B
PROTECTED WHEN COMPLETED -
PAGE 1 OF 1
FEES FOR IMMIGRATION SERVICES
APPROVAL OF REHABILITATION
USE THIS FORM FOR APPLICATIONS SENT TO AN OFFICE IN CANADA ONLY
STEPS TO FOLLOW
1. Fees for Immigration services must be paid when you apply for approval of rehabilitation.
2. The fee for approval of rehabilitation is either $200.00 or $1,000.00 (Canadian) depending on whether, due to the severity of the
criminal act or conviction, authority from the Minister is required.
3. Please submit $200.00. If your case requires authority from the Minister, you will receive a request for an additional $800.00. This
payment will be required before your case can be submitted to the Minister.
4. Method of payment may be by certified cheque or postal order made payable to THE RECEIVER GENERAL FOR CANADA or by
Visa or MasterCard. If you wish to pay by MasterCard or Visa, please complete the credit card authorization. Other forms of payment
will not be accepted.
DO NOT SEND CASH IN THE MAIL!
5. Mail your payment of $200.00, or authorization form, if you are paying by credit card, with your application for approval of rehabilitation.
TO BE COMPLETED IF YOU ARE PAYING BY CREDIT CARD
VISA
MASTERCARD
AMERICAN EXPRESS
(please indicate the type of credit card with a
I agree to pay the Receiver General for Canada
on my credit card for the Immigration services I have requested.
Credit card number
Name of cardholder (please print)
(YYYY-MM-DD)
►
Expiry date of the card
Signature of cardholder
Authorization number
►
FOR OFFICIAL USE ONLY
IMM 5310 (05-2015) E
(DISPONIBLE EN FRANÇAIS - IMM 5310 F)