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PERMANENT RESIDENCE - PROVINCIAL NOMINEE CLASS AND QUEBEC SKILLED WORKERS
This document is available in PDF format only. You need to mail this form and other documents with your application. Please
make sure you print this document, complete it and include it in your application as the cover page.
Gather your documents in the order of the checklist and check
each item. Attach small items such as photos and certified
cheques with a paper clip, otherwise leave documents unbound. Place all documents in a sealed envelope. If your documents
are not in English or French, you must include the English or French translation with a certified copy of the original document,
and an affidavit from the person who completed the translation (if the translation is not provided by a member in good standing
of a provincial or territorial organization of translators and interpreters in Canada). Do not send any additional documents when
submitting your application to the CIO.
Note: If your application lacks any of the documents listed in this checklist, it will be returned to you. If you are unable to
provide any of the requested documentation, please include with your application, a written explanation with full
details as to why that documentation is unavailable and any documentation that would support your claim. Failure
to provide supporting documents in certain circumstances may result in the refusal of your application.
IMPORTANT NOTICE: Answer all questions and sign all forms where applicable. Please note that by signing these documents,
you are certifying that all information provided therein, whether prepared by you or not, is complete and true in all respects.
If you or someone acting on your behalf directly or indirectly submits false documents or misrepresents facts relating to your
application for a permanent resident visa:
• your application may be refused;
• the circumstances of your refusal will be entered into Canada's global immigration database; and
• you and your family members could become inadmissible to Canada for five years under section 40(2) of the
Immigration and Refugee Protection Act.
The officer will base his decision on the documents on file at the time of the assessment. After sending in your applications, it is
your responsibility to notify the office processing your case and provide the relevant supporting documentation if there are
changes in your life circumstances such as:
• family status (e.g. marriage or common-law union, divorce, annulment, legal separation, birth, adoption, death of the
principal applicant or any accompanying family member, including grandchildren born to dependent children); or
• mailing address/e-mail address/contact information.
Any changes which we have not been informed of will delay processing or may result in the refusal of the application or the
exclusion of a family member.
The checklist of required documents is subject to change. Applicants are advised to refer to the application kit on the
CIC website periodically when preparing their submission to ensure that they have included all documents listed on the
most up-to-date checklist.
Forms and supporting documents (to be completed and submitted by all applicants)
See the "Complete the application" section on our Web site for specific instructions on how to complete the questions on each
of the following forms.
If you are applying as a Provincial Nominee, you must submit the forms and documents with a checkbox in the PNC column.
If you are applying as a Quebec-selected Skilled Worker, you must submit the forms and documents with a checkbox in the QSW
This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.
(AUSSI DISPONIBLE EN FRANÇAIS - IMM 5690 F)
IMM 5690 (05-2016) E