Sponsorship Agreement Holder (SAH) Change of Contact Form (IMM 0193)
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Sponsorship Agreement Holder (SAH) Change of Contact Form [IMM 0193] (PDF, 1.89 MB)
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Sponsorship Agreement Holder (SAH) Change of Contact Form (IMM 0193)
Section 1 – Organization Information
If you are making changes to the SAH’s contact information, select “Yes”
- Type the name of the SAH
- Enter all current contact information for the SAH organization (including the new information)
If you are not making changes to the SAH’s contact information, select “No”
Section 2 – Changes to Representatives being Requested
- Select the type of change from the drop-down (add or remove)
- Select the representative you are changing from the drop-down (Agreement Signatory, Main Contact, Signing Authority)
- Type the name, position title, email address and phone number of the representative you are changing
- If a new representative is being added, check off the box to indicate that each document
has been included
with
the request:
- Proof of Canadian Citizenship, Registered Indian Status or Permanent Residence status
- Criminal Record Check (non-vulnerable sector) issued within last 6 months
- A police information check or vulnerable sector check will also be accepted but are not required
- Completed and signed Sponsor Assessment Form (IMM 5492)(opens in a new tab)
- “SAH Representative” Training Certificate issued by the Refugee Sponsorship Training Program (not required for new Agreement Signatory)
- If another representative needs to be added or removed, click the button to make another change.
Section 3 – Declaration and Signature
The form must be signed by the authorized Main Contact or Agreement Signatory.
See options for signing the sponsorship forms.
If you are adding a new representative you must include a copy of all documents listed in the form along with your request.
Submitting the form
This form must be submitted to the PSR mailbox at IRCC.RASOPSR-PPPROSRA.IRCC@cic.gc.ca from the primary SAH email address and will be used to update the central information on your file. Do not submit this form to ROC-O.