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Assessment Form

H&C Questionnaire

Please fill out the following form. We will review the form and will get back to you. Important notes:

  • You must be able to provide supporting documents for each claim. We’ll get back to you about the documents after receiving the form.
  • Please be as thorough as possible.

    Contact Information

    Please provide your contact details:



    The best interest of a child

    Is there a child that will be directly affected negatively, if you leave Canada?

    YesNoMaybe

    Establishment in Canada

    Do you have financial or work ties with Canada, such as owning a property, car, job, bank account, or business?

    YesNoMaybe

    Ties to Canada

    Do you have family or close friends in Canada?

    YesNoMaybe

    Family Violence Considerations

    Have you or your family been victims of violence that should be considered?

    YesNoMaybe

    Consequences of Separation

    Will there be severe consequences if you are separated from relatives?

    YesNoMaybe

    Inability to Leave Canada

    Has your inability to leave Canada led to your establishment here?

    YesNoMaybe

    Ability to Establish in Canada (Overseas Applications)

    If you're applying from overseas, how capable are you of establishing yourself in Canada?

    YesNoMaybe

    Unique or Exceptional Circumstances

    Are there any unique or exceptional circumstances that merit relief?

    YesNoMaybe

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    Al Parsai

    This article has been expertly crafted by Al Parsai, a distinguished Regulated Canadian Immigration Consultant (L3 RCIC-IRB – Unrestricted Practice) hailing from vibrant Toronto, Canada. Al's academic achievements include an esteemed role as an adjunct professor at prestigious Queen's University Law School and Ashton College, as well as a Master of Laws (LLM) degree from York University. A respected member of CICC and CAPIC organizations, Al's insights are further enriched by his experience as the dynamic CEO of Parsai Immigration Services. Guiding thousands of applicants from over 55 countries through the immigration process since 2011, Al's articles offer a wealth of invaluable knowledge for readers.