Canada-Ukraine Authorization for Emergency Travel Application Intake Form

If you are a Ukrainian citizen or an immediate family member of a Ukrainian citizen, then you are eligible to apply for the Canada-Ukraine Authorization for Emergency Travel.

Approval of the application will get a visa to Canada and an open work permit for adult applicants, and a study permit for child applicants.

There is no government processing fee for the application. Fill out the form below to begin the application.

Full Name *

Nationality *

Family Status – If you are not Ukrainian, which type of family member to a Ukrainian citizen are you?

Not Applicable – I am Ukrainian

Spouse or Common-law partner

Dependent Child (under 22 years old)

Other

COVID-19 Vaccination Status – Are you fully vaccinated against covid-19?

Yes – Fully Vaccinated

Yes – Partially Vaccinated (have not yet received all required doses)

No – Unvaccinated

Even if you are unvaccinated, you can still apply for CUAET

If you are fully vaccinated against covid-19, which types of vaccines have you received? (list all if more than 1)

Do you hold a valid passport?

Yes

No

Even if you do not hold a valid passport, you can still apply for CUAET

Email *

Phone *

Current Street Address *

City/Town *

Province/State

Zip/Postal

Gender

Date of birth *

Current Country of Residence *

Status in Canada – If you are already inside Canada

Expiry Date In Canada (if applicable)

Do you have a Spouse/Common-Law Partner?

No

Spouse

Common-law partner

Spouse/Partner’s Name (if applicable)

Spouse/Partner’s Nationality

How long have you been married or in a common-law relationship?

Have you or your spouse ever been convicted of a criminal offence?

No

Yes

Please tell us any details about your situation that have not already been addressed. *

How did you hear about us? *

By typing my name, I hereby certify that this document is legally executed by the person named herein as the Client, and that I understand and acknowledge all of the above information to be true, correct, and complete. *

Today’s Date *

Doherty Fultz Immigration is currently waiving all consultation fees related to CUAET and flight from the Russian invasion of Ukraine.

By signing above, I indicate that I understand the information provided by Doherty Fultz Immigration is provided in good faith and is accurate as of the time it is given. Due to the volatile nature of this program, requirements, eligibility, and rules may change at any time and without notice. Doherty Fultz Immigration is not liable for any information which has become inaccurate through the passage of time, changes to the CUAET program, or clarifying statements issued by the government of Canada. As the program is entirely new, requirements and eligibility can change at any time. Doherty Fultz Immigration will endeavor to ensure the information provided is accurate at the time of its delivery.

All information discussed or disclosed in the context of a consultation at Doherty Fultz Immigration is STRICTLY CONFIDENTIAL, and is bound by representative-client privilege. These terms and conditions shall be governed by the laws in effect in the Province of Ontario, Canada.

Please note that at this time, our staff only speaks English; we regret that we do not yet have a Ukrainian or Russian speaking staff member.

Зверніть увагу, що наразі наші співробітники розмовляють лише англійською; ми шкодуємо, що у нас ще немає
україномовного чи російськомовного співробітника.

Обратите внимание, что в настоящее время наш персонал говорит только по-английски; мы сожалеем, что у нас еще нет украинского или русскоговорящего сотрудника.

Please be advised that Anthony Doherty (R510956), Cassandra Fultz (R514356), Katherine McLean (R708625), and Brooke Westcott (R708924) of Doherty Fultz Immigration Inc. (located at 2558 Danforth Avenue, Suite 202, Toronto, ON, Canada M4C1L3; Telephone: 416-827-8778; email: info@dfimmigration.ca ) are members in good standing of the Immigration Consultants of Canada Regulatory Council (ICCRC)/College of Professional Immigration Consultants, and as such, are licensed and regulated by this organization and are bound by its By-laws, Code of Professional Ethics, and associated Regulations.

By signing this intake agreement, you acknowledge that any interaction with IRCC or CBSA undertaken by you without retaining an Doherty Fultz Immigration RCIC as a legal representative is done at your own risk, and Doherty Fultz Immigration accepts no responsibility for the outcome of any such interaction.

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Canada-Ukraine Authorization for Emergency Travel Application Intake Form

Canada-Ukraine Authorization for Emergency Travel Intake Form

Please note that at this time, our staff only speaks English; we regret that we do not yet have a Ukrainian or Russian speaking staff member.

Зверніть увагу, що наразі наші співробітники розмовляють лише англійською; ми шкодуємо, що у нас ще немає
україномовного чи російськомовного співробітника.

Обратите внимание, что в настоящее время наш персонал говорит только по-английски; мы сожалеем, что у нас еще нет украинского или русскоговорящего сотрудника.

Where To Go From Here

Canada-Ukraine Authorization for Emergency Travel Application Intake Form

Canada-Ukraine Authorization for Emergency Travel Intake Form

Please note that at this time, our staff only speaks English; we regret that we do not yet have a Ukrainian or Russian speaking staff member.

Зверніть увагу, що наразі наші співробітники розмовляють лише англійською; ми шкодуємо, що у нас ще немаєукраїномовного чи російськомовного співробітника.

Обратите внимание, что в настоящее время наш персонал говорит только по-английски; мы сожалеем, что у нас еще нет украинского или русскоговорящего сотрудника.

Where To Go From Here

Зверніть увагу, що наразі наші співробітники розмовляють лише англійською; ми шкодуємо, що у нас ще немає
україномовного чи російськомовного співробітника.