details (include date(s) and pardoning/granting body(ies)), and attach supporting records if available.
Part 7 – Countries of Previous Residence or International Travel
- 32. Starting with the most recent, list all places in which you have resided, or to which you have travelled/visited internationally, from the age of 16 to present. Do not leave any gaps in time. For "Status in country", choose one of the following options: citizen; permanent resident; visitor; worker; student; protected person; refugee claimant; foreign national; or other (if "other", explain). For "Purpose of travel", indicate the reasons for your travel (e.g., business, school, leisure, intending immigrant, asylum seeker, etc.).
- From (DD-MM-YYYY)
- To (DD-MM-YYYY)
- City and country
- Status in country
- Purpose of travel
- 33. If any of the above travel was related to, paid for, or conducted on behalf of any group(s), organization(s), military(ies), paramilitary(ies), or government(s), including those relating to your inadmissibility, indicate the applicable letter(s) from the table above and provide details (e.g., specific information about the nature and purpose of the trip, your activities, how and why the trip was subsidized and/or conducted on behalf of the entity, etc.):
Section D – Appointment of Representative
You do not need to hire an immigration representative; it is your choice. No one can guarantee that the Minister of Public Safety and Emergency Preparedness will make a declaration of relief in your case.
A representative is someone who has provided advice or guidance to you prior to submitting your application, following the submission of your application, and/or someone who has your permission to conduct business on your behalf with the CBSA.
You may only have one representative at a time per application.
The Immigration and Refugee Protection Act makes it an offence for any person who is not authorized under the Act to knowingly, directly or indirectly, represent or advise a person for consideration - or offer to do so - in connection with a proceeding or application under that Act. Consideration includes money or any other form of compensation or reward.
Are you using a representative with respect to your Application for a Declaration of Relief? Yes/No
If YES, you must complete the Use of a Representative form (IMM 5476), available free of charge at www.cic.gc.ca. Include the completed form with your Application for a Declaration of Relief.
You must immediately advise of any change in your representation, including cancellation, or a change of address, by submitting a new, completed and signed IMM 5476 to the Ministerial Relief Unit.
Section E – Applicant Declaration
- If you DID NOT require the assistance of an interpreter to complete this form, you must complete DECLARATION A.
- If you DID require the assistance of an interpreter to complete this form, you must complete DECLARATION B. Make sure that all the questions, answers and instructions in the form, including this one, are interpreted to you before you sign DECLARATION B.
- NOTE: You must sign only ONE of the declarations below (either DECLARATION A OR DECLARATION B), as applicable.
- Declaration A: I declare that I am able to read English and that I have fully read and fully understood the entire contents of this form and all attached documents. I declare that I have fully and truthfully answered all questions and provided all relevant information on this application form including, if applicable, any additional pages or documents. I understand that providing false or misleading information is a serious offence, could reflect negatively on my application, and may be grounds for my prosecution.
- Signature of Applicant
- Date (DD-MM-YYYY)
- A parent or legal guardian must sign on behalf of applicants under 18 years of age:
- Full Name of Parent or Legal Guardian (type or print)
- Relationship to Applicant
- Signature of Parent or Legal Guardian
- Date (DD-MM-YYYY)
- Declaration B: I declare that the entire contents of this form and all attached documents have been interpreted to me, and that I have fully understood the entire contents of this form and all attached documents. I declare that I have fully and truthfully answered all questions and provided all relevant information on this application form including, if applicable, any additional pages or documents. I understand that providing false or misleading information is a serious offence, could reflect negatively on my application, and may be grounds for my prosecution.
- Signature of Applicant
- Date (DD-MM-YYYY)
- A parent or legal guardian must sign on behalf of applicants under 18 years of age:
- Full Name of Parent or Legal Guardian (type or print)
- Relationship to Applicant
- Signature of Parent or Legal Guardian
- Date (DD-MM-YYYY)
Section F - Interpreter Declaration
I, (print full name clearly) , hereby declare that I have accurately interpreted the entire contents of this form and all attached documents for the applicant from the English language to the language (state dialect, if any).
I am proficient in both of these languages (and dialect, if any), and was able to communicate effectively with the applicant. The applicant has assured me that they have understood the entire contents of this form and all attached documents and the answers provided, as interpreted by me.
- Signature of Interpreter
- Date (DD-MM-YYYY)
Section G Privacy Statement
The information you provide in this document is collected under the authority of the Immigration and Refugee Protection Act (IRPA) and the Immigration and Refugee Protection Regulations (IRPR), for the purpose of processing your Application for a Declaration of Relief under subsection 42.1(1) of the IRPA. The information may be disclosed to Immigration, Refugees and Citizenship Canada; the Immigration and Refugee Board; the Canadian Security Intelligence Service; the Royal Canadian Mounted Police; the United States National Criminal Information Center; INTERPOL; and similar organizations to obtain information that will be used to help inform the Canada Border Services Agency's (CBSA) recommendation to the Minister of Public Safety and Emergency Preparedness on whether or not to make a declaration of relief.
Refusal to provide the requested information may result in processing delays or your application not being accepted for processing. Individuals have the right to access and to make corrections to their personal information under the Privacy Act. The information collected is described within Info Source under the Personal Information Bank CBSA PPU 1504, which is detailed within the CBSA Info Source Chapter. Should you have concerns about the CBSA's handling of your personal information, you have a right to file a complaint with the Privacy Commissioner of Canada.
Section H - General Information
Pursuant to subsection 42.1(1) of the Immigration and Refugee Protection Act (IRPA) and related regulations, you are eligible to apply for a declaration of relief (commonly referred to as “Ministerial relief”) if you have been determined to be inadmissible to Canada under subsection 34(1) (security), paragraph 35(1)(b) (human or international rights violations), and/or subsection 37(1) of the IRPA (organized criminality), resulting in a removal order being issued against you and/or your application for temporary or permanent residence being refused. Foreign nationals who are inadmissible under IRPA paragraph 35(1)(a) (commission of genocide, war crimes or crimes against humanity) are not eligible for Ministerial relief. Applications which do not meet eligibility criteria or which do not provide the mandatory information, as described in the Immigration and Refugee Protection Regulations (IRPR), will be returned to the applicant unprocessed.
The Minister of Public Safety and Emergency Preparedness (the Minister) may declare that the matters referred to in the aforementioned provisions of the IRPA do not constitute inadmissibility in your case if you satisfy the Minister that it is not contrary to the national interest. In considering whether to make a declaration of relief, the Minister may only take into account national security and public safety considerations, but his or her analysis is not limited to considering the danger that the applicant presents to the public or the security of Canada. The onus to satisfy the Minister that making a declaration of relief is not contrary to the national interest rests with the foreign national applying for relief and not with the CBSA or the Minister to prove otherwise.
The purpose of this application is to present the Minister with a specific set of information pertaining to the circumstances of your case, in addition to any supplementary submissions you may wish to include. This information may assist the Minister in his/her decision to grant or deny relief from your inadmissibility.
This application is made available by the Canada Border Services Agency (CBSA) and is not sold to applicants. It is available free of charge on the CBSA's website at www.cbsa.gc.ca.
Answering the questions
The information you provide in your Application for a Declaration of Relief, and any accompanying submissions, must be complete, true and correct; otherwise, your application may not be accepted for processing. Make sure you understand the instructions and the questions before you write your answers. If you do not understand a question, ask someone to explain it to you.
Give details where applicable, and include dates, as well as names of places and persons. You must respond fully to all questions. if you need more space, use additional sheets of paper. On each additional sheet, write your name and Canadian immigration identification number in the top right-hand corner, sign your initials beside your name, and write the page number in the bottom right-hand corner. Also, identify the section and question number for which you are providing additional information.
Sign the applicant's declaration at the end of the form when you are finished (see Section E - Applicant Declaration: Declaration A). Note that a parent or legal guardian must sign for a person under 18 years of age.
Language
You can obtain and complete the Application for a Declaration of Relief in either of Canada's official languages: English or French. If you do not understand English or French, you will need to use an interpreter. Make sure that the interpreter reads to you all of the instructions and questions in the form, that you understand the questions and instructions, and that the interpreter understands your answers. You are responsible for the information provided in this application and any attachments or submissions that you choose to provide. You and the interpreter must both sign the form when you are finished (see Section E - Applicant Declaration: Declaration B; and Section F - Interpreter Declaration).
Applying for a Declaration of Relief
A completed and signed Application for a Declaration of Relief under Subsection 42.1(1) of the Immigration and Refugee Protection Act, and any related submissions, should be sent to the CBSA Ministerial Relief Unit (MRU) at the following address:
Ministerial Relief Unit
Canada Border Services Agency
100 Metcalfe Street, 9th floor
Ottawa, Ontario K1A 0L8
or via email at:
Ministerial_Relief.Exemptions_Ministerielles@cbsa-asfc.gc.ca.
If your information changes or if you want to add information, you must inform the CBSA MRU. Circle or underline the information you changed or added to your Application for a Declaration of Relief, sign and date the changed pages, and send those pages (not a copy) to the CBSA MRU at the address specified above.
For more information, consult the Guide to Applying for a Declaration of Relief under Subsection 42.1(1) of the Immigration and Refugee Protection Act.
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