Read the step by step instructions on how to complete the form.
Show instructions Hide instructionsEach person who needs a work permit must fill out this form.
Note: If this application form is completed on a computer it must be validated to generate a barcode page. If you apply on paper, print and place the barcode page (page 5 of 5) on the top of your application (or if applying as a group, each individual application package).
Expand all Collapse allYou must answer all the questions on this form unless instructed otherwise.
Download and fill out the form on a computer.
You also have the option to save your form and fill it out later.
Note: Filling out the form on a computer is easier and reduces mistakes that can slow down the application process.
Read and follow the questions below to help you fill out the form.
Question 1
Type your unique client identifier ( UCI ), if known. Otherwise, leave it blank. If this is your first time dealing with IRCC you will not have a UCI .
Question 2
Choose your preferred language of service (English or French).
Type your family name (surname) exactly as shown on your passport or travel document (even if the name is misspelled). Do not use initials.
Note: If you do not have a family name on your passport or travel document, enter all your given names here and leave the given name field blank.
Type all of your given names (first, second, or more) exactly as shown on your passport or travel document (even if the name is misspelled). Do not use initials.
Note: If you do not have a given name on your passport or travel document, leave this field blank. Do not enter “*”, “Not applicable” or “NA”.
Question 2Check the box to tell us if you have ever used any other name. This could include your birth name, maiden name, married name, nick name, etc.
If you checked “Yes”, type any other family name that you have ever used.
If you checked “Yes”, type any other given name (first, second, or more) that you have ever used.
Question 3
Choose your gender (F-Female, M-Male, U-Unknown or X-Another gender).
Note: If you choose a gender identifier that is different than what you currently have or have had on your Canadian temporary resident document (visa, electronic travel authorization, work permit, study permit or visitor record), you need to complete the Request for a Change of Sex or Gender Identifier (IRM 0002) (opens in a new tab) form and send it with your application. You also need to complete this form and send it with your application if you’ve never had a Canadian temporary resident document but you intend to apply for one and you identify with a gender that is different than what appears on your foreign travel document or passport. No supporting documents are required.
Question 4Enter your date of birth. If your entire date of birth is unknown, please use ‘*’ (star sign or asterisk) to fill in the spaces for the year, month or day, where applicable.
Question 5
Note, if your city, town, country or territory of birth is indicated in your passport or your travel document, please record it as it appears in the document.
Question 6
Choose your country or territory of citizenship. To be a citizen of a country or territory means that you were either born in that country or territory (in most cases) or have been granted citizenship by that country or territory. If you are a citizen of more than one country or territory, choose the country or territory that issued the passport you will be using for this trip.
Question 7
Choose the correct information:
Check the box to tell us if during the past five years, you have lived in any other country or territory other than your country of citizenship or your current country or territory of residence (indicated above) for more than six months?
If you checked “Yes”, choose the correct information:
Check the box to tell us if you are applying from the country or territory you live in.
If you checked “No”, choose the correct information:
If you are not a citizen of the country or territory where you are applying, you must send proof of your legal status in the country or territory you live in when you submit your application.
Annulled Marriage This is a marriage that is legally declared invalid. An annulment can also be a declaration by the Catholic Church that the marital union did not have a binding force. Common - Law This means that you have lived continuously with your partner in a marital-type relationship for a minimum of one year. Divorced This means that you are officially separated and have legally ended your marriage. Married This means that you and your spouse have had a ceremony that legally binds you to each other. Your marriage must be legally recognized in the country where it was performed and in Canada. Separated This means that you are married, but are no longer living with your spouse. Single This means that you have never been married and are not in a common-law relationship. Widowed This means that your spouse has died and that you have not re-married or entered into a common-law relationship.
If you are in a common-law union, you must also fill out the Statutory Declaration of Common-law Union [IMM 5409] (opens in a new tab) form and include it with your application. If you are married, you must send a photocopy of your marriage licence or certificate with your application.
Question 11
Check the box to tell us if you have ever been married or in a common-law relationship. If you checked “Yes”, enter the following information:
Type your valid passport or travel document number exactly as shown on the document. Make sure there is no space between each number or letter.
Question 2
From the list, select the name of the country or territory that issued your passport or travel document.
Question 3
Enter the date your passport or travel document was issued.
Question 4
Enter the date your passport or travel document will expire.
Question 5
For this trip – Check “Yes” or “No” to tell us if you are using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows your personal identification number.
Question 6
For this trip – Check “Yes” or “No” to tell us if you are using a National Israeli passport.
If the printed expiry date has passed and you’re applying for a visitor visa, study permit, work permit or to extend your stay as a temporary resident in Canada, follow these steps:
Warning: If your passport is still expired after adding 5 years to the printed expiry date, your passport is considered expired. You’re not eligible to submit an application with that passport.
Check “Yes” or “No” to tell us if you have a national identity document.
Question 2
Enter your national identity document number exactly as shown on the document.
Question 3
From the list, select the name of the country or territory that issued your national identity document.
Question 4
Enter the date your national identity document was issued.
Question 5
Enter the date your national identity document will expire.
Check “Yes” or “No” to tell us if you are a lawful Permanent Resident of the United States with a valid alien registration card (green card).
Enter your valid alien registration card (green card) document number exactly as shown on the document.
Enter when your alien registration card (green card) document will expire.
Type your current mailing address (where information should be mailed). Make sure you include the following information:
All correspondence will go to this address unless you give us your e-mail address.
If you wish to have a representative who can conduct business on your behalf, you must give us their email and mailing addresses in this section and fill out the Use of a Representative [IMM 5476] (opens in a new tab) form.
Question 2
Check the box to tell us if the address you live at is the same as your mailing address. If “No”, type the following information:
Check the correct box to tell us if the telephone number is from Canada, the United States (US) or Other (any other country).
Choose the type of telephone:
Type your telephone number including the country code, area or regional codes, etc.
If you have an extension number, write it after your phone number under “Ext.”
Question 4
Check the correct box to tell us if your other telephone number is from Canada, the United States or Other (any other country).
Choose the type of telephone:
Type your telephone number including the country code, area or regional codes, etc.
If you have an extension number, write it after your phone number under “Ext.”
Question 5
Check the correct box to tell us if the facsimile (fax) number is from Canada, the United States or Other (any other country).
If you have one, type your facsimile (fax) number, including country code, area or regional codes, etc.
Question 6
If you have one, type your e-mail address using a format similar to the following: name@provider.net
Note: Make sure you check your email regularly. Any emails sent to you by Immigration, Refugees and Citizenship Canada (IRCC) will end in:
Please add these to your “safe senders” list in your email program and check the junk mail folder in case important emails get filtered. If we find that your email address does not work or no longer exists, we will communicate with you by mail. By giving us your e-mail address, you are hereby authorizing us to send your correspondence, including file and personal information electronically to this address.
Note: If you need a Temporary Resident Visa (TRV) and your work permit application is approved, you must give us your original passport so we can issue the visa counterfoil.
Choose the type of work permit you’re applying for:
Ask your employer if you’re not sure of which option you should choose
If you choose “Open Work Permit”, leave questions 2 to 6 blank.
If you’re applying for a post-graduation work permit,
Do not select “Other” unless your situation appears on the list below.
Choose “Other” only if you’re applying to work in Canada for a:
Your employer must give you an employment contract or an employment letter including the following information:
Your employer does not need to submit an offer of employment through the Employer Portal. This means you don’t need to provide a labour market impact assessment (LMIA) number or offer of employment (LMIA-exempt) number.
Question 2a) If you need an LMIA to get a work permit, type the name of the employer as shown on the LMIA. Attach original employment contract and LMIA.
If you do not need an LMIA to get a work permit, type the name of the employer who gave you the offer of employment number.
If you are applying for a post-graduation work permit, write “post-graduation work permit” as the employer name.
b) Enter the complete address of your employer:
Enter the address where you will work in Canada:
Type the following information about the work you plan to do in Canada:
Type the expected start and end dates of your work in Canada (From–To). Use format YYYY-MM-DD.
The dates should match the dates in either the:
For example, the “From” and “To” date for a spousal open work permit must match the validity of the principal applicant's permit.
Note: A work permit cannot be issued for a duration that is longer than the validity of your passport.
Question 6Type the seven-digit number of your valid LMIA or the alpha numeric combination of the offer of employment number (LMIA Exempt). This number begins with the letter “A” and is followed by seven numbers.
Check the box to tell us if you have any post-secondary education (including university, college or apprenticeship training).
Examples of post-secondary education:
Trade or Apprenticeship
Training completed in a specific trade, such as carpentry or auto mechanics.
Non-university certificate or diploma
Training in a profession that requires formal education but not at the university level (for example, dental technician or engineering technician).
Bachelor’s degree
Academic degree awarded by a college or university to those who finished an undergraduate curriculum; also called a baccalaureate. Examples include a Bachelor of Arts, Science or Education.
Master’s degree
Academic degree awarded by a graduate school of a college or university. You must have completed a Bachelor’s degree before a Master’s degree can be earned.
PhD
Highest university degree usually based on at least three years of graduate studies and a thesis. Normally, you must have finished a Master’s degree before a PhD can be earned.
If you checked “Yes”, give us full details of your highest level of post-secondary education:
Enter the following information about your employment for the past 10 years. If you are retired, give information about the 10 years before your retirement.
Question 1
Current activity or job
Give details about your current activity or job:
Previous activity or job
Give details of your previous activity or job for the past 10 years. If you are retired, include the details about the 10 years before your retirement.
If you need more space, print out another page of the form, fill in this section and submit it with your application.
You must answer all questions in this section, otherwise your application will be considered incomplete and will be sent back to you.
Question 1
Check the box to tell us if:
Note: See the Family Members definition in the guide.
Question 2Check the box to tell us if you have ever:
Check the box to tell us if you have ever:
If you checked “Yes”, give details.
Check “Yes” or “No” to tell us if you have ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as means to achieving a political or religious objective, or which has been associated with criminal activity at any time.
Question 6
Check “Yes” or “No” to tell us if you have ever witnessed or taken part in the ill treatment of prisoners or civilians, looting or desecration of religious buildings.
