Immigration and Refugee Board of Canada (IRB) – Refugee Protection Division (RPD) Basis of Claim Form (for persons claiming refugee protection in Canada) (RPD.02.01) Completed Form Examples and Samples
Find detailed examples and samples of the Immigration and Refugee Board of Canada (IRB) Basis of Claim Form (RPD.02.01). Learn how to correctly fill out the form for claiming refugee protection in Canada with our clear, step-by-step guides and filled-out templates.
IRB Basis of Claim Form (RPD.02.01) Example – Political Persecution
How this form was filled:
This sample shows a filled-out Basis of Claim Form for a principal claimant, a journalist from a fictional country, who is seeking refugee protection in Canada along with their family due to persecution based on their political opinion. The example details personal information, family members, the narrative of events leading to their claim, and the reasons they fear returning to their home country.
Information used to fill out the document:
- Principal Claimant: Elara Vancroft
- UCI #: 1234567890
- Country of Nationality: Eldoria (Fictional)
- Date of Birth: 1990-06-15
- Accompanying Spouse: Liam Vancroft
- Accompanying Child: Sofia Vancroft
- Basis of Claim: Persecution based on political opinion.
- Details of Claim: Claimant was a journalist who published articles critical of the government, leading to threats, surveillance, and a brief, unlawful detention.
- Fear of Return: Fears imprisonment, torture, or death if returned to Eldoria due to her political profile.
- Date Left Home Country: 2025-11-05
- Date of Arrival in Canada: 2025-11-07
- Date of Claim: 2025-11-10
- Legal Counsel: Ananya Sharma, ABC Immigration Law Firm
- Interpreter Required: Yes
- Language for Interpretation: Eldorian (Fictional)
- Form Completion Date: 2026-02-15
What this filled form sample shows:
- Clear identification of the principal claimant and all accompanying family members.
- A concise and coherent narrative explaining the reasons for the claim, focusing on persecution due to political opinion.
- Accurate completion of personal details, dates, and travel history as required by the RPD.02.01 form.
- Proper declaration of the need for an interpreter and representation by legal counsel.
- Demonstrates how to articulate the specific fear of returning to the country of origin.
Form specifications and details:
| Form Name: | Basis of Claim Form (for persons claiming refugee protection in Canada) |
| Form Number: | RPD.02.01 |
| Issuing Body: | Immigration and Refugee Board of Canada (IRB) – Refugee Protection Division (RPD) |
| Use Case: | Claim for refugee protection based on fear of persecution due to political opinion. |
| Relevant Legislation: | Immigration and Refugee Protection Act (IRPA) |
Created: February 03, 2026 04:38 AM
