PPTC 203 Form PDF Details

The PPTC 203 form signifies a crucial step for individuals encountering situations with their Canadian travel documents such as loss, theft, damage, or discovery of previously misplaced documents. By invoking a carefully constructed process, it allows affected individuals to report their circumstances to the appropriate authorities, ensuring that necessary actions can be undertaken to mitigate any potential misuse or issues associated with the compromised document. The form requires detailed personal information that correlates with the information on the most recent Canadian travel document issued to the individual, encompassing full names, date and place of birth, and where the document was issued. It proffers a platform to explain the loss or damage of the document and records efforts made towards its recovery, including whether a police report was filed, which is a critical step in cases of loss or theft. Furthermore, it outlines the obligations of the applicant in case the lost or stolen document is later recovered, emphasizing the invalidity of a document once it is reported under these circumstances. The efficiency and thoroughness of the PPTC 203 form demonstrate the Canadian government's commitment to maintaining the integrity and security of its travel documents while providing a structured remedy for citizens facing such predicaments.

QuestionAnswer
Form Name PPTC 203 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names pptc 203 form canada passport, canadian passport for pptc 203, pptc 203, pptc 203 passport

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PROTECTED WHEN COMPLETED - B

Page 1 of 2

DECLARATION CONCERNING A LOST, STOLEN, INACCESSIBLE, DAMAGED OR FOUND CANADIAN TRAVEL DOCUMENT

WARNING to applicant—Any false or misleading statement on this form or relating to any document in support of your Canadian travel document application, including concealment of any material fact, may lead to refusal to issue or revocation of a Canadian travel document and be grounds for criminal prosecution.

TYPE OR PRINT IN CAPITAL LETTERS using black or dark blue ink.

1

 

PERSONAL INFORMATION AS INDICATED ON MOST RECENT CANADIAN TRAVEL DOCUMENT

 

 

 

 

 

 

 

 

 

 

 

 

The Canadian travel document was issued in:

 

My name

 

Child's name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surname (last name)

 

 

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of birth

 

Place of birth

 

 

 

 

 

 

 

 

 

(YYYY-MM-DD)

 

City

 

 

 

 

 

Country

 

 

Prov./Ter./State (if applicable)

 

 

 

 

 

 

 

 

Document number (if known)

Date of issue (if known)

 

 

Place of issue (if known)

 

 

 

 

(YYYY-MM-DD)

 

 

 

 

 

City

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of applicant

 

 

 

 

 

Date

 

Signed at

 

 

 

 

 

 

 

 

(YYYY-MM-DD)

 

City

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the Canadian travel document being submitted with your declaration?

No4Continue to section 2

Yes4Continue to section 3

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INFORMATION CONCERNING A VALID CANADIAN TRAVEL DOCUMENT NO LONGER IN MY POSSESSION

 

 

 

 

 

 

 

 

 

 

 

 

Note: Incomplete descriptions may result in the delay or refusal of your application. If insufficient space, attach a separate signed and dated sheet.

 

 

 

 

 

 

 

 

 

 

 

The Canadian travel document listed in section 1 is no longer in my possession because (please provide a detailed explanation as to why you

are not submitting the Canadian travel document and what has happened to it)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have made the following efforts to recover this Canadian travel document (please explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date this Canadian travel document was lost, stolen or became inaccessible (YYYY-MM-DD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This Canadian travel document was last used on

Location

 

 

 

 

 

(YYYY-MM-DD)

 

 

City

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was a police report filed?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

Date of report (YYYY-MM-DD)

Report number

 

 

 

Name of police service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

Please provide the reason for not filing a police report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

Were any other provincial or federal identification documents lost or stolen?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PPTC 203 (06-2019) E

(DISPONIBLE EN FRANÇAIS - PPTC 203 F)

3

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Page 2 of 2

 

 

 

 

 

INFORMATION CONCERNING A DAMAGED OR FOUND CANADIAN TRAVEL DOCUMENT

Note: If insufficient space, attach a separate signed and dated sheet.

Detailed circumstance of how the Canadian travel document was damaged or found

Explain why you are applying for a replacement Canadian travel document

Date Canadian travel document was damaged or found

(YYYY-MM-DD)

Location

City

Country

Reminder: A Canadian travel document application form must also be completed if a replacement Canadian travel document is required. Please note that the Canadian travel document specified in this form cannot be used for the simplified renewal process.

4

DECLARATION OF APPLICANT

Surname (last name)

Given name(s)

Daytime telephone number

Date of birth (YYYY-MM-DD)

DECLARATION—I solemnly declare that, to my knowledge, the statements made in this declaration are true. Should I ever regain possession of the Canadian travel document reported in section 1, I will return it immediately to the Passport Program or if abroad to the nearest Government of Canada office. I acknowledge that a Canadian travel document once reported lost, stolen, inaccessible, damaged or found is no longer valid and is NOT to be used for any travel. I understand multiple occurrences of Lost/Stolen or Damaged Canadian travel documents may result in either the refusal to issue a replacement Canadian travel document, or if approved, a severely limited validity of the replacement Canadian travel document. I also acknowledge that additional requirements may apply, such as demonstrating the need to be issued a Canadian travel document. I declare that I have read and understood the WARNING to applicant at the top of page 1.

Signature of applicant

Date

Signed at

(YYYY-MM-DD)

City

Country

FOR OFFICE USE ONLY

Based on the information provided by the applicant on this form, the Canadian travel document has been identified as

Lost

 

Stolen

 

Damaged

 

Mutilated

 

Inaccessible

 

Found

Name of officer who reviewed the above information (stamp recommended)

Date (YYYY-MM-DD)

Document number

Date of issue

Place of issue

(YYYY-MM-DD)

City

Country

To obtain the most recent version of this form, visit our website at Canada.ca/passport.

PRIVACY NOTICE STATEMENT Personal information provided on this form is collected by 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 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 handles your personal information, you may exercise your right to file a complaint to the Office of 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.

PPTC 203 (06-2019) E

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