Applicant Canadian Form – Fill Out and Use This PDF

CHILD GENERAL PASSPORT APPLICATION

for Canadians under 16 years of age applying in Canada or the USA

Warning: Any false or misleading statement with respect to this application and any supporting document, including the concealment of any material fact, may result in the refusal to issue a passport, the revocation of a currently valid passport, and/or the imposition of a period of refusal of passport services, and may be grounds for criminal prosecution as per subsection 57 (2) of the Criminal Code (R.C.S. 1985, C-46).

Type or print in CAPITAL LETTERS using black or dark blue ink.

Read Instructions

1CHILD'S PERSONAL INFORMATION (SEE INSTRUCTIONS, SECTION J)

Surname (last name) requested to appear in the passport

Given name(s) requested to appear in the passport

All former surnames (including surname at birth if different from above. These will not appear in the passport.)

Anticipated date of travel

It is recommended that you do not

finalize travel plans until you receive

Place of birth

the requested passport.

Month

Day

Unknown

City

Country

Prov./Terr./State (if applicable)

Date of birth

(YYYY-MM-DD)

Sex

Natural eye colour

Height (cm or in)

F Female

M Male

X Another gender

Current home address

Number

Street

Apt.

City

Prov./Terr./State Postal/ZIP code

Mailing address (if different from current home address)

Number

Street

Apt.

City

Prov/Terr./State Postal/ZIP code

• Is the child currently the subject of an adoption process or partially or fully in the care of a provincial or territorial family services organization in Canada?

No	Yes, include all documents
• Are there any separation agreements, court orders or legal proceedings pertaining to custody of, mobility of, or access to the child?
No	Yes, include all documents
Relationship between the applicant (parent or legal guardian) and the other parent or legal guardian									Date of marriage (if applicable) (YYYY-MM-DD)
	Applicant (parent or legal guardian)					Other parent or legal guardian
Current surname (last name)					Current surname (last name)
Given name(s)					Given name(s)
All former surname(s) (if different from above)					All former surname(s) (if different from above)
Date of birth (YYYY-MM-DD)			Country of birth		Date of birth (YYYY-MM-DD)			Country of birth
Current home address					Current home address
Number Street	Apt. City			Prov./Terr./State Postal/ZIP code	Number Street	Apt. City				Prov./Terr./State Postal/ZIP code
Telephone (daytime)				Telephone (other)	Telephone (daytime)					Telephone (other)
Email address					Email address
Declaration—I solemnly declare that the child named in section 1 is a Canadian citizen, that I am the					Declaration—I solemnly declare that the child named in section 1 is a Canadian citizen, that I am the
parent or legal guardian of this child, and that all of the information provided and all statements made					parent or legal guardian of this child, and that all of the information provided and all statements made
in this application, as well as all documents submitted to support the application, including the child's					in this application, as well as all documents submitted to support the application, including the child's
photos are unaltered and true. I declare that I have read and understood the Warning at the top of					photos are unaltered and true. I declare that I have read and understood the Warning at the top of
page 1 and the Privacy Notice Statement in section O. I consent to the collection, use and disclosure					page 1 and the Privacy Notice Statement in section O. I consent to the collection, use and disclosure
of my personal information and that of the child as outlined in the Privacy Notice Statement.					of my personal information and that of the child as outlined in the Privacy Notice Statement.

PPTC 155 (07-2021)

(DISPONIBLE EN FRANÇAIS - PPTC 156)

Page 2 of 8

Read Instructions

•Has a Canadian travel document (passport, certificate of identity or refugee travel document) been issued to the child in their current name or any other name?

No	Yes (specify)	Number		Date of issue (YYYY-MM-DD)

If the Canadian travel document has not expired, you must include it with your application.

Any passport that is damaged or was ever reported as lost or stolen will not be returned and will be securely destroyed to protect your personal information.

• Would you like the previous passport to be cancelled and returned to you?

Yes, please return it to me. If this box is not checked, the passport will not be returned and will be securely destroyed.

Note: If a Canadian travel document has been reported lost, stolen, damaged or is inaccessible, and has not yet expired, complete form PPTC 203, Declaration concerning lost, stolen, inaccessible, damaged or found Canadian travel document, available online at Canada.ca/passport. A Canadian travel document is no longer valid if damaged or reported as lost, stolen, or inaccessible. There is an administrative fee for the replacement of a lost or stolen Canadian travel document that has not yet expired.

Provide one (1) of the documents listed below (original only):
Canadian provincial or territorial birth certificate	Registration number		Date of issue
Note: A detailed birth certificate showing the names of the child and the parents
may also serve as acceptable proof of parentage (see Instructions section K)
	Certificate number		Date of issue or Effective date of citizenship
Certificate of Canadian citizenship

Declaration—I solemnly declare that the child named above is a Canadian citizen, that the photos enclosed are unaltered and a true likeness of the child, that all of the statements made and the information provided in this application, as well as any supporting documents, are true. I declare that I have read and understood the Warning on page 1 and the Privacy Notice Statement (see section O). I consent to the collection, use and disclosure of my personal information and that of the child by the Passport Program, Immigration, Refugees and Citizenship Canada, other federal government institutions, Government of Canada offices abroad and third party entities as outlined in the Privacy Notice Statement.

Signature of applicant				Date (YYYY-MM-DD) Signed at
						City	Prov./Terr./State
6	DECLARATION OF GUARANTOR (SEE INSTRUCTIONS, SECTION N)
The guarantor must know the applicant identified in section 5.
Note: The applicant or the guarantor can complete this section, with the exception of the four fields which must be completed by the guarantor.
Surname (last name) in passport				Given name(s)
Date of birth (YYYY-MM-DD)		Canadian passport number			Date of issue (YYYY-MM-DD)		Date of expiry (YYYY-MM-DD)
Relationship to the applicant (parent or legal guardian)					Telephone (daytime)		Telephone (other)
Current home address
Number Street		Apt.	City				Prov./Terr./State Postal/ZIP code
Full name of applicant (parent or legal guardian)				Full name of child

Declaration: The Guarantor must validate and sign this section—I solemnly declare that I have known the applicant identified in section 2 personally for at least two (2) years. I have signed the back of one (1) of the passport photos to certify that the image is a true likeness of the child. I declare that I have read and understood the Warning on page 1 and the Privacy Notice Statement (section O). I consent to the collection, use and disclosure of my personal information as outlined in the Privacy Notice Statement.

I have known	Number of		Signature of guarantor	Date (YYYY-MM-DD) Signed at
the applicant	years
(parent or legal
guardian) for					City	Prov./Terr./State

This information is helpful if the child requires emergency assistance while outside of Canada.

Surname (last name)	Given name(s)

Current home address

Number Street

Apt.

City

Prov./Terr./State Postal/ZIP code

PPTC 155 (07-2021)

Page 3 of 8

Complete Form

CHILD GENERAL PASSPORT APPLICATION

for Canadians under 16 years of age applying in Canada or the USA

INSTRUCTIONS

Important notice: We recommend that you not finalize your travel plans until you receive the requested passport.

•A Canadian passport is the only reliable and universally accepted travel and identification document for Canadians who travel abroad.

•Canadian passports are issued to Canadian citizens only and reflect their identity, as determined by proof of citizenship.

•For Canadians 16 years of age or over, use form PPTC 153, Adult General Passport Application.

•One of the child's parents

•The child's custodial parent in cases of separation or divorce

•The child's legal guardian

Note: All documents submitted throughout the passport application process that are in a language other than English or French must be translated by a certified translator.

Additional documents or information may be requested in support of this application.

*Includes Bermuda, American Samoa, the Midway Islands, Puerto Rico and the US Virgin Islands.

There is a separate, non-refundable CAN$45 administrative fee for the replacement of a lost or stolen Canadian travel document that has not yet expired.

Methods of payment (Canadian funds only):

•Debit card (Interac), Visa Debit, Virtual Visa Debit or other prepaid cards (Visa, MasterCard, American Express) only for in person applications submitted by the cardholder. Prepaid debit cards are not accepted;

•Credit card and prepaid card (embossed only). If you are applying by mail, see section E; or

•Certified cheque or money order (postal or bank) in the exact amount, payable to the Receiver General for Canada.

Important

•Every person who requests passport services must pay the applicable fee in the exact amount.

•Applicants who cancel their application or are refused a passport are not eligible for a refund of the passport service fee.

•The Passport Program, Immigration, Refugees and Citizenship Canada does not accept personal cheques or payment in cash for applications submitted in Canada.

•Administrative fees and applicable interest will be applied to all dishonoured payments.

•Fees are subject to change.

In cases where services do not meet established service standards, applicants may be eligible for partial compensation of service fees. For information on Service Standards please visit Canada.ca/immigration-refugees-citizenship.

If you are applying in person, do not complete this section. If you are applying by mail and paying by credit card, complete and submit this section with your application.

Card type:	Visa	MasterCard	American Express
Name as it appears on card			Card number	Date of expiry
				Month	Year

Name of child

For official use only

PPTC 155 (07-2021)

Page 4 of 8

Complete Form

Canadians can submit an application in Canada at:

•a Passport Program regional office; or

•a participating Service Canada Centre.

For information on service locations, service standards and requirements for expedited services, visit Canada.ca/passport.

For Canadians submitting an application from the USA:

If the child requires a passport in exceptional circumstances, contact the nearest Government of Canada office. You can find a list of Government of Canada offices in the USA online at travel.gc.ca or in your local telephone directory.

If you cannot submit your passport application in person, an acceptable third party may submit the application on your behalf. For an urgent or express service request you must apply in person yourself. For information on third party eligibility, visit Canada.ca/passport.

Regardless of the date of travel you indicate on the application form, processing times and requirements for expedited services are still applicable. Processing times begin once a completed application form, payment and all required supporting documentation are received (see section C). Processing times do not include mailing time. Visit Canada.ca/passport for more details.

It is recommended that you do not finalize travel plans until you receive the requested passport.

The Government of Canada, or any representative of the Government of Canada, will not be liable for any loss incurred as a result of or arising out of the passport not being delivered in time for you to travel on the date you have specified on the application form.

General information is available 24 hours a day, 7 days a week. Agents are available Monday to Friday from 7:30 a.m. to 8:00 p.m. (Eastern Time) in Canada.

Information on passports, fees and processing times

For travel advice and warnings or foreign entry and exit requirements (how long the passport has to be valid for travel to a foreign country), visit travel.gc.ca

Surname (last name) and given name(s) requested to appear in passport

Write the child's full name to appear in the passport exactly as it appears on the child's proof of Canadian citizenship or legal change of name document (Legal Name Change certificate, Court Order or Adoption Order). The child’s legal change of name document displaying the child’s old name and new name must be provided. If your child has legally changed name, you must apply for a new travel document for your child that accurately reflects your child’s new name. Additional documents may be requested to verify the child's identity.

All former surnames

All former surname(s) that differ from the surname requested to appear in the passport, including the child's surname at birth must be declared. Please separate your former surnames by a comma. These former surnames will not appear in the passport.

Place of birth

The child's place of birth must be provided on the application form. If you do not wish the child's place of birth to appear in the passport, complete and submit form PPTC 077, Request for a Canadian passport without place of birth, available online at Canada.ca/passport.

Date of birth

If the child's proof of citizenship does not show a complete date of birth, the specific year, month and day of the child's birth will be entered as shown on the child's supporting identification. Provide original supporting identification showing that date of birth or copies signed and dated by your guarantor.

Sex

If the sex or gender identifier requested to appear in the passport does not match the submitted proof of Canadian citizenship or the child’s latest travel document, complete and submit form PPTC 644, Request – sex or gender identifier – Child Under 16 Years of Age (PPTC 644), available online

at Canada.ca/passport.

Signature

Children under 16 years of age are not required to sign the application form, however children aged 11 to 15 are encouraged to sign section 1. No one other than the child must sign in the signature box in section 1 or in the passport issued to the child once it is received.

PPTC 155 (07-2021)

Page 5 of 8

Complete Form

All parents, including all legal guardians, are requested (and may be required) to participate in obtaining passport services for the child and to sign

the application form. The other parent(s) and legal guardian(s) may be contacted. If you do not know the current whereabouts of the other parent(s) or legal guardian(s), contact the Passport Program (section I). If the child has more than two (2) parents or legal guardians, provide the required information for each additional parent or legal guardian on a separate sheet of paper and sign and date it before you submit it with the application.

All former surnames

All former surname(s) that differ from the current surname, including the parent's surname at birth must be declared.

Proof of parentage and proof of guardianship

An acceptable proof of parentage document demonstrating the relationship between the child and the parent(s) and/or legal guardian(s) must be submitted. Multiple documents may be required if parentage cannot be established with only one document:

•A detailed birth certificate showing the name(s) of the parent(s) from a Canadian province or territory (also serves as proof of

Canadian citizenship, see section M) or from a foreign country in which the child was born, indicating the full name of the parent(s) and the full name of the child, the child's date and place of birth, the issuing authority from the country of birth or their government representative abroad, and the date of registration or issue;

•An adoption order indicating the names of the child and adopting parent(s);

•Proof of guardianship indicating the names of child and the legal guardian(s).

Exception: An application submitted for a child will be accepted without proof of parentage only if:

•a Canadian travel document was previously issued to the child in their name; and

•the parents or legal guardians who participated in the previous application are the same ones participating in this current application.

Custody, separation or divorce

All documents (including but not limited to any divorce judgment) pertaining to custody of, mobility of, or access to the child must be submitted with the application. If necessary, contact the applicable issuing authority to obtain all necessary documents. In processing a passport application for a child 16 years of age, the Passport Program must be vigilant in ensuring that the legal rights of the parents or legal guardian(s) with respect to the child are safeguarded and that the said child is protected from any foreseeable harm. As such, the Passport Program must fulfill its legal obligations in delivering a passport in the name of each child, as is outlined in the Canadian Passport Order and the Hague Convention of 25 October 1980 on the Civil Aspects of International Child Abduction. These legal obligations may require the Passport Program to request access to all legal documents naming the child in question and/or information regarding all parent(s) or legal guardian(s).

Relationship of the applicant parent with the other parent(s) and/or legal guardian(s)

Indicate your current relationship with the other parent: single (no relationship), common law, married, separated, divorced or widowed. Indicate the date of marriage to the other parent, if applicable. Additional information or documentation may be requested.

Children in foster care or undergoing an adoption process in Canada

If the child is in foster care or undergoing an adoption process in Canada, you must also complete one (1) of the following forms: PPTC 463A,

PPTC 463B or PPTC 463C, Additional Information for children in foster care and children undergoing an adoption process in Canada, available online at Canada.ca/passport.

Deceased parent(s) and/or legal guardian(s)

If any of the other parents or legal guardians are deceased, you must enclose a copy of the death certificate(s) with the application. When completing section 2 on the application form, you must provide as much information on the deceased parent(s) and/or legal guardians as possible.

Additional documentation (for example, marriage certificate, legal change of name certificate, etc) may be required to link the name(s) of parents or legal guardian(s) from the proof of parentage document to the name(s) identified in section 2 of the application form or in other submitted documentation.

Enclose any Canadian travel document (passport, certificate of identity or refugee travel document) that is not expired and was issued to the child in their current name or any other name. If the travel document's expiry date is more than twelve (12) months from the date the application is submitted, provide a written explanation as to why you are applying at this time. Should the Passport Program not be satisfied that you have an acceptable reason for applying early, your application for the child's passport may be refused.

Important: A Canadian provincial or territorial birth certificate does not constitute an acceptable proof of Canadian citizenship if, at the time of your child's birth in Canada, one or both of the parents was or were employed in Canada by a foreign government or international agency and neither parent was a Canadian citizen or permanent resident. See subsection 3(2) of the Citizenship Act for more information. You may also request a formal assessment by submitting an application for a citizenship certificate to Immigration, Refugee and Citizenship Canada (IRCC). For more details, visit the IRCC website at Canada.ca/citizenship.

The original proof of Canadian citizenship you submit with the child's application will be returned to you. Additional information may be requested to confirm your citizenship.

Canadian provincial or territorial certificate of birth

Only official birth documents issued by the vital statistics office in your province or territory of birth in Canada are accepted. Certain exceptions may apply. Certain Canadian provinces and territories have other documents that may also be accepted as proof of Canadian citizenship. Visit Canada.ca/passport for more information.

Certificate of Canadian citizenship

Commemorative certificates of citizenship are not accepted as proof of citizenship. If you require a certificate of Canadian citizenship for the child visit the IRCC website at Canada.ca/citizenship.

Immigration, Refugees and Citizenship Canada

	Website: Canada.ca/citizenship	Toll-free in Canada: 1-888-242-2100	TTY in Canada (for people who are Deaf or hard of hearing)
			1-888-576-8502, 8:00 a.m. to 4:00 p.m. (Eastern Time)

PPTC 155 (07-2021)

Page 6 of 8

Complete Form

A guarantor is a person other than the applicant parent or legal guardian who can confirm the applicant's identity, has knowledge of the child, and may be called upon to confirm personal information. A guarantor can be the other parent or legal guardian (not the applicant), a relative or someone living at your address, as long as they meet all the requirements listed below.

The guarantor must:

•be able to communicate in English or French;

•be a Canadian citizen 18 years of age or over;

•hold a 5-year or a 10-year Canadian passport that is valid or has expired within twelve (12) months of the date the Passport Program receives this application;

•have been 16 years of age or over when the application was submitted for the passport identified in section 6 on this application form;

•have known you (the applicant) personally for at least two (2) years. To know you personally to confirm aspects of your personal attributes;

•know you well enough to be confident that the statements you have made on the application form are true;

•provide the requested information contained in the passport issued in their name by completing or validating the declaration of guarantor section of the application form;

•be accessible to the Passport Program for verification.

A Canadian passport holder guarantor does not need to reside in the same country as the applicant.

The guarantor must perform the following three (3) tasks free of charge:

1.Complete or validate the information entered in the section Declaration of Guarantor (section 6).

2.The guarantor must complete the mandatory four fields: 1) I have known the applicant for (number of years), 2) signature of guarantor, 3) Date, 4) Signed at. Ensure you have completed and signed all both of the application before submitting it to your guarantor.

3.Write "I certify this to be a true likeness of (child's name)" on the back of one (1) of your photos and sign it.

The Passport Program reserves the right to request a new guarantor.

Important: The applicant cannot help the guarantor in performing their duties. If the guarantor needs help they can contact the Passport Program (see section I).

If you have not known an eligible guarantor for at least two (2) years, complete form PPTC 132, Statutory Declaration in Lieu of Guarantor, available at any Passport Program regional office in Canada or any Government of Canada office in the USA. The form must be completed at your expense before a person who is authorized by law to administer an oath or solemn affirmation.

This may delay the processing time of the passport.

PPTC 155 (07-2021)

Page 7 of 8

Complete Form

CHILD GENERAL PASSPORT APPLICATION

for Canadians under 16 years of age applying in Canada or the USA

OPRIVACY NOTICE STATEMENT

Personal information provided on this form is collected by Service Canada and disclosed to 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. In the same context, the guarantor’s personal information is subject to verification and security queries to determine whether the individual meets the guarantor requirements. The Passport Program may process applications using automation to support processing and decision-making. 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 manages 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.

You must submit two (2) identical and unaltered photo prints with each passport application. Electronic photos are not acceptable. More information is available at Canada.ca/passport.

Not actual size (refer to measurements above)

The following must appear on the back of one photo

•The name and complete address of the photo studio (not a P.O. Box) and the date the photo was taken. The photographer may use a stamp or handwrite this information (stick-on labels are not acceptable).

•The guarantor's signature. Note: If you are using the PPTC 132, Statutory Declaration in Lieu of Guarantor (see section N), the signing official must also sign the back of the photo.

•The statement "I certify this to be a true likeness of (name of child written by guarantor)".

Additional information

•Prescription glasses may be worn in photos as long as there is no glare and the eyes are clearly visible.

•The red-eye effect, tinted glasses and sunglasses make the photos unacceptable.

•Hats and head coverings must not be worn, except for religious beliefs or medical reasons. The head covering and hair must not cast shadows on the face and the full face must be clearly visible.

•The photo must show the child's head and shoulders only. The parent's or child's hands must not appear in the photo.

•The Passport Program, Immigration, Refugees and Citizenship Canada recognizes that it is difficult to obtain a neutral expression from a newborn and will be tolerant in this respect.

•For newborn babies, the photo may be taken while the child is sitting in a car seat, as long as a white blanket is placed over the seat behind the child's head. There must be no shadows on the face or shoulders, around the ears or in the background.

PPTC 155 (07-2021)

Page 8 of 8

Complete Form

IMPORTANT INFORMATION CONCERNING CHILDREN TRAVELLING ABROAD

For more information, visit international.gc.ca and travel.gc.ca/child.

Immigration authorities in most countries are increasingly vigilant when children cross international borders. Whether travelling alone or accompanied by an adult, each child travelling abroad must have an individual valid passport and may also require supporting documentation. Prior to any travel, you should contact the embassy or consulate of all countries the child will be visiting to inquire about entry requirements.

Custody arrangements in Canada may not be recognized in another country. In extreme cases, the child may not be able to leave the country visited. Before leaving on a trip, you are advised to check with the embassy or consulate of the country or countries the child will be visiting to determine the documentation relating to custody of the child that may be requested.

For further information, contact:

Global Affairs Canada:

In Canada: 1-800-267-6788

Outside Canada: 1-613-944-6788

•If a custody dispute could possibly arise while travelling with the child, you should talk to a lawyer prior to your departure. We suggest that you also read the publication International Child Abduction: A Guidebook for Left-Behind Parents.

You may order a copy online or access an online version at:

Website: travel.gc.ca

For a free copy, call:
In Canada:	1-800-267-8376
Outside Canada:	1-613-944-4000

PPTC 155 (07-2021)