Social Insurance Number – Form (provincial or territorial employee)

e-Services.ca » SIN » Form » Social Insurance Number – Form (provincial or territorial employee)

Step 1 of 7

Information about the representative (the Provincial or Territorial Employee) submitting the application

Preferred language of correspondence(Required)

Current status in Canada(Required)

The form could not be submitted for the following reasons: You must have status in Canada in order to act as a representative.

Enter your current legal name (given name and family name)(Required)

Enter your telephone number(Required)

Email(Required)

Enter Email Confirm Email

Applicant's Information

Daytime Phone Number(Required)

Applicant's Mailing Address

Should correspondence be addressed to someone other than yourself, enter their name here:

Apartment, suite or unit No.

Street Number:

Street name, R.R. or Box number:(Required)

Country(Required)

Province, Territory or State(Required)

City, Town or Village(Required)

Postal or Zip Code:(Required)

Applicant's Name Information

What is the applicant's first given name, as it appears on their primary identity document?(Required)

If the given name has been changed legally, enter it exactly as it appears on the supporting document

If the applicant has other given names, enter them below:

What is the applicant's family name, as it appears on their primary identity document?(Required)

If their family name has been changed legally, enter it exactly as it appears on their supporting document

What was the applicant’s family name at birth?(Required)

If the applicant ever used any other family name(s), enter them below:

Applicant's Birth Information

Country(Required)

Province, Territory or State(Required)

City, Town or Village(Required)

Date of Birth(Required)

Gender

Is the applicant part of a multiple birth (twin, triplet, etc.)?(Required)

Has the applicant ever had a SIN?(Required)

Applicant's current status in Canada:(Required)

Select the type of application you wish to submit:(Required)

Enter your SIN (if known):

Select the type of application you wish to submit:(Required)

Type of application to submit:(Required)

Is the applicant eligible to receive pension or benefits from Canada Pension Plan, Old Age Security or Régime des rentes du Québec?

In order for your request to be processed, you must be a Canadian citizen, a registered Indian, a permanent resident or a temporary resident. As you have no legal status, you are not eligible to submit an application.

Upload Pension or Benefits Documents

Applicant's foreign birth certificate document(Required)

Max. file size: 5 MB.

Applicant's pension or benefit eligibility or CRA document(Required)

Max. file size: 5 MB.

Upload the following required documents

Applicant birth certificate(Required)

Max. file size: 5 MB.

Applicant’s Certificate of Indian Status(Required)

Max. file size: 5 MB.

Applicant's Primary Identity Documentation

A primary identity document is an official document that proves someone's identity and status in Canada. Based on the status selected prior you must provide one of the following documents.

Select which of the following documents you wish to provide:(Required)

Primary Identity Document expiry date(Required)

Primary Identity Document(Required)

Max. file size: 5 MB.

Applicant's Indian Status Documentation

Is the applicant an individual who is registered as a status Indian under the Indian Act?(Required)

Do you wish to register the applicant’s Indian status on their SIN record?(Required)

Upload your Certificate of Indian Status(Required)

Max. file size: 5 MB.

Applicant's Supporting Documentation

A supporting document is a legal document supporting the name currently used. To determine if you need to submit a supporting document, answer the following questions:

Do all documents provided for the applicant contain the first given name? (or N/A if the applicant doesn’t have a first given name)(Required)

Do all documents provided for the applicant contain the family name?(Required)

Supporting Document(Required)

Max. file size: 5 MB.

Parent 1 Information

What is (are) the applicant's parent's given name(s)?(Required)

What was (were) the applicant's parent's family name(s) at birth?(Required)

The applicant only has 1 parent registered on their birth record

Parent 2 Information

What is (are) the applicant's parent's given name(s)?(Required)

What was (were) the applicant's parent's family name(s) at birth?(Required)

Certification

Privacy Statement

The personal information you provide is administered, collected, used, and disclosed in accordance with the Department of Employment and Social Development Act (DESDA), Service Canada, the Privacy Act, and other applicable laws for assigning a Social Insurance Number (SIN). This information includes: your SIN, your name, your date of birth, your place of birth, and your parents' names. Participation is voluntary; however, refusal to provide your personal information will result in you or your child not receiving a SIN. The information you provide may be shared with federal departments and agencies that are authorized users of the SIN and in accordance with the Treasury Board Secretariat Directive on the Social Insurance Number for the administration of benefits and services; and/or with federal, provincial or territorial departments for the administration and enforcement of the legislation for which they are responsible. The information may also be used and/or disclosed for policy analysis, research and/or evaluation purposes. However, this additional use and/or disclosure will never result in an administrative decision being made about you. If you opt to receive email notifications, your email address will be used to send you notifications regarding the receipt and processing status of the SIN application. If you apply for a SIN online and want to access SIN information on My Service Canada Account (MSCA), your information will be used for MSCA registration and authentication purposes. You have the right to the protection of, access to, and correction of personal information, which is described in the Personal Information Bank ESDC PPU 390 Social Insurance Number Register and ESDC PPU 680 My Service Canada Account. Instructions for obtaining this information is outlined in the following government publication entitled: Information about programs and information holdings. If you are not satisfied with our responses to your privacy concern, you have the right to file a complaint with the Office of the Privacy Commissioner of Canada about the handling of your personal information.

Application type:	Social Insurance Number
Processing time:	Up to 15 business days
Total	$95 CAD ≈ $69 USD

Social Insurance Number – Form (provincial or territorial employee)

Information about the representative (the Provincial or Territorial Employee) submitting the application

Upload the following required document

Letter of Authorization

Photo Identification

Document Confirming Legal Representation

Representative's Supporting Documentation

Applicant's Information

Applicant's Mailing Address

Applicant's Name Information

Applicant's Birth Information

Upload Pension or Benefits Documents

Upload the following required documents

Applicant's Primary Identity Documentation

Applicant's Indian Status Documentation

Applicant's Supporting Documentation

Parent 1 Information

Parent 2 Information

Certification

Privacy Statement