Request for the return of a cancelled passport
I, the undersigned, as the next of kin of ______________________________________, who has passed away, request that the Canadian Passport issued in his/her name be returned to me for safekeeping after cancellation.
I solemnly declare under my personal responsibility what follows, believing it to be true to the best of my knowledge.
Name of the person deceased ________________________________________
Date of birth _______________________
Date of death _______________________
Passport number ___________________
My name ________________________________________________________
Link of kinship ___________________________
My date of birth _______________________
My current address ________________________________________________
My phone numbers ________________________________________________
_______________________
Signature
I have attached:
___ the death certificate (translated, if necessary) and
___ photocopy of my identification document
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