Free PPTC 155 - Canada

CHILD GENERAL PASSPORT APPLICATION
for Canadians under 16 years of age (in Canada or in the USA) GENERAL INFORMATION AND INSTRUCTIONS
Aussi disponible en français

Failure to complete all the required sections of this form will result in your application being rejected.

Entitlement to a Canadian Passport
A Canadian passport is the only reliable and universally accepted travel and identification document for Canadians who travel abroad. Canadian passports are issued to Canadian citizens only. If applying for an individual passport for a child under 16 years of age, use this application form (PPTC 155) to apply.

Applying by Mail
Mailed-in applications are processed in Canada. BY MAIL
Passport Canada Foreign Affairs and International Trade Canada Gatineau QC K1A 0G3 CANADA

BY COURIER
Passport Canada 22 de Varennes Building 22 de Varennes Street Gatineau QC J8T 8R1 CANADA

Who May Apply for a Passport on Behalf of a Child?
One of the parents; The custodial parent in cases of separation or divorce; or The legal guardian.

DO NOT mail or bring your application to a Canadian government office in the USA. However, passport applications and related forms are available from these offices. The original documents that you enclose with your application are valuable. To ensure that these documents are not lost or misplaced, it is preferable to use a courier or mail service that allows you to trace your mail.

Requirements Checklist
BOTH pages of the application form completed and signed within the last 12 months. TWO (2) identical passport photos of the child (see "Photo Specifications"). Application form and one of the photos certified by your guarantor. Proof of Canadian citizenship (no copies or certified copies). Any valid Canadian passport or travel document issued to the child. All documents that refer to custody or mobility of, or access to, the child. The fee. Additional documents or information may be requested in support of this application.

Applying in Person
For Canadians living in Canada:
At a Passport Canada service location At a participating Canada Post office At a participating Service Canada Centre Our service locations are listed on page 2 of this application and on our website at www.passportcanada.gc.ca.

For Canadians living in the USA:
If the child requires a passport in exceptional circumstances, contact the nearest Canadian government office. Canadian government offices in the USA are listed on page 2 of this application and on our website at www.passportcanada.gc.ca. This form can only be used to submit an application by mail (see "Applying by mail") or in person at a Passport Canada service location (in Canada).

Periods of Validity for Passports Issued to Children
For a child aged: 3 to 15 years, the maximum period of validity is 5 years. under 3 years, the maximum period of validity is 3 years. Note: Children who have been issued a passport in their first 12 months may be issued a one-time replacement passport, free of charge, valid for the balance of the three-year validity period of the original passport. Full application requirements must be met. To ensure the photo is a current and true likeness of the child, it must be taken within one month of the date the application is submitted.

Fees
For a child aged ­ 3 to 15 years ­ C$37 ­ under 3 years ­ C$22 Note ­ These fees are subject to change. ­ Only Canadian funds are accepted. Important ­ Every person who requests a passport service must pay the applicable fee. This fee is non-refundable. Preferred method of payment Debit (Interac) (In person only), or (Complete section on Credit card application form.) Other acceptable methods of payment Certified cheque or money order/international money order (postal or bank) payable in Canadian funds to the Receiver General for Canada Administrative fees and any applicable interest will be applied to all dishonoured payments.
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Processing Times
For information on current processing times, visit our website at www.passportcanada.gc.ca or contact us by phone (see "Contact Us", page 2).

PPTC 155A (09-04) M02

Contact Us
General information is available 24 hours a day, 365 days a year. Specific information is available during regular office hours. INFORMATION ON PASSPORTS AND FEES INFORMATION ON TRAVEL CONDITIONS AND REQUIREMENTS Website: www.passportcanada.gc.ca Website: www.voyage.gc.ca Toll-free: 1-800-567-6868 Outside continental USA: 819-997-8338 TTY (For persons who are deaf or hard of hearing) Toll-free: 1-866-255-7655 (7:30 a.m. to 8:00 p.m. ET) To obtain the most recent version of this form, visit our website. Application forms are also available in Braille, on diskette or in large print for persons with visual impairment.

Passport Canada Locations (NOT MAILING ADDRESSES)
DO NOT mail or use courier services to send your application form directly to a Passport Canada service location in Canada listed below. However, passport applications and related forms are available from these service locations or may be obtained online at www.passportcanada.gc.ca.

CANADA
ALBERTA Calgary Suite 254 Harry Hays Building 220-4th Avenue South East Calgary (South) (English only) 14331 Macleod Trail SW Edmonton Suite 126 Canada Place Building 9700 Jasper Avenue BRITISH COLUMBIA Richmond (English only) Suite 310 5611 Cooney Road Surrey (English only) Suite 900 13401-108th Avenue Vancouver Suite 241 Sinclair Centre 757 Hastings Street West Victoria Bay Centre Level 4 1150 Douglas Street MANITOBA Winnipeg Suite 400 433 Main Street NEW BRUNSWICK Fredericton Suite 430 Frederick Square 77 Westmorland Street NEWFOUNDLAND AND LABRADOR St. John's (English only) Suite 802 TD Place 140 Water Street NOVA SCOTIA Halifax Suite 1508, 15th Floor Maritime Centre 1505 Barrington Street ONTARIO Brampton (English only) Suite 401 40 Gillingham Drive Hamilton Plaza Level Standard Life Building 120 King Street West Kitchener Mezzanine Level 40 Weber Street East London Suite 201, 2nd Floor 400 York Street Mississauga (English only) Suite 116, 2nd Floor Central Parkway Mall 377 Burnhamthorpe Road East North York Suite 380, 3rd Floor Joseph Shepard Building 4900 Yonge Street Ottawa Level C, East Tower C.D. Howe Building 240 Sparks Street Scarborough (English only) Suite 210 200 Town Centre Court St. Catharines Suite 600 Landmark Building 43 Church Street Thunder Bay 2nd Floor 979 Alloy Drive Toronto (English only) Suite 300 74 Victoria Street Whitby Whitby Mall 1615 Dundas Street East Windsor Suite 503 CIBC Building 100 Ouellette Avenue QUEBEC Gatineau (Hull) Commercial Level 2 Place du Centre 200 Promenade du Portage Laval Suite 500, 5th Floor 3 Place Laval Montréal West Tower, Suite 103 Complexe Guy-Favreau 200 René-Lévesque Boulevard West Pointe-Claire Suite F-016A Fairview Pointe Claire Shopping Centre 6815 Trans-Canada Highway Québec Suite 200, 2nd Floor Place de la Cité, Tour Cominar 2640 Laurier Boulevard Saguenay Suite 408 Immeuble Saint-Michel 3885 Harvey Boulevard Saint-Laurent Suite 112 3300 Boulevard de la Côte-Vertu SASKATCHEWAN Regina Suite 500 1870 Albert Street Saskatoon Suite 405 Federal Building 101-22nd Street East

All service locations are wheelchair accessible.

USA DO NOT mail or bring your application form to a Canadian government office in the USA listed below. However, passport applications and related forms are available from these offices or may be obtained online at www.passportcanada.gc.ca.
ATLANTA The Consulate General of Canada 100 Colony Square Suite 1700 1175 Peachtree Street NE Atlanta GA BOSTON The Consulate General of Canada Three Copley Place Suite 400 Boston MA BUFFALO The Consulate General of Canada HSBC Center Suite 3000 Buffalo NY CHICAGO The Consulate General of Canada Two Prudential Plaza Suite 2400 180 North Stetson Avenue Chicago IL DALLAS The Consulate General of Canada Suite 1700 750 North St. Paul Street Dallas TX DENVER The Consulate General of Canada Suite 2600 1625 Broadway Denver CO DETROIT The Consulate General of Canada 600 Renaissance Center Suite 1100 Detroit MI LOS ANGELES The Consulate General of Canada 9th Floor 550 South Hope Street Los Angeles CA MIAMI SAN JUAN The Consulate General of Canada The Honorary Consulate of Canada First Union Financial Center Hato Rey Center Suite 1600 Suite 802 200 South Biscayne Boulevard 268 Ponce de Leon Avenue Miami FL San Juan PR MINNEAPOLIS SEATTLE The Consulate General of Canada The Consulate General of Canada 9th Floor Suite 600 701 Fourth Avenue South 1501 Fourth Avenue Minneapolis MN Seattle WA WASHINGTON D.C. NEW YORK The Embassy of Canada The Consulate General of Canada 1251 Avenue of the Americas 501 Pennsylvania Avenue NW New York NY Washington DC SAN FRANCISCO The Consulate General of Canada 14th Floor 580 California Street San Francisco CA

PPTC 155A (09-04) M02

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1

INSTRUCTIONS Child's Personal Information

NAME TO APPEAR IN PASSPORT
Write the child's name as you want it to appear in the passport. If this name is different from the name on the child's documentary evidence of citizenship, the child's legal change of name document (original document from issuing authority) may be required. Additional documents may be requested to verify the child's identity.

SURNAME (LAST NAME) AT BIRTH/FORMER SURNAME (FORMER LAST NAME)
Complete only if different from the surname (last name) to appear in the passport (for Passport Canada information only; will not appear in the passport).

PLACE OF BIRTH
The place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport, submit a written request. Be sure to contact the consulate or embassy of every country you plan to visit to ensure that the child will be admitted if the passport does not include the place of birth.

SIGNATURE
Children 11 years of age or over MUST sign their usual signature. The child's signature in section 1 will appear in the passport. Therefore, the signature MUST NOT exceed the inner limits of the signature box.

2

Information on Applicant

Both parents are requested to participate in obtaining passport services for their child and to sign the application form. The other parent may be contacted. To avoid possible delays, we strongly recommend that you provide a long-form birth certificate showing information on both parents. Where a legal guardian is the applicant, the other legal guardian as the case may be is also requested to participate.

CUSTODY, SEPARATION AND DIVORCE
Where a court order or agreement exists referring to custody of the child, only the person with custodial rights may apply. All documents that refer to custody or mobility of, or access to, the child must be provided. If a divorce has been granted, a copy of the divorce judgement or order must also be provided. Where joint custody provisions exist, either parent may apply.

RELATIONSHIP WITH OTHER PARENT
Indicate your current relationship with the other parent: single, common law, married, separated, divorced, widowed. Indicate date of marriage to the other parent, if applicable. Additional information or documentation may be requested. For further information, contact Passport Canada.

3

Previous Canadian Passport

Enclose any valid Canadian passport or travel document issued to the child. If the child's current passport expires more than 12 months from the date of submission of the application, provide a written explanation for why you are applying at this time. Should Passport Canada not be satisfied that you have a valid reason for applying early, your application for a new passport may be refused. If the valid passport has been lost, stolen, damaged, destroyed or is inaccessible, complete a "Statutory Declaration" form PPTC 203, available from any Passport Canada service location in Canada, any Canadian government office in the USA or at www.passportcanada.gc.ca. A Canadian passport, once reported lost or stolen, is no longer valid and is not to be used for any travel.

4

Proof of Canadian Citizenship

Provide ONE (1) of the documents listed in section 4 of the application form (copies or certified copies are not accepted). It will be returned to you. Additional information may be requested to confirm the child's citizenship.

CERTIFICATE OF BIRTH IN CANADA
A birth certificate may be obtained from the Vital Statistics authorities of the child's province or territory of birth. To avoid possible delays, we strongly recommend that you provide a long-form birth certificate showing information on both parents. If the child was born in Quebec Only birth certificates issued on or after January 1, 1994, by the Directeur de l'état civil in the province of Quebec are accepted.

CERTIFICATE OF CANADIAN CITIZENSHIP
Large commemorative documents of citizenship issued after February 14, 1977, are not accepted. If the child requires a certificate of Canadian citizenship, contact: In Canada, the office of the Registrar of Canadian Citizenship: In the USA:
­ Toll-free ­ TTY (for persons who are deaf or hard of hearing) ­ Website 1-888-242-2100 1-888-576-8502 (from 7:00 a.m. to 5:00 p.m. ET) www.cic.gc.ca
PPTC 155A (09-04) M02 Page 3 of 4

­ The nearest Canadian government office. ­ Citizenship and Immigration Canada www.cic.gc.ca

5

Declaration of Guarantor

A guarantor is a person other than the applicant who confirms the applicant's identity and has knowledge of the child. Your guarantor: must be a Canadian citizen 18 years of age or older; must hold a five-year Canadian passport that is valid or has been expired for no more than one year on the day you submit your application; must have been 16 years of age or older when he or she applied for the passport identified in section 5 of this application form; must have known you (the applicant) personally for at least TWO (2) years*; * To know an applicant personally means that the guarantor is able to confirm aspects of the applicant's personal attributes such as name, approximate age, place of birth, physical description and some personal history such as occupation and place of residence. must provide the requested information contained in his or her passport; must be accessible to Passport Canada for verification; must reside in Canada, in the USA or in any of the areas where submission of this application form is authorized, e.g. Bermuda. It is not necessary that the guarantor reside in the same country as the applicant. A family member or person residing at the same address as you (the applicant) may be your guarantor, provided that he or she meets the specified requirements. If you are the parent or legal guardian applying for a passport for the child, you cannot sign as guarantor. However, if applicable, the other parent or legal guardian of the child may sign. Your guarantor must perform free of charge the following TWO (2) tasks: 1. Complete and sign the "Declaration of Guarantor" section. (Ensure you have completed and signed the form before submitting it to your guarantor.) 2. Write "I certify this to be a true likeness of (child's name)" on the back of ONE (1) of the child's photos, and sign. Passport Canada reserves the right to request an alternate guarantor. If you have not known an eligible guarantor for at least TWO (2) years, complete a "Statutory Declaration in Lieu of Guarantor" form PPTC 132, available from any Passport Canada service location in Canada or any Canadian government office in the USA. This form must be completed at your expense before a person authorized by law to administer an oath or solemn affirmation. This may delay the processing time of the passport.

Photo Specifications
Your passport application will be rejected if the photo of the child do not meet the following specifications:

SIZE AND PAPER
The photos must measure 50 mm x 70 mm in size (2 in. wide x 2 3/4 in. high). Heavy weight paper is unacceptable. Photos must be printed on plain, high quality photographic paper.

IMAGE INFORMATION
Only the head and shoulders of young children must appear on the photo (e.g. no hands holding the child). Photos must be taken with uniform lighting and not show shadows or flash reflection on the face and head. Photos with shadows on the face or background are unacceptable. Photos must show a full front view of the face with both edges of the face showing clearly. The face and shoulders must be centred in the photo and squared to the camera. Eyes must be open and clearly visible. Glasses, including tinted ones with prescription, may be worn as long as the eyes are clearly visible. Sunglasses are unacceptable. Facial expression must be neutral (not frowning or smiling) with the mouth closed. The image must be clear, sharp and in focus. Photos must be taken against a plain, uniform, white or light-coloured background. Photos must reflect/represent natural skin tones. The length from chin to crown of head (natural top of head) must be between 31 mm and 36 mm (1 1/4 in. and 1 7/16 in.). Hats or head coverings are not permitted except when worn for religious reasons and only if the full facial features are clearly visible. Black and white or colour photos are acceptable. Photos must be originals, not taken from any existing photo, and have been taken within the last 12 months or if applying for a one-time replacement passport, taken within the last month.

PHOTOGRAPHER AND GUARANTOR
Photos must be taken by a commercial photographer. The name of the photographer or studio, the address and the date the photo was taken (not the date the photo was printed) must be provided directly on the back of one photo (see illustration). The guarantor must clearly write on the back of ONE (1) photo: "I certify this to be a true likeness of (child's name)".

QUANTITY AND FORMAT
TWO (2) identical unaltered photos produced from the same film or from the same electronic file capturing the digital image.
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IMPORTANT INFORMATION CONCERNING CHILDREN TRAVELLING ABROAD
Travelling with Children or Children Travelling Alone
Immigration authorities in most countries are becoming increasingly vigilant when children are crossing international borders. Whether travelling alone or accompanied by an adult, each child travelling abroad must have a valid passport and may also require supporting documentation. Prior to any travel that includes a child, you should contact the embassy or consulate of all countries the child will be visiting to inquire about entry requirements.

Documentation to Facilitate Travel Abroad
The following documents may be required to support the entry of a child to another country: Birth certificate showing the names of both parents Documents pertaining to custody If the child is travelling with one parent, a letter signed and dated from the other parent authorizing travel (letter may have to be notarized) If the child is travelling with someone other than the parent, a letter signed and dated from both parents authorizing travel with that person (letter may have to be notarized) If the child is travelling alone, a letter signed and dated from both parents authorizing travel (letter may have to be notarized) If one of the parents is deceased, the death certificate

Documentation and Tips to Facilitate the Return to Canada
The following tips may help to avoid delays when a child is returning to Canada: Always carry proper identification for yourself and the child ­ passport, birth certificate, citizenship card, Record of Landing (IMM 1000), permanent resident card or Indian Status Card. If you have custody of the child, carry copies of documents specifying custody rights with you . If you are not the legal guardian of the child, carry a letter of permission or authorization for you to have custody when entering Canada. When a parent is travelling alone with a child, a letter from the other parent can also facilitate the return of both the parent and the child. The letter should also contain telephone numbers where the parent or legal guardian can be contacted. If you are travelling as part of a caravan, ensure you are in the same vehicle as the child you are accompanying when arriving at a border crossing. Have the child memorize your home and/or office telephone number and teach him or her to call you in an emergency.

Custody Information
1. Custody arrangements in Canada may not be recognized in another country. In extreme cases, the child may not be able to leave the country visited. It is recommended that, before leaving on a trip, you check with the embassy or consulate of the country or countries the child will be visiting to determine what documentation may be required relating to the custody of the child. For further information, contact: Foreign Affairs and International Trade Canada: In Canada 1-800-387-3124 Outside Canada 613-943-1055 2. If a custody dispute could possibly arise while travelling with the child, you should talk to a Canadian lawyer prior to your departure. We suggest you also read the publication, International Child Abductions: A Manual for Parents. For a free copy, call: You may also order a copy online or access an online version: Website www.international.gc.ca In Canada 1-800-267-8376 Outside Canada 613-944-4000

Protection of Information
Personal information provided on this application form is protected and used in accordance with the provisions of the Privacy Act (Personal Information Bank No. FAI PPU 030). This information is collected under the Canadian Passport Order to determine the current and ongoing entitlement of the child to a Canadian passport, to administer passport services and to provide information to the Consular Affairs Bureau of Foreign Affairs and International Trade Canada in the event that the child requires assistance while travelling abroad. The information provided, including the child's photo, is subject to routine verifications and security queries. To further strengthen Canadian passport security, the photo is stored on an alphanumeric template and incorporated into the passport as a digital image. Passport Canada may use the services of third parties to receive passport applications submitted in person and to process the return of incomplete passport applications. In the performance of these services, personal information will be protected and used in accordance with the provisions of the Privacy Act. Passport Canada may contact the applicant to solicit feedback about passport services.
PPTC 155 (09-04) M02

Validate and Print

Reset
INFORMATION PROTECTED

for Canadians under 16 years of age (in Canada or in the USA)
WARNING to all applicants and guarantors ­ Any false or misleading statement on this form or relating to any document in support of this application including concealment of any material fact, may lead to refusal or revocation of a passport and be grounds for criminal prosecution.

CHILD GENERAL PASSPORT APPLICATION

1.4

Failure to complete all the required sections of this form will result in your application being rejected.

1
Surname (last name)

Child's Personal Information

instruction Given name(s) (see instruction No. 1)

Date of Travel
instruction Surname (last name) at birth/former surname (former last name) (see instruction No. 1)
Month Day

Unknown Date of birth
Year Month Day
City Country Prov./Ter./State (if applicable)

Place of birth Eye colour Hair colour Height Weight

Sex Female Male Address of permanent residence
Number Street

Apartment

P.O. Box

City

Prov./Ter./State Postal/Zip code

Mailing address (If different from above)
Number Street Apartment P.O. Box City Prov./Ter./State Postal/Zip code

Children 11 years of age or over must sign in the signature block. Date
Year Month Day City Province/Territory/State

Signed at

2

Information on Applicant
No No Yes Yes If yes, include all documents (see instruction No. 2)

Is the child the subject of an adoption process? Are there any separation agreements, court orders or legal proceedings pertaining to custody or mobility of, or access to the child?

Applicant (parent or legal guardian)
Surname (last name) at birth

Other parent or legal guardian
Surname (last name) at birth

Given name(s)

Given name(s)

Date of birth
Year Month Day

Country

Date of birth
Year Month Day

Country

Relationship with other parent

Date of marriage (if applicable)
Year Month Day

Relationship with parent applying

Date of marriage (if applicable)
Year Month Day

Address (Number, Street, Apartment, City, Province/Territory/State, Postal/Zip code)

Address (Number, Street, Apartment, City, Province/Territory/State, Postal/Zip code)

Daytime phone

Evening phone

Cell. number (optional)

Daytime phone

Evening phone

Cell. number (optional)

DECLARATION ­ I solemnly declare that the child named above is a Canadian citizen, that I am the parent or legal guardian of the child named above and that the statements made in this application are true. I declare that I have read and understood the WARNING to all applicants and guarantors above.

DECLARATION ­ I solemnly declare that the child named above is a Canadian citizen, that I am the parent or legal guardian of the child named above and that the statements made in this application are true. I declare that I have read and understood the WARNING to all applicants and guarantors above.

Signature of applicant (also sign section 4) Aussi disponible en français

Date

Signature of other parent or legal guardian Signed at PPTC 155 (09-04) M02

Date

Signed at Page 1 of 2

Validate and Print

3

Previous Canadian Passport

Enclose any valid Canadian passport or travel document issued to the child. If the passport has been lost, stolen, damaged, destroyed or is inaccessible, you must include with this application form a completed "Statutory Declaration" form PPTC 203, available from any Passport Canada service location in Canada, any Canadian government office in the USA or at www.passportcanada.gc.ca.

4
Birth certificate in Canada Certificate of Canadian citizenship

Proof of Canadian Citizenship
Registration number Certificate number Date of issue Date of issue

A To be completed if the child was born in Canada. Provide ONE (1) of the two documents listed below (no copies):

B To be completed if the child was born outside of Canada. Provide the following document (no copies): Certificate of Canadian citizenship
Certificate number Date of issue

Declaration of Applicant
Surname (last name) of applicant
(see General Information and Instructions, page 1 "Who May Apply for a Passport on Behalf of a Child?")

Given name(s) of applicant

Relationship to child

Surname (last name) of child

Given name(s) of child

DECLARATION ­ I solemnly declare that the child named herein is a Canadian citizen, that the photos enclosed are a true likeness of the child and that the statements made in this application are true. I declare that I have read and understood the WARNING to all applicants and guarantors on page 1.

Date
Year Month Day

Signed at
City Province/Territory/State

5

Declaration of Guarantor (to be completed by the guarantor only if the applicant has completed and signed this application form)
Given name(s) Canadian passport number
Month Day

Surname (last name) Date of birth
Year

Date of issue
Year Month Day

Date of expiry
Year Month Day

Surname (last name) in passport, if different Address of permanent residence
Number Street Apartment City

Daytime telephone number ( )

Evening telephone number ( )

Province/Territory/State

Postal/Zip code

DECLARATION ­ I solemnly declare that I have known the applicant identified above personally for at least TWO (2) years. I have certified on the back of ONE (1) photo that the image is a true likeness of the child. I declare that I have read and understood the WARNING to all applicants and guarantors on page 1.

I have known the applicant for

Number of years

Signature of guarantor

Name of applicant

Name of child

Date
Year Month Day

Signed at
City Province/Territory/State

6
Name appearing on card Card number

Credit Card Information
FOR OFFICIAL USE ONLY Authorization number Date of expiry
Month Year

COMPLETE ONLY if you are not appearing in person and you wish to pay by credit card.

AUTHORIZATION ­ I authorize Signature of cardholder Passport Canada to charge C$ to my credit card.

Date

Year

Month

Day

PPTC 155 (09-04) M02

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