Form IMM 1249 at a glance
What it is: Form IMM 1249 (08-2002), from Citizenship and Immigration Canada, is the application to change conditions or to extend a stay in Canada.
Who signs: You must read and sign the section G - DECLARATION OF APPLICANT.
This form can be used to request/apply for more than one of I AM APPLYING FOR, for yourself or your family members. Payment of fees does not guarantee approval of the application.
A filled-in Form IMM 1249 example: a visitor extends a stay
How to fill out Form IMM 1249, box by box
What you are applying for
Mark Restoration of Temporary Resident Status, Extension of Temporary Resident Status as a Visitor, Initial Study Permit or Renewal, Initial Work Permit or Renewal, or Temporary Resident Permit.
Mark the service you want in: English or French.
Personal information
In A - PERSONAL INFORMATION, enter the Client ID Number.
Enter the Surname (Family name) and Given name(s).
Enter the Other name(s) used.
Mark the Sex: Male or Female.
Enter the Place of birth (City, state/province and country).
Enter the Date of birth.
Enter the Date of issue, Expiry date, Passport number and Citizenship.
Enter the Country of last permanent residence, and mark Since birth or enter Since the year.
Mark the MARITAL STATUS: Never married or Married. If you are married, is your spouse a Canadian citizen or permanent resident? Mark No or Yes.
Mark Common-law partner, Widowed, Separated or Divorced.
My residential address in Canada
Enter My residential address in Canada: No. and street, Apt./Unit, City/Town, Province and Postal code.
Enter the Telephone number in Canada, with the Area code.
If your current mailing address in Canada is different from your residential address, all correspondence will go to the mailing address. If you wish to authorize the release of information from your case file to a representative, indicate their address in the My current mailing address in Canada box and on the form IMM 5476.
Enter the Telephone number in Canada for messages.
My family members
Under MY FAMILY MEMBERS, enter the Surname (Family name), Given name(s) and Relationship of each family member.
Enter the Client ID number, Country of birth and Country of last permanent residence.
Enter the Citizenship, Date of birth, Passport number, Date of issue and Expiry date.
Mark the Type(s) of document requested: A to E, or None.
Mark Yes or No: My family member is in Canada?
More rules for Form IMM 1249
In C - COMING INTO CANADA, enter the Original entry to Canada: Place (city, province) and Date.
Enter the Most recent entry to Canada (if not the same as original entry).
Enter My original reason for coming to Canada.
In D - MY REQUEST, mark extend my stay in Canada until, change conditions, or both; after until, enter the end of the stay.
Mark extend the stay of my family members in Canada until, and enter the end of the stay after until.
Give complete details for the following reasons.
To support myself in Canada: I have $ (Canadian dollars) available.
I receive support from: Self, Other, General Welfare Assistance, Relative or Friend. Enter the Other details.
If you or your family members remained beyond the validity of your status, attended school without authorization or worked without authorization, please give the reasons and circumstances concerning the situation(s).
Mark YES or NO: Have you or any of your family members in Canada ever been convicted of or charged with a crime or offence in any country?
If "yes", give details (name, date and place of charge; name, date and place of conviction, offence, sentence).
Mark YES or NO: Have you or any of your family members in Canada suffered from any serious mental or physical illness?
If "yes", give details (name of illness, period of illness, treatment received).
If you require more space, use a separate sheet of paper.
PHOTOGRAPHS - REQUIRED ONLY IF YOU ARE APPLYING FOR EXTENSION OF YOUR TEMPORARY RESIDENT PERMIT. Staple two (2) recent passport-size photographs of yourself and each family member in Canada to the top of the front page of the aplication (do not use glue). Print the name and date of birth of the person on the back of each photograph.
"I understand that any statement or concealment of a material fact may result in my removal from Canada."
Common questions about Form IMM 1249
Who signs it?
Sign as the applicant and enter the Date: Day, Month and Year.
What am I certifying when I sign?
"I declare that the information I have given in this application is truthful, complete and correct."
Sources
[1] Form IMM 1249 (08-2002), Application to Change Conditions or to Extend My Stay in Canada (the Official source link on this page).