Canada Renewal Passport Form – Fill Out and Use This PDF

ADULT SIMPLIFIED RENEWAL PASSPORT APPLICATION

for eligible Canadians 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).

1PERSONAL INFORMATION (SEE INSTRUCTIONS, SECTION I)

Surname (last name) as it appears in the previous passport

Mailing address (if different from current home address)

• Enclose any Canadian passport issued to you that is not expired or is expired for less than one year from the date the application is submitted.

If you cannot submit the previous passport, or if the previous passport is damaged, or was ever reported lost or stolen, you cannot use this form. Any passport that is damaged, or was ever reported lost or stolen will not be returned. Unreturned passports 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.

To be completed if you were born outside of Canada between February 15, 1977 and April 16, 1981 inclusive.

a)Are you a naturalized Canadian, i.e. did you receive Canadian citizenship following immigration to Canada?

b)Was one of your parents born in Canada?

c)When was your current certificate of Canadian citizenship issued?

After January 1, 2007, submit the certificate with your application (original only).

Before January 1, 2007, complete and submit form PPTC 001, Proof of Canadian Citizenship—Additional Information, available online at Canada.ca/passport.

Note: If insufficient space, include form PPTC 056, Additional Information – Address and Occupation, available on Canada.ca/passport.

AAddresses in the last two (2) years

Same as current home address

Different from current home address (complete below)

Provide the following information for two (2) persons who are not your relatives; are 18 years of age or over; and who have known you for at least two (2) years. They must agree to have their contact information provided as they may be contacted to confirm your identity. Visit Canada.ca/passport for more information on the Passport Program's definition of a relative.

Address

This information is helpful if you require emergency assistance while outside of Canada.

Current home address

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ADULT SIMPLIFIED RENEWAL PASSPORT APPLICATION

for eligible Canadians applying in Canada or the USA

INSTRUCTIONS

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

Note: If you cannot answer yes to all of the conditions outlined here, or if this is your first application for a Canadian passport, you must complete form PPTC 153, Adult General Passport Application. Additional documents or information may be requested in support of this application.

You may use this form to renew a passport only if all of the following conditions are met:

•you were at least 16 years of age at the time of your previous application

•the information (name, date of birth, sex and place of birth) on this application form is exactly as it appears on page 2 of the submitted passport and still matches your current information 1

•the Canadian passport being renewed:

•is not damaged

•was never reported lost or stolen

*A CAN$25 consular services fee is included in the above-mentioned fee.

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

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 D; 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. Only the consular services fee of CAN$25, applied only to adult applications, is refundable.

•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.

Name of applicant

For official use only

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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.

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 you require 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.

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

Travel reports, warnings and requirements

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

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 B). 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.

Surname and given name(s) to appear in passport

Your name must be written exactly as it appears on page 2 of the submitted passport. Your surname (last name) and given name(s) must be spelled the same and be placed in the same order. If your name has changed, you cannot use this form. You must complete form PPTC 153, Adult General Passport Application.

All former surnames

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

Mother’s surname at birth

Indicate your mother's surname (last name) at birth.

Place of birth

Your place of birth must be provided on the application form. If you do not wish the 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

The specific year, month and day of your birth will be entered as shown on the submitted passport.

Sex

The sex will be entered as shown on the submitted passport. If you request a different sex identifier, you cannot use this form. Visit Canada.ca/passport for more details.

Signature

You must sign your usual signature on both pages.

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Enclose any Canadian passport issued to you in your current name or any other name that is not expired or is expired for less than one year from the date you submit your application. If the passport’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 a new passport may be refused.

Note: If the passport has been lost, stolen, damaged or is inaccessible, you cannot use this form.

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. 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 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).

•No signature is required on the photos.

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.

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