Step 2 of 5

Fields marked with an asterisk () are mandatory.

Plant Information

Authorized Operator of Plant

(Example: name@example.com)

(Example: name@example.com)

Reason For Licence Surrender

Please select and/or describe the reason for the voluntary surrender of your licence (at least one selection required)(required)

Declaration

I, the undersigned, certify that as of the effective date set out above, my business no longer meets the requirements of the Food Safety and Quality Act, 2001 or Ontario Regulation 31/05 (Meat) for licensed activities. I am requesting that the licence for the meat plant described above be withdrawn.

I understand that my operation may be subject to the Food Premises Regulation under the Health Protection and Promotion Act, and therefore inspected by the local public health unit. I further understand that I may be subject to inspection by the ministry's Regulatory Compliance Unit.

I understand that I am no longer permitted to reproduce the inspection legend and agree to destroy all packaging materials bearing the legend. I further agree that I will remove the inspection legend from any printing devices and notify any printing company that I use to do the same.

Notice

Take notice that no person shall carry on a licensed activity or operate a premises where a licensed activity is carried out unless the person holds a licence for the activity issued under the Food Safety and Quality Act, 2001.

Take further notice that it is an offence to contravene the Food Safety and Quality Act, 2001 or its regulations.

If at any time regulated activities are conducted at your premises, you must notify the Ministry of Agriculture, Food and Agribusiness, Meat Inspection Program beforehand and, subject to Ontario Regulation 31/05 exemptions, be licensed under the Food Safety and Quality Act, 2001.

Take notice that if the licence to operate a meat plant has been withdrawn, no person shall apply the inspection legend of the meat plant to any meat product or to a label for a meat product. O. Reg. 31/05 s 112 (4.1).

3. For Office Use Only

Area Manager

Summary

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