EBBI PR Card Renewal Assessment — Client Intake (Blank)

How to fill this out: Write dates as Day / Month / Year (e.g. 04 / 07 / 2026). Where a question does not apply, write N/A. Print clearly in block letters. Return by mail, in person, or scan and email to admin@explorebeyondborders.ca. Expected response: 2–3 business days.

1. Personal Information

Last Name

First Name

Date of Birth (D/M/Y)

Citizenship / Nationality

Email Address

Phone Number

Currently Living In (In Canada / Outside Canada)

Current Status in Canada (if applicable)

UCI (Unique Client Identifier) Number

2. PR Status and Card Details

Reason for this request

Renewal - my PR card is expiring soonRenewal - my PR card has already expiredReplacement - my PR card is lost or stolenReplacement - my PR card is damagedReplacement - name change or other info updateFirst PR Card - I became a PR but never received one

Date You Became a Permanent Resident (D/M/Y)

Current/Most Recent PR Card Expiry Date (if known) (D/M/Y)

3. Residency Obligation Check

To renew your PR card, you generally need to show you have been physically present in Canada for at least 730 days within the most recent 5-year period (this is a separate calculation from citizenship's physical presence requirement). The questions below help EBBI assess this for you — EBBI will perform the actual calculation.

Approximately how much time have you spent OUTSIDE Canada in the last 5 years? Please list trips with approximate dates if possible.

Were any absences related to accompanying a Canadian citizen spouse/partner, or employment with a Canadian business/government abroad?

NoYes - please describe in Additional Information below

4. Document Status

Check all documents you currently have ready.

Documents ready — check all that apply

Current/expired PR cardValid passportConfirmation of Permanent Residence (COPR) documentDetailed travel history / passport stampsProof of residency (lease, utility bills, tax returns)Police report (if card was lost/stolen)

Additional Information

Client Declaration

I declare that the information provided is true, complete, and accurate to the best of my knowledge. This form is for assessment only, does not constitute legal advice, and does not guarantee any immigration outcome. I have read the Privacy Policy and Legal Notice at explorebeyondborders.ca. I authorize EBBI to share this information with supervising counsel, Atty. George M. Garvida.

☐ I have read and agree to the above declaration

Full name (print)

Signature

Date (D/M/Y)

For EBBI Staff Use Only

Received by

Date received (D/M/Y)

Reference code assigned

Pathway flagged

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