Get Imm5564

This guide will walk you through the process of completing the Imm5564 form online for Interim Federal Health Program coverage. Follow the detailed steps to ensure that your application is accurate and complete.

Follow the steps to successfully fill out the Imm5564 online.

1. Click ‘Get Form’ button to obtain the form and open it in an accessible online format.
2. Begin with Section A - Personal Details by entering your family name (surname), given name(s), Client ID number, sex, and date of birth. Ensure this information is accurate and matches any identification documents you have.
3. If applicable, proceed to Section B - Information for Document Replacement. Select the type of IFHP eligibility document you are requesting confirmation for and indicate whether it was lost, stolen, or destroyed. Complete the date of issue field if known.
4. Move on to Section C - Your Status in Canada. Indicate your status, whether you are a refugee resettled from outside Canada or a refugee claimant in Canada. If you receive governmental resettlement assistance, document that as well.
5. Continue in Section C by checking off any decisions related to appeals and judicial reviews, ensuring to capture the precise dates of these actions.
6. Complete Section D - Other Information. Answer eligibility questions about provincial/territorial health care insurance, private insurance, and assistance status as a resettled refugee.
7. Finally, in Section E - Declaration of Applicant, read the declaration thoroughly, ensure all information is complete and truthful, and attach any required photographs and supporting documents. Sign and date the application before submission.
8. After filling out all required fields, review your application for accuracy. Save any changes, and choose to download, print, or share your completed form as necessary.

Complete your Imm5564 application online today to ensure you have the coverage you need.