Revocation of authorization and direction (family/skilled workers categories)
I hereby revoke my authorization and direction signed by me onwhich is contained in the use of a representative (IMM5476B)of my application for permanent residence in the family/skilled workers category authorizing the department of citizenship and immigration to release information from my immigration records to and this shall be your good and sufficient authority for so doing.
Hereafter this date, I further direct you to communicate with(me directly or with my new representative ?new authorization enclosed)with respect to any and all matters pertaining to my documentation that may be relevant to my application. Applicant’s signature DATE