Statutory Declaration of Common-Law Union (IMM 5409)

Read the step by step instructions on how to complete the form.

Statutory Declaration of Common-Law Union (IMM 5409)

Who must complete this form?

This form must be completed and signed with handwritten signatures.

Submitting an application to sponsor a family member

• If the sponsor's common-law partner is a co-signer on the application to sponsor
  • the sponsor and their common-law partner must complete this form.
  • the person being sponsored and their common-law partner must complete this form.
  Question 1

  Write the following information in the space provided:

  • Country of current residence
  • Province/state/territory of current residence
  • Name of the declarant (as shown on passport/travel document)
  • Name of the declarant’s partner (as shown on passport/travel document)
  • Name of city, town, village
  • Name of county (if applicable)
  • Name of province/state/territory
  • Name of the country
  • Number of continuous year(s) in a conjugal relationship
  • Date of the relationship (from-to)

  Check the box to indicate if you have jointly signed a residential lease, mortgage or purchase agreement relating to a residence in which you both live.

  Check the box to indicate if you jointly own property other than your residence.

  Check the box to indicate if you have a joint bank, trust credit union or charge card accounts.

  Check the box to indicate if you have declared your common-law union under the Canadian Income Tax Act (T-1 “General individual income Tax Return”).

  Check the box to indicate if you have life insurance on yourself which names your common-law partner as a beneficiary.

  Check the box to indicate if your common-law partner has life insurance on themselves which names you as a beneficiary.

  If you answered “ no ” to questions 1 to 3, indicate other documentary evidence you have that would indicate your relationship as common-law partners.

  solemn declaration
  Write the following information in the space provided:

  • Name of the declarant (as shown on passport/travel document)
  • Name of the declarant’s partner (as shown on passport/travel document)
  • Name of the city, town, village
  • Name of the county
  • Name of the province/state/territory
  • Name of the country
  • Date (day, month, year)
  • Signature of the declarant
  • Signature of the declarant’s partner
  • Name of the person who administered the declaration
  • Select the person’s title from the choices provided
  • Signature of the person who administered the declaration

  Note: Once you have filled out the form, click on the “Validate” button located at the top of the form. Missing information will be identified by a pop up when you press the “Validate” button. You should fill out your forms on a computer and validate them electronically to reduce mistakes and help you submit forms that are complete.

  Note: The form will not produce a barcode when it is validated.

  For more information about the “Validate” button, visit the Help Centre.