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1. Personal Information: Captures full legal name, date of birth, Social Insurance Number (SIN), and contact details
2. Current Address Details: Information about primary residence, including full address, type of residence (owned/rented), and duration of occupancy
3. Previous Address History: List of previous addresses for the past 3 years, including periods of residence
4. Canadian Ties Declaration: Details of primary residential ties (home, spouse/partner, dependents) and secondary ties (personal property, social/economic ties) to Canada
5. Absence Information: Declaration of any periods of absence from Canada during the relevant period
6. Tax Residency Status: Declaration of tax residency status in Canada and any other jurisdictions
7. Certification: Legal declaration of truth and accuracy of provided information, with signature and date
1. Immigration Status: Required when the form is being used for immigration purposes, including details of current immigration status and relevant documentation
2. Provincial Healthcare Eligibility: Added when the form is being used for provincial health insurance purposes, including specific provincial residency requirements
3. Employment Information: Required when the form is being used for tax or employment-related purposes, including employer details and work arrangements
4. Student Status Declaration: Added for international students or those claiming student status, including educational institution details and program information
5. Spouse/Common-law Partner Information: Required when residency status is affected by or linked to a spouse or common-law partner's status
1. Schedule A - Supporting Documentation Checklist: List of required supporting documents such as utility bills, bank statements, or government ID
2. Schedule B - Proof of Residency Documents: Copies of documents proving residency status (e.g., lease agreement, property tax bills, utility bills)
3. Appendix 1 - Provincial Residency Requirements: Detailed information about specific provincial residency requirements and criteria
4. Appendix 2 - Tax Residency Criteria: Reference information about Canadian tax residency criteria and determination factors
Non-resident
Permanent Resident
Temporary Resident
Primary Residential Ties
Secondary Residential Ties
Tax Year
Ordinary Residence
Permanent Home
Common-law Partner
Dependent
Significant Residential Ties
Physical Presence
Principal Residence
Sojourner
Deemed Resident
Factual Resident
Social Insurance Number
Tax Residency
Provincial Resident
Habitual Residence
Permanent Establishment
Ordinarily Present
Canadian Citizen
Extended Absence
Declaration of Truth
Privacy and Data Protection
Residential Status
Document Verification
Information Accuracy
Tax Residency
Supporting Documentation
Consent to Verification
Change Notification
Provincial Compliance
Immigration Status
Financial Ties
Penalties and Consequences
Authority Disclosure
Duration of Residency
Physical Presence
Family Ties
Economic Ties
Healthcare Eligibility
Government and Public Administration
Healthcare
Education
Financial Services
Immigration Services
Legal Services
Tax Services
Human Resources
Real Estate
Insurance
Human Resources
Legal
Compliance
International Student Services
Immigration Services
Tax Services
Benefits Administration
Finance
Risk Management
Global Mobility
Human Resources Manager
Immigration Consultant
Tax Advisor
Compliance Officer
Legal Counsel
Benefits Administrator
International Student Advisor
Residency Program Coordinator
HR Operations Manager
Immigration Lawyer
Financial Administrator
Employment Verification Specialist
Provincial Healthcare Administrator
University Registrar
Corporate Mobility Specialist
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