Government |
Gouvernement |
United States |
of Canada |
du Canada |
of America |
NEXUS APPLICATION
TIPS for completing the NEXUS Application Form
For ease in completion, pay special attention to the following tips. If information is missing or boxes are completed incorrectly, the application will be rejected and returned to you for corrections. To avoid this, please ensure that the application form is completed fully and accurately.
Do not send the original documents with this application send photocopies only. We will ask to see original documents at the enrolment centre during the interview.
Box 2: If the answer is no, proceed to box 5. If yes, complete boxes 3 and 4.
Box 5: Indicate English or French. We will correspond with you in the language of your choice, in accordance with Canadian law.
Section A - Personal Information
Box 8, Nickname: If you use a variation of your name (e.g., Fred or Freddie instead of Frederick) and if you have identification (e.g., passport, driver's licence, etc.) in that name, print that name in the box titled "Nickname."
Box 9, Other names used: If you have ever changed your name (including by marriage), provide the previous name(s) you have used and supporting documentation.
Citizenship/Admissibility/Permanent Resident status
Passport: Give required details of any current valid passport(s) you have.
Citizenship document refers to other documents not listed that confirm citizenship or admissibility, e.g., Citizenship Certificate or Card. (provide photocopy of documents and photo identification).
Visa/Permit: Complete if you have a student permit, work permit or other type of visa for admissibility to Canada or the U.S.
Box 15, 16: Canadian and United States citizens should not complete these boxes. Only those claiming permanent resident status need one of these documents to re-enter the country. Check ( ) the applicable box and provide information as required that proves your permanent resident status.
Boxes 14, 16, and 17: We need one clear photocopy of your documentation that shows both the front and the back, e.g., driver's licence, birth certificate, citizenship card, passport, permanent resident card. Each copy should be on a separate piece of paper and should include your home phone number. If you are photocopying a small document, please enlarge it on the photocopier, but make sure the copy is clear. Documents that do not contain a photo should be sent with a photo identification.
Please note that birth registration or baptismal certificates are not acceptable.
Section B - Address History for the Last Five Years
Boxes 18 through 25 and boxes 38 through 53: Please write the addresses of all your residences for the last five continuous years. Provide physical address, e.g., "911" address or legal land description. If there is not enough space on the application form, attach a separate sheet. There should be no gaps in time between addresses.
Section C - Employment History for the Last Five Years
Boxes 54 through 83: Please provide your employment history for the last five continuous years. There should be no gaps. Lack of employment will not disqualify you from being a member, if you are otherwise admissible to the U.S. and Canada and meet all other requirements. If there is not enough space on the application, attach a separate sheet. See the following explanation.
Box 54-55, Current Employer: Your current employer is the employer you are working for on the date you sign this form. Write the date you started working for your current employer e.g., from 2001/01, to the present, which is today's date.
Box 64, Specify Occupation: Describe or list the job you were paid for (e.g., driver). If you were not employed, or if you were attending school, college or university, please state which applies and give details in the space provided for employer information.
Box 65-66, Previous Employer, from: If you have worked for your current employer for less than five years, complete this section, and tell us the dates you worked for the employer you had before your current employer (e.g., from 2000/01 to 2003/07).
Section D - Fee Payment (Non-refundable)
Submit the correct fee.
Use a certified cheque, money order or fill out your credit card information.
If you are paying by credit card, include the name of the credit card, the 16-digit card number, and the card's expiry date. American Express, Visa, and MasterCard are acceptable. All Canadian and U.S. credit card fees for paper applications will be processed in Canadian funds.
Cardholder's signature: Signature required if paying by credit card.
Money orders stating "negotiable in U.S. only" will not be accepted. If you get the money order in the U.S., get an International money order.
Section E - Additional Information
Box 86: Answer all the questions in Section E. If you have answered "yes" to any of the questions, provide all the details on the application form or attach a separate sheet and include supporting documentation.
Section F - Non Custodial Adults
If applying for a child under 18 years of age, you must ensure that you provide documentary evidence that you have authority to apply on behalf of the child and that a photocopy of all legal documents regarding custody are submitted.
Section G - Certification
Clearly print your name. Remember to sign and date the certification statement on the final page of the application process. You should read the U.S. and Canadian privacy statements and the certification statement (box 87) on the application form carefully. (If the applicant is under the age of 18, the legal guardian or parent must sign this certification.)
Preferred Interview Location - You will be invited to an enrolment centre for an interview and finalization of the application. Please indicate where you would like to be interviewed.
Mail your signed application, photocopies of documents and fee payment as indicated:
U.S. and Ontario Residents NEXUS Program |
Western Canada and Territories NEXUS Program |
Atlantic and Quebec Residents |
6080 Mcleod Road |
6080 Mcleod Road |
NEXUS Program |
P.O. Box 126 |
P.O. Box 126 |
400 Place Youville |
Niagara Falls ON L2E 6T1 |
Niagara Falls ON L2E 6T1 |
Montreal QC H2Y 2C2 |
CANADA |
CANADA |
CANADA |
For additional information and recent updates regarding NEXUS please visit: www.nexus.gc.ca or call 1-866-NEXUS 26 (1-866-639-8726)
