Application and Authorization for a Search of Census, 2011 National Household Survey and 1940 National Registration Records

The following application must be completed, signed and returned to us to authorize the search and release of your personal and confidential information. Please contact us if you need any assistance.

Mail:
Statistics Canada
Census Microfilm and Pension Search Sub-Unit
B1E-34, Jean Talon Building
170 Tunney's Pasture Driveway
Ottawa, Ontario K1A 0T6
Telephone:
(613) 951-9483
Facsimile:
(613) 951-4574

General Information

The Census Pension Searches Program provides proof of age, length of residence in Canada, citizenship or aboriginal identity from historic census, 2011 National Household Survey, and the 1940 National Registration records. Information from census and 2011 National Household Survey records can only be provided to the person named in the record, or the legal representative of a minor or dependent adult, or the legal representative of a deceased person for the sole purpose of administering the estate of that person. This application must be completed for authorization to search and release your personal and confidential information as recorded in these records.

Results of a successful search will be furnished in the form of a certified transcript of the information found in the original records. There is no charge for this service. Please note that Statistics Canada does not issue birth certificates; this is the responsibility of registrars of vital statistics in each of the provinces and territories. However, the certified transcript provided is usually acceptable evidence of proof of age and place of birth.

Instructions

The success of a search is dependent upon the information provided. Therefore, please be as accurate and complete as possible when completing this form. Information on specific place of residence is very important.

Search Authorization

In general, the signature should correspond to the name shown on the line “Full name of person whose Census, and/or 2011 National Household Survey records, and/or 1940 National Registration Records are requested” (Search Reference Information). The exceptions are as follows:

Dependent Adults/Minors

Information relating to dependent adults and minors may be obtained upon the written request of their legal representative. In the case of dependent adults, the request must be supported by a certified copy of the court order naming such legal representative.

Deceased Persons

Information regarding deceased persons may be obtained upon the written request of the persons authorized by law to administer the estate of that person, but only for the purposes of such administration. A copy of the letters of administration or other proof of estate administration and a certified copy of the death certificate must be provided.

Reason(s) for Requesting Information

This information is required to assist us in determining which records would best suit your needs. Please indicate appropriate requirements.

Reason(s) for Requesting Information

Privacy Act

The information you provide on this application form is protected by the provisions of the Privacy Act. It is stored in Personal Information Bank STC-PPU-012.

Inquiries

For further information on the Census Pension Searches Program, please call this number: (613) 951-9483.

Please read all instructions

Full name of person whose census, and/or 2011 National Household Survey records, and/or 1940 National Registration records are requested (provide any name changes or nicknames).

Search Reference Information

Date of birth

Your date of birth

Search Reference Information

Date of marriage

Date of marriage

Date of second marriage

Place of residence

In order to successfully process a request for information, we require detailed address information, e.g. house number with street names.

Please choose the census year(s), for which you are requesting a search, prior to printing the form.

Place of residence
June 1, 1926 Note 1

June 1, 1936 Note 1

June 1, 1946 Note 1

June 1, 1931

June 2, 1941

June 1, 1951

June 1, 1956

June 1, 1961

June 1, 1966

June 1, 1971

June 1, 1976

June 3, 1981

June 3, 1986

June 4, 1991

May 14, 1996

May 15, 2001

May 16, 2006

May 10, 2011Note 2

May 10, 2016

1940 National Registration Records

Only persons 16 years of age or older in the period 1940 to 1946 were requested to complete this registration.

National Registration 1940 - 1946

Name and address of applicant

Name and address of applicant

(Format: 999-999-9999 ext. 9999)

(Format: A1A2B2)

Search Authorization

I hereby authorize a search of my census, and/or 2011 National Household Survey, and/or 1940 National Registration records with the results to be forwarded to the address shown below.

Search Authorization (must be signed)

Signature: _________________________      Date: _________________________

(Format: A1A2B2)

Date modified: