Voluntary Surrender of a Meat Plant Licence

Ministry of Agriculture, Food and Agribusiness

Fields marked with an asterisk () are mandatory.

Plant Information

Authorized Operator of Plant

Last Name(required)

First Name(required)

Email Address(required)

(Example: name@example.com)

Confirm Email(required)

(Example: name@example.com)

Plant Number(required)

Plant Operating Name(required)

Reason For Licence Surrender

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

Plant Closure

Plant Sold

Obtained Federal Licence

No Longer Conducting Regulated Activities

Other

Specify(required)

Effective date for change (yyyy/mm/dd)(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 I am requesting that the licence for the meat plant described above be withdrawn.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Take notice that if the licence to operate a meat plant has been withdrawn, no person shall apply the inspection legend of the meat plant to any meat product or to a label for a meat product.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).

I certify that the information in this application is true and correct to the best of my knowledge.(required)

Authorized Operator of Plant (First and Last Name)(required)

Date (yyyy/mm/dd)

3. For Office Use Only

Area Manager

Last Name

First Name

Signature

Date (yyyy/mm/dd)

Summary

Note: To make changes to the information below, please click the “Back” button (at the top of this page) to access previous pages or “Edit Section” to make corrections.

Voluntary Surrender of a Meat Plant Licence

Plant Information

Authorized Operator of Plant

Reason For Licence Surrender

Declaration

Notice

3. For Office Use Only

Area Manager

Summary

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