Overview
#IMM 5564 is the Application for the Interim Federal Health Program (IFHP) Coverage. This form is used to apply for health coverage under the IFHP. Make sure to use the current version of the form from the official source and follow the specific checklist for your situation.
IRCC reviews IMM 5564 alongside the relevant program checklist and supporting documents. Officers typically look for internal consistency (names, dates, identifiers, and timelines) and whether the form’s details match the evidence in the rest of the package.
Context & workflow
#This form collects personal details, information for document replacement, and your status in Canada. It also requires a declaration from the applicant.
Why this matters
- This form is crucial for accessing health coverage under the IFHP.
- Accurate information helps avoid delays in processing your application.
Who uses it
Applicants required to complete this form for their application package.
When it is used
- When the checklist for your program/package lists this form.
Failure prevention (how to avoid rework and returns)
#Key cross-checks to do before you submit
- Family name (Surname)
- Given name(s)
- Date of birth (YYYY-MM-DD)
- Current address in Canada
- Your IFHP eligibility document was: (check one box)
Common issues that cause rework or refusal
- Missing Family name (Surname) or Given name(s).
- Incomplete SECTION B if applicable.
- No signature in SECTION E.
Common pitfalls
- Missing or incorrect Family name (Surname) or Given name(s).
- Incorrect Date of birth (YYYY-MM-DD).
- Not checking the correct box in SECTION B.
- Failing to provide the date of loss in SECTION B.
Requirements snapshot
#- Complete SECTION A with personal details.
- Provide accurate information in SECTION B if applicable.
- Indicate your status in Canada in SECTION C.
- Fill out SECTION D with any other relevant information.
- Sign and date SECTION E.
Form sections
#SECTION A - PERSONAL DETAILS
Complete this section using the supporting documents in your package.
SECTION B - INFORMATION FOR DOCUMENT REPLACEMENT
Complete this section only if you are requesting to confirm your IFHP coverage because your IFHP eligibility document was lost, stolen or destroyed.
SECTION C - YOUR STATUS IN CANADA
Provide details about your status in Canada.
SECTION D - OTHER INFORMATION
Include any additional information relevant to your application.
SECTION E - DECLARATION OF APPLICANT
Review the declarations and sign where required.
What it asks for
#- Family name (Surname)
- Given name(s)
- Date of birth (YYYY-MM-DD)
- Gender
- Current address in Canada
- Home telephone (area code and no.)
- E-mail address
- Your IFHP eligibility document was: (check one box)
What you need before you start
#- The current form downloaded from the official IRCC form page.
- Family name (Surname) and Given name(s).
- Date of birth (YYYY-MM-DD).
- Current address in Canada including Number, street and apartment.
- Contact information including Home telephone and E-mail address.
- Details about your IFHP eligibility document.
Checklist
#- Download the current IMM 5564 from the official IRCC form page.
- Save the PDF locally and open it in Adobe Acrobat Reader.
- Complete the form by copying details from your source documents.
- Cross-check repeated details across your package for consistency.
- Complete SECTION B if requesting document replacement.
- Review the declarations in SECTION E before signing.
FAQs
Where do I download IMM 5564?
Use the official IRCC form page and confirm you are using the current version.
Is IMM 5564 required for everyone?
Only if your program checklist or the program authorities instructions require it for your case.
What should I do if my IFHP document was lost?
Complete SECTION B to request confirmation of coverage.
Do I need to sign the form?
Yes, review the declarations in SECTION E and sign where required.
Do I need to sign by hand?
Follow the form instructions. Some IRCC PDF forms require a printed, handwritten signature.
Can I submit an old version?
No. IRCC can return outdated forms. Always use the latest version.
Do I need translations?
Yes, if any supporting documents are not in English or French.
What happens after IMM 5564?
It becomes part of your application package and is reviewed with the rest of your evidence.
VisaMind provides informational guidance only and is not a government agency. This is not legal advice. Requirements can change and eligibility depends on your specific facts. If your case is complex or high-stakes, consult a licensed immigration attorney.
Requirements vary by nationality, purpose, timeline, and case details. VisaMind turns uncertainty into a sequenced checklist with official source citations.
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