___________________________________

IMMIGRATION Table of Contents

Canada
Document checklist – Work Permit

Additional required documents:

depending on Work Permit category

Supplementary information form for

___________________________________ employer

Work Permit

Manila Visa Office

Instructions

This application is made available free by

Immigration, Refugees and Citizenship
Canada and is not to be sold to
applicants.

Cette trousse est également

disponible en français

IMM 5917 E (08-2022)

Document Checklist – Checklist

 Complete and place this checklist on top of your application.

 Any document not in English or French must be accompanied by a certified translation.
 Failure to submit all required documentation may result in the refusal of your application
or processing delays.
 False statements or submission of fraudulent documents will result in immediate refusal
and potential legal action.
 Any preparations you make or expenses you incur are done entirely at your own risk.
 Do not finalize travel plans unless you have received an approval of your application from
Immigration, Refugees and Citizenship Canada.

Type of Work Permit: Select category

With Labour Market Impact Assessment Labour Market Impact Assessment

(LMIA) (LMIA) Exempt

Lower skilled occupation Provincial Nominee or Selected by a

Province

Higher skilled occupation Intra-company Transferee

In-home caregiver International Agreements

Open Work Permit – Spouse of eligible

Temporary Workers or Students in
Canada

Other LMIA exemption. Please specify

the exemption basis

IMM 5917 E 1
All applicants must submit the following items:

Family Information Form (IMM 5707) fully completed, dated and signed.

Original passports and a copy of the passport bio-data page.

 Passport should have a minimum of two blank visa pages and minimum 6 months
validity. Your passport should be valid for the duration of your contract. Work permit
cannot be issued beyond the validity of your passport.
 Include all previous passports, if applicable.
 If you do not require a temporary resident visa (TRV), submit a photocopy of the bio-
data page. Original passport is not required.
 If you do not reside in your country of citizenship, provide evidence of your status in
your country of residence.

 Labour Market Impact Assessment (LMIA) provided by Employment and Social

Development Canada (ESDC). Important: The LMIA must be valid on the date the
application is received at the embassy.
OR

 Offer of Employment to a Foreign National Exempt from a Labour Market

Impact Assessment (LMIA) (offer of employment ID number or IMM 5802) with
proof of payment by the employer (receipt number). Your employer should provide it
to you; AND
 Evidence of exemption from the requirement to obtain a Labour Market Impact
Assessment (LMIA).

NOTE: The above is not required if you are applying for an Open work permit.

Police Certificates:

 Required for applicants 18 years old or over.

 Required for all countries where you have resided for six (6) consecutive months or
longer, in the past 10 years, since the age of 18.

Philippines: NBI certificate (Original Copy) issued within the last 3 months and marked with
dry seal and your thumbprint (Personal Copy not acceptable).

If any of the following remarks appear on the NBI certificate – NO CRIMINAL RECORD, NO
PENDING CASE or RECORD AS STATED, please submit:

 A written explanation from the NBI regarding this remark;

 All court documents for the criminal charges. Provide complete copies of the decision
or the resolution of the case. (Note: certifications from the clerks of court are not
acceptable); and
 Your own explanation of the incident leading to the charges.

IMM 5917 E 2
Republic of Korea: Criminal and Investigation History record (including lapsed or latent
records) is required. Original and notarized translation, if applicable, is required.

Details of each conviction or record on your Korean police certificate and court records:

 Your written statement detailing the events of each entry on your Police record.
 A copy of the Prosecutor’s Report for each charge appearing on your police record.
This report should include the relevant statutes under which an offense was noted,
the criminal facts of the case and the disposition of the case.

Please submit the original language documents and a notarized translation in English or
French.

IMPORTANT NOTE: If submitting an online application, scan and upload your Police
Certificate.

If you have answered “yes” to any of the background information questions on the
application form, provide a completed and signed Schedule 1 form (Application for
Temporary Resident Visa – IMM 5257B) and include it with your application.

Additional Required Documents depending on Work Permit category:

With Labour Market Impact Assessment (LMIA)

Labour Market Impact Assessment (LMIA) provided by Employment and Social

Development Canada (ESDC). Important: The LMIA must be valid on the date the
application is received at the embassy.

Copy of the job offer letter from your prospective employer.

Evidence that you meet the requirements of the job offer and your work
experience and employment history:

 Letters from current and past employers specifying your position, duties, earnings.
 Payslips, evidence of contributions to social insurance regimes (e.g. SSS); proof of
payroll deposits.
 Proof of education: Copies of relevant education certificates, school transcripts,
diplomas, degrees.
 Proof of professional qualifications.
 Proof of English or French language proficiency, if applicable, e.g. IELTS.

Provincial Nominee or Selected by a province

Copy of the nomination letter issued by the province or territory that nominated you.

 If it has expired, you must also provide a copy of the acknowledgement letter
confirming that IRCC received your application for permanent residence before the
nomination expired.

Letter issued by the province or territory stating that you are urgently required by the
employer who has provided the job offer.

IMM 5917 E 3
 Intra-Company Transferee

Letter from your employer and documentary evidence of the following:

 Periods of employment, including the dates and responsibilities for each position
you have occupied;
 Confirmation that you are working in an executive or managerial capacity or a
position involving specialized knowledge;
 Explanation of how you meet the requirements of an Intra-Company transferee,
including evidence of the relationship with the Canadian entity.

Letter from the Canadian employer and documentary evidence of the following:

 Confirmation of the relationship with the foreign entity, including explanation of how
this meet the requirements of Intra-Company transferee;
 Details of the position in Canada including the title, the job description and your
position in the company structure.

For specialized knowledge positions, please submit: documentation evidencing your

specialized knowledge; confirmation that the position in Canada requires this specialized
knowledge.

International Agreements

Provide the specific category of the international agreement under which you are applying:

Agreement: _________________________ Category: ________________________

Documentary evidence of meeting the category and criteria of the international agreement.

Open Work Permit- spouse of highly-skilled foreign worker or

international student

Fee of $100 CAD for open work permit applicants.

Proof of relationship to family member in Canada (eligible worker or student), eg. Marriage
certificate, family register, documentary evidence of common law relationship (if
applicable).

Proof of income of your family member’s employment and income, e.g., Notice of
Assessment, T4 slip, letter of employment, payslips, proof of payroll deposits.

Copy of your family member’s valid work or study permit, as applicable.

IMM 5917 E 4
 Other LMIA exemption

Specify the LMIA exemption basis: ________________________________________

Provide evidence to explain why the job offer is exempt from the LMIA.

In-home caregivers

Labour Market Impact Assessment

Important: The LMIA must be valid on the date the application is received at the embassy.

Signed employment contract

Evidence that you meet the requirements of the job offer.

Evidence of your work experience and employment history:
 Letters from current and past employers specifying your position, duties and
earnings;
 Payslips, evidence of contributions to social insurance regimes (e.g. SSS), proof of
payroll deposits;
 Proof of education: copies of relevant education certificates, school transcripts,
diplomas, degrees;
 Proof of professional qualifications
Proof of English or French language proficiency, if applicable (e.g. IELTS).

Fully completed Supplementary Information Form for Employer (form provided below)

Documents from your employer in Canada:

 Notices of Assessment for the last 3 years for your employer and spouse, including
the most recent tax year
 Recent letters of employment for your employer and spouse indicating salary and
hours of work
 Letter from your employer clearly explaining the need for care, the person to be
cared for, how care needs are currently met, supported by documentary evidence.

** NOTE: If your employer wishes to provide these documents directly to our office, they
may email them to MANILIMMIGRATION@international.gc.ca. The documents must be sent
to us within one week of submitting your work permit application and should not be sent
before you submit your application. Please send all documents in ONE EMAIL with the
following subject line: “In-home caregiver employer documents – (your name)”. The email
must include your name (the applicant), date of birth and passport number. Otherwise, we
will not be able to match the information to your work permit application.

IMM 5917 E 5
SUPPLEMENTARY INFORMATION FORM FOR EMPLOYER Name of Applicant:
(PLEASE USE ADDITIONAL SHEETS, IF NECESSARY)
__________________________________

Employer Information:

1. Are you related to your prospective caregiver?

Yes Indicate relationship: ___________________________ No

2. What is the purpose of hiring a caregiver?

Child care Elderly care* Age of client _____ Date of birth __/__/____ Disabled* Other
DD/MM/YYYY

*Elderly care or disabled: Please provide medical certificates for the intended client.

3. Did you use an agency or third party for this application? Yes (complete table below) No

Name of Agency Address Contact Number

4. Have you sponsored any of your family members for immigration in the past?

Yes (complete table below) No

Name and current address Relation to you Date of Birth Date landed
DD/MM/YYYY DD/MM/YYYY
1

5. Have you hired a caregiver in the past? Yes (complete table below) No
Name Relation to you Date of birth Start of End of Reason for termination of
DD/MM/YYYY employment employment service
DD/MM/YYYY DD/MM/YYYY
1

Please note that a decision on your prospective employee’s application will be made based on the information submitted and the
application may be refused if an officer is not satisfied that the prospective applicant meets the requirements of the Immigration
and Refugee Protection Regulations.

I declare that I have answered all questions truthfully.

______________________________________________________________ ______________________________________
Printed Name and Signature of Employer Date