• Notification of client contact information

    For the Immigration and Refugee Board of Canada (IRB)
  • Providing your contact information:

    You must provide your contact information in writing to the IRB division handling your case no later than the time limit set out in the rules of that division. If you have proceedings before more than one IRB division, you do not need to complete a separate form for each division; at the top of this form, simply indicate any IRB division before which you have a proceeding, and provide your IRB file number for each division.

    Changing your contact information:

    If any of your contact information changes, you must complete a new form without delay and provide it to the IRB office handling your case. You must also inform Immigration, Refugees and Citizenship Canada and/or the Canada Border Services Agency, depending on which organization(s) you have matters with, of any changes to your contact information.

    Changing the location of your proceeding:

    If you have moved and you wish to submit an application to change the location of the proceeding, you must complete an Application to Change the Location of a Proceeding form or follow rule 53 of the Refugee Protection Division Rules, rule 42 of the Immigration Division Rules, rule 88 of the Immigration Appeal Division Rules or rule 66 of the Refugee Appeal Division Rules. Please note that an application to change the location of a proceeding will be allowed only in certain circumstances. If you have not received a response from the IRB, you must appear for the proceeding at the location set and be prepared to start or continue the proceeding.

    Privacy notice:

    The confidentiality of the information you provide in this form is protected by the Privacy Act. Your personal information may be disclosed only in circumstances where such disclosure is permitted under the terms of the Privacy Act and the Access to Information Act.

     

  • Personal Information

  • Date of birth*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Effective date of the contact information (YYYY-MM-DD)*
     - -
  • IRB Division(s)*
  • Date you came into Canada*
     - -
  • What languages do you speak?*
  • Consent to disclose personal information

  • By checking the box below, I acknowledge and consent to the following:

    • I voluntarily provide my personal information, including name, contact details, and other relevant data, to The Refugee Centre for the purpose of facilitating the provision of services and any related activities.
    • My non-identifying personal information will be used internally by The Refugee Centre and may be shared with third-party organizations only with my explicit consent, which will be requested via a separate consent form.
    • My personal information will be retained for the duration necessary to fulfill these purposes and in accordance with Quebec’s privacy laws, including the Act Respecting the Protection of Personal Information in the Private Sector (Loi sur la protection des renseignements personnels dans le secteur privé). I understand that I have the right to access, update, or correct my personal information at any time.
    • My personal information will be securely stored and handled in accordance with industry standards.
    • I may withdraw my consent at any time by notifying The Refugee Centre, though I understand that doing so may affect my ability to participate in the program or receive services.
    • For any questions or concerns regarding my personal information or to exercise my privacy rights, I can contact the Centre’s Privacy Officer at privacy.confidentialite@therefugeecentre.org  
  • Warning!

  • Your application is not complete! In the next few minutes, you will receive an email with the completed PDF that you must then email to the IRB with the link provided.

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