📄 IMM 0171 — Statutory Declaration for Extended Family Members of a Canadian Air Disaster Victim
Form IMM 0171 is an official Canada immigration form titled Statutory Declaration for Extended Family Members Outside Canada of a Canadian Victim of an Air Disaster that may apply for a Permanent Residence Visa. It is used in special immigration pathways for extended family members of deceased Canadian air disaster victims who wish to apply for a Permanent Residence visa in Canada. ([canada.ca](https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-guides/imm0171.html))
📌 Who Must Complete IMM 0171?
This statutory declaration must be completed by one of the following persons:
- The spouse or common‑law partner of the victim, if living in Canada;
- If the victim has no surviving spouse/partner in Canada, then the oldest child (18 years or older);
- Or the guardian of a child under 18. ([canada.ca](https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-guides/imm0171.html))
📋 Purpose of the Form
IMM 0171 is a legally binding declaration under Canadian law where the declarant confirms facts about their familial relationship to the air disaster victim. This form must accompany applications for Permanent Residence filed under specific provisions for family of air disaster victims. It demonstrates eligibility and supports the overall visa application. ([canada.ca](https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-guides/imm0171.html))
📑 Key Sections to Complete
- Section 1 – Declarant’s Information: Full name, UCI (if any), date and place of birth, contact and address;
- Section 2 – Extended Family Member’s Details: Name, birth details, relationship to victim, passport/travel document number;
- Section 3 – Declaration: Declarant confirms they understand the contents and truth of the form and signs;
- Section 4 – Official Signature: A notary, lawyer, commissioner for oaths or justice of the peace in Canada must sign and seal the form. ([canada.ca](https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-guides/imm0171.html))
🛂 Where It Fits in the Application
IMM 0171 is often required along with other forms and documents in applications for Permanent Residence for family members outside Canada following an air disaster. Typical related documents include:
- IMM 0170 – Document Checklist for this pathway;
- IMM 0008 – Generic Application Form for Canada;
- IMM 5669 – Schedule A (Background/Declaration);
- IMM 5406 – Additional Family Information;
- And other supporting identity and relationship documents. ([canada.ca](https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-guides/imm0171.html), [turn0search3])
📍 How It’s Used in IRCC Processing
When IRCC reviews a Permanent Residence application under this special family pathway, they verify the statutory declaration to confirm the applicant’s identity and relationship details. Completion by a qualified official in Canada (notary, lawyer, justice of the peace) is required to make the declaration legally valid. ([canada.ca](https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-guides/imm0171.html))
