Canada Child Passport Form – Fill Out and Use This PDF

for Canadians under 16 years of age applying outside of Canada

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, or the refusal of passport services, and may be grounds for criminal prosecution. Your application will not be processed if you fail to complete all of the required sections of this form and/or refuse to consent to the exchange or disclosure of any personal information required for the delivery of passport services.

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

1	Child's Personal Information (see Instructions, section H)	Date of travel
		Month Day

Surname (last name)

Unknown

Given name(s)

Date of birth					Place of birth
Year		Month		Day	City			Country		Prov./Terr./State (if applicable)
Sex		Female			Eye colour		Current hair colour		Height (cm/in)	Weight (kg/lbs)
		Male
Current home address
Number	Street					Apartment		City	Country	Postal code
Mailing address (if different from above)
Number	Street					Apartment		City	Country	Postal code

2	Information on Applicant (see Instructions, section J)

Applicant (parent or legal guardian)

Other parent or legal guardian

Surname (last name) at your birth

Surname (last name) at your birth

Given name(s)

Given name(s)

Date of birth

Country of birth

Date of birth

Country of birth

Year

Month

Day

Year

Month

Day

Address

Address

Telephone (daytime)

Telephone (other)

Telephone (daytime)

Telephone (other)

Email address (optional)

Email address (optional)

Declaration—I declare that the child named above is a Canadian citizen, that I am the

Declaration—I declare that the child named above is a Canadian citizen, that I am the

parent or legal guardian of this child and that the statements made in this application are

parent or legal guardian of this child and that the statements made in this application are

true. I declare that I have read and understood the Warning at the top of this page and the

true. I declare that I have read and understood the Warning at the top of this page and the

Privacy Notice Statement (see section P). I consent to the collection, use and disclosure of

Privacy Notice Statement (see section P). I consent to the collection, use and disclosure of

my personal information and that of the child by Passport Program, Citizenship and

my personal information and that of the child by Passport Program, Citizenship and

Immigration Canada, other federal government institutions, Government of Canada offices

Immigration Canada, other federal government institutions, Government of Canada offices

abroad and third party entities as outlined in the Privacy Notice Statement in the

abroad and third party entities as outlined in the Privacy Notice Statement in the

Instructions.

Instructions.

Aussi accessible en français

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3Previous Canadian Travel Document (see Instructions, section K)

Has a Canadian travel document (passport, certificate of identity or refugee travel document) been issued to the child?

If the passport is still valid, include it with your application.

Would you like the previous passport returned to you? If not, it will be securely destroyed by Passport Program to protect the child's personal information.

Yes, please return the previous passport to me.

Note: If a valid Canadian travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC 203, Declaration, available online at passportcanada.gc.ca. A Canadian travel document, once reported lost or stolen, is no longer valid. There is an administrative fee for the replacement of a valid lost or stolen Canadian travel document (see section D).

4Proof of Canadian Citizenship (see Instructions, sections J and L)

Provide one (1) of the documents listed below (original only):

5		Declaration of Applicant
Surname (last name) of applicant			Given name(s) of applicant
Relationship to the child		Surname (last name) of child		Given name(s) of child

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 P). I consent to the collection, use and disclosure of my personal information and the child by Passport Program, Citizenship and Immigration Canada, other federal government institutions, Government of Canada offices abroad and third party entities as outlined in the Privacy Notice Statement in the Instructions.

6

Declaration of Guarantor (see Instructions, section M-A Passport holder or section M-B Occupation)

The guarantor must know the applicant identified in section 5.

Surname (last name)

Given name(s)

Canadian passport number (see section M-A) or Occupation (see section M-B)

Telephone (daytime)

Date of birth in passport (see section M-A) or Name of firm/organization (see section M-B)

Telephone (other)

Year

Month

Day

Current home address (see section M-A) or Business address (see section M-B)

Number

Street

City

Country

Full name of applicant parent or legal guardian

Full name of child

I have known

Declaration—I solemnly declare that I have known the applicant identified above personally for at least two (2) years and have knowledge of the child. I have signed the back of one (1)

the applicant

photo 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 (see section P). I consent

to the collection, use and disclosure of my personal information by Passport Program, Citizenship and Immigration Canada, other federal government institutions, Government of Canada

(parent or legal

offices abroad and third party entities as outlined in the Privacy Notice Statement in the Instructions.

guardian) for

Signature of guarantor

Date

Signed at

Year

Month

Day

Country

Number of years

City

	7	Emergency Contact Information (optional)
		(see Instructions, section N)

Current home address

Number		Street	Apartment City	Country

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Child Abroad General Passport Application

for Canadians under 16 years of age applying outside of Canada

Instructions

A	Entitlement to a Canadian Passport

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.

For Canadians 16 years of age or over, use form PPTC 040, Adult Abroad General Passport Application.

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.

Both pages of the application form completed and signed within the last twelve (12) months

Two (2) identical unaltered passport photos of the child taken within the last six (6) months

Application form and one of the photos certified by your guarantor

Proof of Canadian citizenship (original only—the document will be returned to you)

Any valid Canadian travel document (passport, certificate of identity or refugee travel document) issued to the child

Acceptable proof of parentage

All documents (including any divorce judgment) that refer to custody of, mobility of, or access to the child

The fee

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

The fee is in Canadian funds and should be converted to local funds. Please confirm fee and accepted methods of payment with the nearest Government of Canada office abroad.

There is a separate, non-refundable Can$45 administrative fee for the replacement of a valid lost or stolen Canadian travel document.

Payment by credit card for passport services at a Government of Canada office abroad requires the completion of a separate credit card authorization form. By completing and signing the authorization form, you are providing formal authorization to charge your credit card for payment of the services requested. The form must be included with your passport application.

Important notice: There is a fee to use the credit card payment service, a payment solution developed by Foreign Affairs, Trade and Development Canada. This fee is separate and independent from the amount payable to the Government of Canada for any passport service.

For more information and to access the credit card authorization form online, visit the Government of Canada website at travel.gc.ca.

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F	Where to Apply

Submit the child's application at the nearest Government of Canada office that provides passport services in the country where you reside or are visiting. A list of Government of Canada offices abroad is available online at travel.gc.ca or consult your local telephone directory.

Offices authorized to process passport applications include:

Canadian embassies

Canadian high commissions

Canadian consulates (except those headed by honorary consuls)

G	Contact Information

General information is available 24 hours a day, 7 days a week. Specific information is available at the nearest Government of Canada office that provides passport services (consult your local telephone directory).

Information on passports, fees and processing times

Website	passportcanada.gc.ca
Passport Program	819-997-8338
TTY (for persons who are Deaf or hard of hearing)
Montréal, Canada	514-283-5197
Travel reports, warnings and requirements
Website	travel.gc.ca

Application forms are available in large print.

A passport application instruction booklet is available in Braille.

HChild's Personal Information

Surname and given name(s) to appear in passport

Write the child's name to appear in the passport. The name must not differ from the name that appears on the child's documentary evidence of citizenship.

Additional documents may be requested to verify the child's identity.

Surname (last name) at birth and former surname (last name)

Complete if different from the surname (last name) to appear in the passport (for Passport Program, Citizenship and Immigration Canada information only—it will not appear in the 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 documents. Provide original or copies signed and dated by your guarantor of any supporting identification showing that date of birth.

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, submit form PPTC 077, Request for a Canadian passport without place of birth, available online at passportcanada.gc.ca.

Signature

Children 11 years of age and over must sign their usual signature.

Note: At no time should a person other than the child sign in this signature box, section 1, without exception.

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I	Who May Apply for a Passport for a Child?

One of the parents

The custodial parent in cases of separation or divorce

The legal guardian

J	Information on Applicant and Proof of Parentage

Both parents are requested to participate in obtaining passport services for their child and to sign the application form. The other parent may be contacted. If you do not know the whereabouts of the other parent, please contact us. When a legal guardian is the applicant, the other legal guardian(s), as the case may be, must also participate. Proof of legal guardianship is required.

Proof of parentage between the child and the parent(s)

You must provide one of the following acceptable proof of parentage documents demonstrating the relationship between the child and the parent(s):

A detailed birth certificate from Canada (also serves as proof of citizenship) or from a foreign country where the child was born, indicating the name of the parent(s); or

An order of adoption indicating the name of the adopting parent(s)

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

a Canadian travel document was previously issued to the child in his or her name; and

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

Custody, separation or divorce

When a court order or agreement exists referring to custody of the child, only the person with custodial rights may apply. All documents that refer to custody of, mobility of, or access to the child must be provided. If a divorce has been granted, a copy of the divorce judgment or order must also be provided. When joint custody provisions exist, either parent may be the applicant.

Relationship with other parent

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

When a legal guardian is the applicant, proof of legal guardianship must be provided.

Deceased parent

If the other parent is deceased, the applicant must enclose a death certificate with the application. When completing section 2 of the form, the applicant must provide as much information as possible.

K	Previous Canadian Travel Document

Enclose any valid Canadian travel document (passport, certificate of identity or refugee travel document) issued to the child. If the passport is valid for 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 Passport Program, Citizenship and Immigration Canada not be satisfied that you have a valid reason for applying early, your application for a new passport may be refused.

A person's name may appear in only one (1) valid Canadian travel document.

Note: If a valid Canadian travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC 203, Declaration, available online at passportcanada.gc.ca. A Canadian travel document, once reported lost or stolen, is no longer valid. If found, it must not be used for travel and must be returned immediately to Passport Program or if abroad to the nearest Government of Canada office. There is an administrative fee for the replacement of a valid lost or stolen Canadian travel document (see section D).

L	Proof of Canadian Citizenship

Provide one (1) of the documents indicated in section 4 on the application form (original only). It will be returned to you. Additional information may be requested to confirm the child's citizenship.

Certificate of birth in Canada

Only official birth documents issued by the vital statistics office for the child's province or territory of birth in Canada are accepted. This includes detailed birth certificates indicating the name of the parent(s) which can also be used as proof of parentage (see section J). Certain exceptions may apply. More information is available online at passportcanada.gc.ca.

Certificate of Canadian citizenship

Commemorative documents of citizenship are not accepted. If the child requires a certificate of Canadian citizenship, contact the nearest Government of Canada office. You may also visit the Citizenship and Immigration Canada website at cic.gc.ca.

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