Social Insurance Number – Application Form

Step 1 of 6

Current status in Canada(Required)

Preferred language of correspondence(Required)

Are you eligible to receive pension or benefits from Canada Pension Plan, Old Age Security or Régime des rentes du Québec?(Required)

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 pension birth certificate doc(Required)

Max. file size: 5 MB.

Applicant pension eligibility doc(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.

Name Information

What is your first given name, as it appears on your primary identity document?(Required)

If you have other given names, enter them below:

What is your current family name?(Required)

What was your family name at birth?(Required)

If you ever used any other family name(s) or single names, enter them below:

Birth Place Information

Country(Required)

Province, Territory or State(Required)

City, Town or Village(Required)

Date of Birth(Required)

Gender(Required)

Have you ever had SIN Number?(Required)

Are you part of a multiple birth (twin, triplet, etc.)?(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:

Contact Information

Daytime Phone Number(Required)

Email(Required)

Enter Email Confirm Email

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)

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. Both sides when necessary.

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

If you submit a Confirmation of Permanent Residence that you have received digitally, you must print, sign and date the document by hand before submitting it. Electronic signatures are not accepted.

Primary Identity Document expiry date(Required)

Enter the date your Confirmation of Permanent Residence was issued(Required)

Primary Identity Document(Required)

Max. file size: 5 MB.

Secondary Document

A secondary document is an official document that confirms your identity.

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

Does the document have an expiry date?

Secondary Document expiry date(Required)

Secondary Document(Required)

Max. file size: 5 MB.

Applicant's Indian Status Documentation

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

Do you wish to register your Indian status on your SIN record?(Required)

Upload your Certificate of Indian Status(Required)

Max. file size: 5 MB.

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 contain exactly the first given name?(Required)

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

Based on the answer above, you must submit a supporting document.(Required)

Max. file size: 5 MB.

Parent 1 Information

What is (are) your parent’s given name(s)?(Required)

What was (were) your parent’s family name(s) at birth?(Required)

I only have 1 parent registered on my birth record.

Parent 2 Information

What is (are) your parent’s given name(s)?(Required)

What was (were) your parent’s family name(s) at birth?(Required)

Certification

Print your name(Required)

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.

Social Insurance Number – Application Form

Upload Pension or Benefits Documents

Upload the following required documents

Name Information

Birth Place Information

Contact Information

Mailing Address

Primary Identity Documentation

Secondary Document

Applicant's Indian Status Documentation

Supporting Documentation

Parent 1 Information

Parent 2 Information

Certification

Privacy Statement

Order summary