Citizenship and

Immigration Canada
Citoyennet et
Immigration Canada
PAGE 1 OF 1
IMM 5620 (03-2013) E
PROTECTED WHEN COMPLETED - B
(DISPONIBLE EN FRANAIS - IMM 5620 F)
FEE PAYMENT FORM - APPLICATION FOR PERMANENT RESIDENCE
This form must accompany your application for Permanent Residence under certain programs. Refer to the instruction guide to know if you can use this fee
payment form.

Please refer to step 3 of your instruction guide for acceptable methods of payment. Applications submitted with incorrect payments will be returned.
STEPS TO FOLLOW:
1. Calculate the applicable fee by referring to the fee table below.
Processing Fee
Number of
persons
Amount per person
Amount due
$ CAD
Principal applicant 1
x $ 550
for the following programs:
Provincial Nominee Program, Canadian Experience Class,
Quebec Skilled Workers, Federal Skilled Workers, and
Federal Skilled Trades Class
Principal applicant 1
Each family member aged 22 or older x $ 550
Each family member under the age of 22
who is married or in a common-law
relationship
x $ 550
Each family member under the age of 22
who is unmarried and not in a common-
law relationship
x $ 150
Total payment
OR OR
x $ 1050
for the following Business Class applicants (Federal and Quebec):
Self-Employed, Investors, Entrepreneurs and Start Up Business
FOR OFFICIAL
USE ONLY
2. Pay by certified cheque, bank draft or money order payable to THE RECEIVER GENERAL FOR CANADA or by Visa, Mastercard or American Express.

3. Include the payment form and the documents specified in the Document Checklist with your application, specific to the class you are applying under.

4. Check the appropriate box to indicate your method of payment:
Credit card (complete section A and B below) Certified cheque, bank draft or money order (enclosed and complete section A below)
METHOD OF PAYMENT OPTIONS
A combination of more than one method of payment is acceptable. However, payment by each method MUST be equal to a single or a multiple amount per
person that you have indicated in Step 1 above.
For example: An amount of $550 paid by credit card for the principal applicant, and 2 x $150 paid by a certified cheque for 2 dependents for a total of $850 is
acceptable. However, $500 paid by credit card and $350 by certified cheque will not be accepted.
SECTION A
SECTION B - CREDIT CARD PAYMENT AUTHORIZATION

I agree to pay the Receiver General for Canada

on my credit card for fees related to an application

for permanent residence.

Note: The amount authorized must be equal to a single fee or a multiple of a single
fee. Authorizations for other amounts are incorrect.
CAD$
(Please indicate the type of credit card with an "X")


Credit card number



Expiry date of the card

Card security/card verification value code (CVV)
A three (3) or four (4) digit number usually found on the
back or front of the credit card.

Note: The credit card must be valid for at least nine (9) months from the date of
submission of your application. Otherwise your application will be returned.
VISA MASTERCARD AMERICAN EXPRESS
Year Month
Signature of cardholder
Date (YYYY-MM-DD)
Name of principal applicant (given name(s), surname) Name of payer (if different from the principal applicant)
Address of payer (if different from the principal applicant)
Name of cardholder (please print)
Authorization number