Application for a Plant Milk Grader Certificate

Ministry of Agriculture, Food and Agribusiness

Application for a Plant Milk Grader CertificatePursuant to the Milk Act (R.S.O. 1990, c. M12) and Regulation 761

Fields marked with an asterisk (*) are mandatory.

"Proof of passing examination" is required to complete this application.

What type of Plant Milk Grader certificate are you applying for?(required)

New

Renewal

âº

Current Plant Milk Grader Certificate Number(required)

(Format must be 6-digit)

âº

Expiry date of current Plant Milk Grader certificate (yyyy/mm/dd)(required)

Section 1. Applicant Information

Last Name(required)

First Name(required)

Applicant's dairy experience(required)

Physical Address

Postal Code(required)

(Format must be A#A #A#)

(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)

Unit Number

Street Number(required)

Street Name(required)

City, Town or Village(required)

Province(required)

Telephone Number(required)

(Format must be 10 digits)

Extension

Email Address(required)

(Example: name@example.com)

Confirm Email(required)

(Example: name@example.com)

Section 2. Place of Employment

Plant Name(required)

Address

Unit Number

Street Number(required)

Street Name(required)

City, Town or Village(required)

Province(required)

Postal Code(required)

(Format must be A#A #A#)

Applicant's current duties(required)

Section 3. Training

Attach a copy of your "Proof of passing examination" to complete your application for a certificate.

Attachments

In order to attach the supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.

Attach File 1

Description

File Name(required)

Size (MB)

Total Size (MB)

Section 4. Declaration

Personal information on this form is collected as it is necessary for the proper administration of section 88 of R.R.O. 1990, Regulation 761: Milk and Milk Products under the Milk Act, R.S.O. 1990, c. M.12. It will be used for the purpose of issuing a certificate to act as a Plant Milk Grader, including contacting the applicant.

Questions about the collection should be directed to the Inspection Programs Unit at dairyfoodsafety@ontario.ca.

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

Name of Applicant (First and Last Name)(required)

Date (yyyy/mm/dd)(required)

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.