IMM 5669: Schedule A - Background / Declaration
IMM 5669, Schedule A Background Declaration, records your personal history, addresses, education, employment and any government or military service for a Canadian immigration application. It is a dynamic PDF, so download it and open it in Adobe Acrobat Reader to fill it in.
This is the genuine IRCC PDF, unmodified. Source: IRCC official page.
What is IMM 5669?
Schedule A asks an applicant to account for their life with no gaps: every address lived at, all education and employment, membership of organisations, and any government positions or military and security service. It also includes security related declaration questions. Officers use it to confirm admissibility, so completeness and consistency with the rest of the application matter.
IMM 5669 is a dynamic XFA form from Immigration, Refugees and Citizenship Canada. It will not display in a browser preview and an online editor shows it blank. Open the downloaded file in Adobe Acrobat Reader on a desktop or laptop, complete every section without leaving time gaps, then validate and sign it before it is submitted to IRCC.
Who files IMM 5669?
- Permanent residence applicants asked to provide a full background history
- Applicants completing security and admissibility declarations
- People told by an officer to submit a Schedule A after applying
- Family members over eighteen included on an application when required
How to fill out IMM 5669
- Download IMM 5669 and open it in Adobe Acrobat Reader on a computer.
- List your addresses since age eighteen or the past ten years with no gaps between them.
- Record your education and full employment history in continuous order.
- Answer every background and security declaration question truthfully.
- Validate, sign and date the form, then include it with the application to IRCC.
Get IMM 5669
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 5669 below and open it in the free Adobe Acrobat Reader to complete and save it.
Download the official IMM 5669 PDFFrequently asked questions
What does no gaps mean on Schedule A?
Your address, education and work entries must run continuously with no unexplained periods. If you were unemployed, studying or travelling, say so and give dates, rather than leaving a blank stretch of time.
Who has to sign IMM 5669?
The applicant signs their own Schedule A. Each family member who is required to complete one signs their own copy. An unsigned form is treated as incomplete.