Imm 5744 Form PDF Details

The IMM 5744 form plays a pivotal role for individuals intending to retrieve personal information and, notably, the records of family members from Immigration, Refugees and Citizenship Canada (IRCC). This "Consent for an Access to Information and Personal Information Request" form is critical when a spouse or common-law partner, children aged 16 and above, or any other individuals involved wish to grant permission for their information to be disclosed to a designated representative. With stringent stipulations regarding consent, this document mandates the acquisition of agreement from all relevant parties to authorize IRCC in releasing their personal details. Importantly, the form highlights the necessity of original, handwritten signatures executed in blue ink to avoid any delay in processing the request. Specific provisions are outlined for minors, with requirements for consent that include authorization from both parents or a formal court order confirming the applicant's right to obtain such information. It underscores the valid timeframe of consent, set for one year post the signing date, thereby streamlining data disclosure for subsequent requests within this period. Moreover, the form is meticulously designed to facilitate the collection of consent under the Access to Information Act and the Privacy Act, emphasizing the importance of precision in completing it to expedite the information release process. Clear guidelines are provided for submitting a thoroughly filled consent form, coupled with insights into the internal and external use of the information gathered, including investigative and evaluative purposes, reinforcing the form’s vital role in managing personal data requests efficiently.

QuestionAnswer
Form NameImm 5744 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesatip consent form, imm5744e, imm 5744 guide, imm 5744

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PROTECTED WHEN COMPLETED - B

Page 1 of 2

CONSENT FOR AN ACCESS TO INFORMATION AND

PERSONAL INFORMATION REQUEST

If your spouse or common-law partner, children 16 years of age or older, or any other individuals whose information could be contained in the requested records wishes to release their information to the designated representative, they must sign in the space provided. Information about minors will only be released with the consent from both parents or a valid Canadian court order indicating that the applicant is permitted to obtain their information. Obtaining consent from all parties will permit Immigration, Refugees and Citizenship Canada (IRCC) to release their information and will provide you with more information in response to your request.

By signing this form, you authorize IRCC to release your information to the designated representative. Only original handwritten signatures signed in blue ink will be accepted. Missing signatures may delay the processing of your request.

1. Designated Representative’s Information

Family name (surname)

Address

Given name(s)

City

Province/Territory

Firm/organization

Country

Postal Code

Telephone number

Other telephone number

Email Address

2. Applicant's Information

2.1 Related Individual’s Information

Family name (surname)

Family name (surname)

Given name(s)

Given name(s)

Date of birth (YYYY-MM-DD)

Date of birth (YYYY-MM-DD)

 

 

 

 

 

 

 

 

 

 

 

 

Signature (in blue ink)

 

Date (YYYY-MM-DD)

 

Signature (in blue ink)

 

Date (YYYY-MM-DD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to applicant

 

 

 

2.2 Related Individual’s Information

2.3 Related Individual’s Information

Family name (surname)

Family name (surname)

Given name(s)

Given name(s)

Date of birth (YYYY-MM-DD)

Date of birth (YYYY-MM-DD)

 

 

 

 

 

 

 

 

 

 

 

 

Signature (in blue ink)

 

Date (YYYY-MM-DD)

 

Signature (in blue ink)

 

Date (YYYY-MM-DD)

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to applicant

 

 

 

Relationship to applicant

 

 

 

This consent is valid for one year from the date appearing next to the Applicant's signature.

The information provided is used to record consent for IRCC to disclose personal information to a designated representative in response to an ATIP request, and is collected under the authority of section 6 of the Access to Information Act and sections 8(1) and 13 of the Privacy Act.

The requested information is required to validate your consent. Your information may be used internally to administer the ATIP request, and for planning and evaluation purposes. This information may also be used during consultations with other government institutions, during investigations by the Office of the Information Commissioner and the Office of the Privacy Commissioner, and during court reviews.

You have a right of access to, correction, and protection of personal information under the Act, and should you have any concerns with the management of your personal information, you have a right to file a complaint to the Privacy Commissioner. The management of your information is described in the standard personal information bank Access to Information Act and Privacy Act Requests (PSU 901) and can be found in Info Source.

IMM 5744 (09-2018) E

(DISPONIBLE EN FRANÇAIS - IMM 5744 F)

Page 2 of 2

INSTRUCTIONS FOR THE ATIP CONSENT FORM

Submitting a properly completed consent form with your request helps to prevent delays.

Simple two-step process

Section 1 - Provide information about the requester.

Section 2 - Provide details about whose information is being requested (i.e. family members, spouse, children).

Up to four people can be included on a single form.

Consent valid for 1 year

The same consent form can be submitted with each new ATIP request.

Requirements

Consent for children under 16

Both parents have to approve the release of their children's info (under 16).

Provide the minor's information in section 2. They are not required to sign the form.

•ensure this form is signed by both parents OR

•submit separate forms for each parent, listing the minor's information on each form OR

•submit a signed form from one parent, and a valid Canadian court order (proof of custody)

Signature + Date

To safeguard against fraudulent forms, only original signatures signed in BLUE will be accepted.

No electronic signatures. Make sure the applicant includes the date of the signature.

Scanning tips if you submit online

A colour scan in good resolution (300 dpi and up) OR taking a close well-lit snapshot of the form with your smartphone camera will help ensure your form is accepted.

IMM 5744 (09-2018) E

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This form will need specific details to be filled in, so you should take some time to provide what's expected:

1. You should fill out the form atip correctly, therefore take care while filling in the sections including all of these fields:

Guidelines on how to fill out atip form step 1

2. After performing the previous step, head on to the subsequent step and fill out the necessary details in all these fields - Given names, Given names, Date of birth YYYYMMDD, Date of birth YYYYMMDD, Signature in blue ink, Date YYYYMMDD, Signature in blue ink, Date YYYYMMDD, Relationship to applicant, Relationship to applicant, This consent is valid for one year, The information provided is used, IMM E, and DISPONIBLE EN FRANÇAIS IMM F.

Completing segment 2 of atip form

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