IRCC · Official form

IMM 5475: Authority to Release Personal Information to a Designated Individual

Form IMM 5475 authorises IRCC to release information about your case to a person you name, such as a relative or friend, without appointing them to act for you. Download the official IRCC PDF and open it in Adobe Reader to complete it.

This is the genuine IRCC PDF, unmodified. Source: IRCC official page.

What is IMM 5475?

The Authority to Release Personal Information to a Designated Individual, IMM 5475, is issued by Immigration, Refugees and Citizenship Canada (IRCC). It lets you give a named person permission to obtain information about your application, for example so a family member can call and ask about its status. It is not a representative form: the designated individual can receive information but cannot conduct business or make decisions on your behalf.

IMM 5475 is a dynamic PDF built with Adobe XFA technology, so it will not open in a web browser or the macOS Preview app and cannot be filled in the browser here. Download it and open it in the free Adobe Acrobat Reader to complete it. The authorisation stays in effect until you cancel it in writing or set an end date, and you can name only one designated individual on a form.

Who files IMM 5475?

  • Applicants who want a relative or friend to be able to ask IRCC about their case
  • People who need someone to receive information but not act on their behalf
  • Applicants adding a designated individual to an in progress application
  • Anyone cancelling or changing an existing information release authorisation

How to fill out IMM 5475

  1. Download the form and open it in Adobe Acrobat Reader, because this dynamic PDF will not display in a browser or preview app.
  2. Complete your own details, including your name, date of birth and any client or application number you have.
  3. Enter the full name of the person you are authorising to receive your information.
  4. Set out what the authority covers and, if you want, an end date, then read the consent statement.
  5. Sign and date the form, then submit IMM 5475 to IRCC with your application or to the office handling your case.
Worth knowing: IMM 5475 is a dynamic XFA PDF that only opens correctly in Adobe Acrobat Reader. It only releases information, so use IMM 5476 if you want someone to act on your behalf.

Get IMM 5475

This is a dynamic PDF from IRCC: it only fills in correctly in Adobe Acrobat Reader, so there is no in-browser fill here. Download the genuine IMM 5475 below and open it in the free Adobe Acrobat Reader to complete and save it.

Download the official IMM 5475 PDF

Frequently asked questions

Is IMM 5475 the same as appointing a representative?

No. IMM 5475 only lets a named person receive information about your case. To let someone conduct business or act for you with IRCC, you use the Use of a Representative form, IMM 5476, instead.

How do I cancel the authority?

You can cancel it by notifying IRCC in writing, and a new authorisation naming a different person does not automatically override an earlier one. You may also set an end date when you complete the form.

Why does the form open blank in my browser?

It is a dynamic XFA form that browsers and the macOS Preview app cannot render. Save it and open it in the free Adobe Acrobat Reader to see the fields.