Durable Solution Information (IMM 0195)

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Durable Solution Information [IMM 0195] (PDF, 1.8 MB)

Last updated: June 2023

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Durable Solution Information Form (IMM 0195) - only for applicants with a Temporary Protection Status (TPS) document

Who must fill out this form?

This form must be completed by:

you, the principal applicant

Please follow the instructions below to ensure the form is properly completed.

You must answer all questions on this form unless otherwise indicated or your application may be returned to you.

Please complete legibly and answer all questions in the form and provide as much detail as possible. If you need more space, use additional sheets of paper the same size as this form. On each additional sheet, write your name in the top right-hand corner, and write the page number at the bottom right-hand corner. Also, indicate which question you are answering on the additional sheet, and number the lines.

Part A: Your Personal Information

Question 1.

In the space provided, please fill in:

your family name
given name(s).
Date of birth (yyyy-mm-dd)

Question 2.

Select “Yes” or “No” if you have a Temporary Protected Status issued by a state/country.
If Yes, please attach the document and explain in detail the type of document issued.

If No, please note that only applicants with a TPS must complete this form.
Select “Yes” or “No” if you can voluntarily or safely return to your country of nationality or habitual residence.
If Yes, please explain in detail why you are able to return to your home country at this time.
Select “Yes” or “No” if since arriving in the country where you are currently residing, have you returned to your country of origin.
If Yes, please provide the following details:
- How many times have you returned?
- The length of stay?
- The reason of your return?
- Any other information you believe important?

Question 3.

Select “Yes” or “No” if you can live permanently in safety and dignity in your current country where you are currently residing.
Select “Yes” or “No” if you face discrimination in the country where you are currently residing.
Select “Yes” or “No” if you and your dependants are authorized to work or study in the country where you are currently residing.
Select “Yes” or “No” if you are authorized to travel in and out of the country where you are currently residing.
Please provide details explaining how you have supported yourself and (if applicable) your family since arriving in the country where you are currently residing.

Question 4.

Select “Yes” or “No” if you have an offer of resettlement to a country other than Canada
If Yes, when was the case/application submitted, and to which country was it submitted?
Select “Yes” or “No” if you are eligible for citizenship or permanent status in any other country
If Yes, provide detail: which country? When are you eligible for citizenship?
Select “Yes” or “No” if you have received permanent residence status from another country
If Yes, provide detail: which country? When have you received your permanent residence status?

Privacy Notice and Signature

Read the privacy notice, sign and date. If you do not sign, the application will be returned to you.

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Date modified:: 2024-07-16

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