IMM5476 Legal Form

IMM5476 Legal Form

This Authorization for Representation is entered into between Client Name: , Client Date of Birth: , Client Identification Number (if any): , of Address: (hereinafter "Client"), and Representative Name: , Organization: , Representative Address: (hereinafter "Representative").

RECITALS

WHEREAS the Client is pursuing or intends to pursue immigration, visa, citizenship or related matters with respect to the Client's status and affairs; and

WHEREAS the Client desires to engage the Representative to act on the Client's behalf for the limited purposes described below and to authorize the Representative to access and receive information, to make submissions, and to take actions necessary to represent the Client with respect to specified matters; and

WHEREAS the Representative agrees to accept such appointment subject to the terms and conditions set forth in this Authorization.

NOW THEREFORE, in consideration of the mutual promises contained herein, the parties agree as follows:

1. APPOINTMENT AND SCOPE OF AUTHORITY

1.1 Appointment. The Client hereby appoints the Representative to act as the Client's authorized representative and agent to represent the Client before immigration authorities, consular offices, and related administrative bodies for the matters described in subsection 1.2. The Representative accepts such appointment and agrees to perform services in accordance with the terms of this Authorization.

1.2 Scope. The authority granted includes, without limitation, the power to:

- Receive and inspect correspondence and documents relating to the Client: - Make and sign submissions on behalf of the Client: - Communicate with officials and third parties as necessary:

- Specific matters covered (select applicable or describe additional matters below):

Application Types (check all that apply): Visitor/Temporary Resident Permit   Study Permit   Work Permit   Permanent Residence   Citizenship

2. AUTHORITY TO ACCESS INFORMATION

2.1 The Client authorizes the Representative to request, receive, and review any information or documents, including personal information, relating to the Client's applications, status, files and matters described in this Authorization. The Client expressly consents to the disclosure of such information to the Representative by any administrative agency, tribunal, or other third party.

2.2 This authority includes the right to receive electronic communications and paper correspondence and to request copies of the Client's file or case notes.

3. REPRESENTATIVE POWERS AND LIMITATIONS

3.1 The Representative is authorized to sign forms and submissions on behalf of the Client only where permitted by applicable rules. The Representative shall not enter into binding settlements or agreements on behalf of the Client without prior written authorization from the Client.

3.2 The Representative shall act in the Client's best interests, comply with applicable professional obligations, and keep the Client reasonably informed of material developments. The Representative is not authorized to provide legal advice beyond the scope of the Representative's qualifications unless specifically stated in writing.

4. FEES, RETAINER AND COSTS

4.1 The Client agrees to pay the Representative's fees and disbursements as described in any separate fee agreement between the parties. The Representative may require a retainer and may apply billed amounts to outstanding charges.

4.2 The Client remains responsible for fees charged by third parties and governmental fees unless otherwise agreed in writing. The Representative shall provide accounts and receipts upon request.

5. TERM, REVOCATION AND EFFECT OF TERMINATION

5.1 Term. This Authorization becomes effective on the date of Client signature below and shall remain in force until revoked in writing by the Client or until the matter(s) for which the Representative was retained are finally concluded, whichever occurs first.

5.2 Revocation. The Client may revoke this Authorization at any time by delivering written notice to the Representative. Revocation shall not affect actions already taken by the Representative in reliance upon this Authorization prior to receipt of notice of revocation.

6. CONFIDENTIALITY, PRIVACY AND CONSENT

6.1 The Client authorizes the collection, use and disclosure of the Client's personal information by the Representative to the extent necessary to carry out the representation contemplated by this Authorization.

6.2 The Representative will maintain the confidentiality of Client information consistent with applicable rules and will safeguard electronic and physical records against unauthorized disclosure.

7. NOTICES

Notices shall be delivered in writing to the contact information provided above and shall be effective upon receipt.

8. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

8.1 Governing Law. This Authorization shall be governed by and construed in accordance with the laws of the jurisdiction in which the Representative ordinarily practices, unless otherwise agreed in writing:

8.2 Entire Agreement. This Authorization, together with any separate written fee agreement referenced herein, constitutes the entire understanding between the parties with respect to the subject matter and supersedes all prior agreements, representations, and understandings.

8.3 Severability. If any provision of this Authorization is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.

9. AMENDMENTS; WAIVER; COUNTERPARTS

9.1 Amendments. This Authorization may be amended only by written instrument executed by both parties.

9.2 Waiver. No waiver of any provision of this Authorization shall be effective unless in writing and signed by the party granting the waiver.

9.3 Counterparts. This Authorization may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

CERTIFICATION BY CLIENT

The Client certifies that the information provided in this form is accurate to the best of the Client's knowledge and that the Client consents to the Representative's access to information and to act on behalf of the Client for the matters described above.

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