IRM 0004 — Confirmation of Eligibility for a Reclaimed Name Change Gratis Replacement Document Under Call to Action 17
Official IRCC form. Use this page as a quick reference to the latest version, then download the PDF directly from the Government of Canada.
Download official PDF
Direct link to the latest version on canada.ca. Always pull the form fresh — IRCC updates these without notice.
Download IRM 0004 PDF →Official IRCC source page
Form instructions, guides, supporting documents and the latest revisions live on the canada.ca source page.
Open on canada.ca →Other records & verification forms
Request for a Change of Name on IRCC Documents
IRM 0002Request form for a Change of Sex or Gender Identifier
IRM 0003Request to Correct a Date of Birth for a Permanent Resident Document or Citizenship Certificate
IRM 0005Statutory Declaration to Reclaim an Indigenous Name on Canadian Citizenship Certificates or Permanent Resident Cards
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