
I Got mine Like Below. ( I applied at Sydney, NS, Canada with FSW and JOB Offer, I used to Work there while I applied it)
We received your application for permanent residence on October 2, 2009.
We reviewed your application and sent you a letter on December 2, 2009. Please consider delays in mail delivery before contacting us.
Your application and supporting documents were received by the Buffalo office. They are pending review.
We transferred your application to the Buffalo office on December 9, 2009. The Buffalo office may contact you.
Your application was reviewed and we started processing on August 18, 2010.

These Guys Called from Buffalo,NY to my BOSS to Verify my Employment. Hope Said GOOD about me

Looks like it take 3-4 Months before I can get any Updates on Medical Request.