CWICE Intake Form

To make a referral from a children's aid society to the Child Welfare Immigration Centre of Excellence please fill out the following form. If you have a child protection concern, please do not fill out the following form. Child protection concerns can be reported by calling us at 905-363-6131 where you can speak directly with a child protection worker.

Part 1 - Requesting Organization

Name of CAS*

Your last name*

Your first name*

Phone

Email*

Part 2 - Service Type

What type of immigration issues does your client need assistance with?*

Your referral relates to:

Additional comments

New code

Please type the code above

Child Welfare Immigration Centre of Excellence

25 Capston Drive
Mississauga, ON L5W 0H3