Well with the current situation and assuming you waited for this for long like me NEVER decline ITA
. As
@mrsamcan said Upfront is optional but in my reading I have observed that is faster way to get the PR completed. For example if you check their Twitter handle for
work permit they say if you have submitted upfront medical report processing time is 2 weeks for others Aug 2020 is being processed now. See the difference?
. I would suggest since most lockdown are up to 1st June and we have 60 days may be just wait how it pans out for may be next few weeks but don’t keep it till the end.