Guide 5781: Applying to Voluntarily Renounce Your Permanent Resident Status

Application to Voluntarily Renounce Permanent Resident Status (IMM 5782)

Part A – Personal Information

Question 1

Write your full family name (surname/family name) as it appears on your Record of Landing (IMM 1000) or Confirmation of Permanent Residence (IMM 5292 or IMM 5688) or Permanent Resident Card).

Write all of your given names (first, second or more) as it appears on your Record of Landing (IMM 1000) or Confirmation of Permanent Residence (IMM 5292 or IMM 5688) or Permanent Resident Card).

Write all of your other names (first, second or more) for example, maiden name, son/daughter of, other family name, other given name.

Question 2

Select your gender as F-Female, M-Male or X-Another gender.

Question 3

Write your complete date of birth.

Question 4

Indicate your place of birth, including the city or town.

Question 5

Select your current marital status:

Single: Never been married nor in a common-law relationship.

Married: Married means that two people have had a ceremony that legally binds them to each other. This marriage must be recognized under the laws of the country where it was performed and under Canadian law.

Widowed: Widowed means that a person’s spouse has died and that person has not remarried or entered into a common-law relationship.

Divorced: Divorced means that a court has granted a divorce and that a marriage has ended. The two people are no longer married.

Legally Separated: Separated means that two people are married but no longer living together, and they do not wish to live together again. They may be waiting for a divorce or have not yet decided to divorce.

Common-Law: A person who has been living with another person in a conjugal relationship for at least one year. The term refers to opposite-gender and same-gender relationships.

See the legal definition of common-law partner.

Question 6

Write the date and place (including city and province) of where you became a Permanent resident. (As it appears on your Record of Landing (IMM 1000) or Confirmation of Permanent Residence (IMM 5292 or IMM 5688).

Question 7

Write the document number on your Record of Landing (IMM 1000) or Confirmation of Permanent Residence (IMM 5292 or IMM 5688) or Permanent Resident Card.

Question 8

Write your current passport or travel document number. Make sure there is no space between each number or letter.

Write the date your passport was issued and the expiry date.

Question 9

a) Check the appropriate box if you are a citizen of a country.
If yes, indicate of which country (ies).b) Check the appropriate box to indicate if you are a permanent resident of another country.
If yes, indicate of which country (ies).c) Write in which country (ies) you can legally return to.

Question 10

a) Indicate your current residential address include the following information:

• Apartment (Apt.) or Unit, if applicable
• Street Number (No.). It is the number on your house or apartment building.
• Street Name
• City or Town
• Country
• Province or State
• Postal Code/zip code
• District, if applicable
• Telephone number including, country code, area code and number
• If applicable, indicate your e-mail address using a format to the following: name@provider.net

b) Indicate your current mailing address, if different from above by typing the following information:

• Post Office Box (P.O. Box) number, if applicable. If you do not indicate post office box, the Street number must be provided
• Apartment (Apt.) or Unit, if applicable
• Street number (No.), if applicable. It is the number on your house or apartment building. This must be provided if you did not type in a P.O. Box
• Street name, if applicable
• City or Town
• Write the Country of your current mailing address
• Province or State
• Postal code/zip code
• District, if applicable

Note: All correspondence will go to this address.

c) Indicate the address in Canada you intend to visit, include the following information:

• Apartment (Apt.) or Unit, if applicable
• Street number (No.), if applicable. It is the number on your house or apartment building. This must be provided if you did not type in a P.O. Box
• Street name, if applicable
• City or Town
• Write the Country
• Province
• Postal code

Step 3. Pay the Fees

Fees

There is no fee for voluntarily renouncing your permanent resident status.

If you are applying for any other documents (for example, a TRV or eTA) along with the application to voluntarily renounce your permanent resident status, you must pay the application processing fee for the other document(s).

Step 4. Submit the Application

If you currently live in Canada:

Send your complete application with all supporting documentation to the following address: