Canada Immigration Forms: 0058E
Canada Immigration Forms: 0058E
Canada Immigration Forms: 0058E
Records
Web site
For more information on the programs offered by Citizenship and Immigration Canada, visit our Web site
at www.cic.gc.ca. For some types of applications you can inform us of a change of address and find out what
is happening with your application through on-line services on the Web site.
Within Canada
If you are in Canada, you can also phone our Call Centre. An automated telephone service is available
seven days a week, 24 hours a day and is easy to use if you have a touch-tone phone. You can listen to
pre-recorded information on many programs, order application forms, and for some types of applications
the automated service can even update you on the status of your case.
When you call, have a pen and paper ready to record the information you need. Listen carefully to the
instructions and press the number for the selection you want. At any time during your call, you may press
* (the star key) to repeat a message, 9 to return to the main menu, 0 to speak to an agent, or 8 to end your
call. If you have a rotary phone, wait for an agent to answer your call.
If you need to speak to an agent, you must call Monday to Friday between 8 a.m. and 4 p.m. local time.
Outside Canada
If you are outside Canada, you can contact a Canadian embassy, high commission or consulate. Consult our
Web site for addresses, phone numbers and Web site addresses of our visa offices.
This is not a legal document. For legal information, refer to the Immigration and Refugee
Protection Act and Regulations or the Citizenship Act and Regulations, as applicable.
Documents
Whether you are applying for information about yourself, or about another person, you must send a
clear and legible photocopy of two (2) pieces of your personal identification to show your identity.
For example, your driver’s licence, and your health insurance card. If you are applying for information
regarding another person, you may have to provide clear and legible photocopies of other documents,
such as proof of your relationship to that person and/or proof of death.
Total $
STEP 2. Fill out one receipt form (IMM 5401) for yourself and other members of your family if
you are applying at the same time.
An original receipt must be used; a photocopy is not acceptable. You can order an
original receipt from our Web site or by contacting a Call Centre Agent (see the Contact
Information section of this guide).
Do not complete the top two portions of the receipt; these will be completed by the
financial institution.
STEP 4. Complete the ‘Payer Information’ sections on the reverse of the receipt.
If you already have an open file and know the client identification number that we have
assigned to you, enter the number in the box provided for that purpose. If not, leave that
box empty.
STEP 5. Bring the receipt and your payment to the financial institution.
Section 2
A. Whether you are applying for information about yourself or about another person, write down the
surname/last name and given name(s) of the person whose record you want us to search. It will
help us find the record if you write the name the same way the name has been recorded on the
Record of Landing (IMM 1000), Permanent Resident Card (PRC), or on a citizenship certificate.
B. You must indicate all the names the person has ever used, for example, name at birth, name used
during a previous marriage, nick names etc.
C. Indicate the date of birth and the place and country where the person was born. Give the date the
person entered Canada as a permanent resident.
D. If the person ever had a citizenship certificate, indicate the name that was on that certificate, when
it was issued and the number of the certificate if you have this information.
E. If the person entered Canada before 1915, you will need to fill out the section on the person's
father. This is because citizenship records for persons who entered Canada before 1915 are usually
based on the father's record. Without the father's information, we will not be able to find the
person's record. For this section, fill in as much detail as you know about the name of the town and
province where the father lived, what his job was and the father's birth date.
Section 3
Whether you are applying for information about yourself or about another person, you must fill in this
section about yourself.
• Write down your surname/last name and given name(s).
• Provide your current mailing address, complete with postal code.
• We may need to contact you by phone. List the telephone number(s) where you can be
reached.
A. If this Application for a Search of Citizenship Records is for information about you only, tick off
“Yes” in the first box and go to the next section (Section 5).
If the information you need is about a relative or another person, tick off “No” in the second box
and complete all of section 4. You must have the permission of the person indicated, for the release
of this personal information.
B. Have the other person sign their name where it says “signature”, and have the person fill in the
date of the signing.
C. If the other person is deceased, you will need to give the date of death. Do not forget to provide
proof of death if the person has been deceased for less than 20 years. If the other person is not
deceased and does not give us permission to release the information, you will not be able to access
the record.
D. You must indicate what your relationship is to the person whose record is requested; for example,
husband, wife, child, brother, sister or parent, and provide proof of relationship for example birth
certificate showing parentage.
Section 5
• You must indicate why you need a letter. Use the space provided to indicate the reasons
you need the letter.
• Sign the application in the same manner you would sign any other official document. Do
not print. Indicate the date and place. Date the application the same day you sign it.
• Print your name and address in the top left corner of the envelope.
• Remember to include all supporting documents and fees.
If you are sending more than one application (for example, applications for family members),
you may send one receipt to cover all applications. Mail the receipt and all applications together
in one envelope. That way they will be processed together.
Remember: You must advise us of any change of address or telephone number by calling the
Call Centre.