Application for a New Goat Bulk Tank Milk Grader Pursuant to the <em>Milk Act</em>(R.S.O. 1990, c.M12), and Regulation 761

Note:
If you have completed the Bulk Tank Milk Grader course, you will be asked to attach a copy of the “Letter of Achievement ”.

Type of Application (required)

New

Renewal

Apprentice or Certificate Number (if applicable)

Expiry date of current Certificate (yyyymmdd) (if applicable)

Applicant Mailing Address

Postal Code (A#A #A#) (required)

(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)

PO Box

City/Town (required)

Province (required)

Telephone Number (required)
(Format: Must be 10 numbers)

Email Address (required)
(Example: name@example.com)

Note: A confirmation will be sent to the email address you provide.

Confirm Email Address (required)
(Example: name@example.com)

Dairy Experience (include relevant courses, practical work experience)

Date of Completion of Bulk Tank Milk Grader Course or Date of Next Available Course

Course information available from Dairy Farmers of Ontario at www.milk.org or contact them at questions@milk.org.
Date (yyyymmdd)

Attachments:

If you have completed the Bulk Tank Milk Grader course, you will be asked to attach a copy of the “Letter of Achievement”.

List of documents:

To attach 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 8 MB.
To attach more files, click "Add Attachments ( + )"; to remove the last attached file, click "Delete ( - )".

Select a file to upload

Browse

Attachment Description

Employer Mailing Address

Postal Code (A#A #A#) (required)

(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)

PO Box

City or Town (required)

Province (required)

Telephone Number (required)
(Format: Must be 10 numbers)

Extension

Email Address (required)
(Example: name@example.com)

Applicant’s Current Duties

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

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 Goat Bulk Tank Milk Grader, including contacting the applicant. Questions about the collection should be directed to the Inspection Programs Unit at dairyfoodsafety@ontario.ca.

As part of providing accessible service, you can also contact the Agricultural Information Contact Centre (AICC) at 1-877-424-1300 or by e-mail at ag.info.omafra@ontario.ca if you require this information in alternate formats.

Confirmation: (required)

I have read and agree to the Declaration and have read, agree and consent to the Collection and Use of Information as stated above.

I do not agree and consent.

Name (First and Last Name) (required)

Date:

Summary Review

Note: To make changes to the information below, please click the “Make Change” button (at the bottom of this page) to access previous pages to make corrections.

Type of Application

New

Renewal

Apprentice or Certificate Number (if applicable)

Expiry date of current Certificate (yyyy/mm/dd) (if applicable)

1. Applicant

Last Name

First Name

Middle Initial

Mailing Address

Unit Number

Street Number

Street Name

PO Box

City/Town

Province

Postal Code

Telephone Number

Email Address

Dairy Experience (include relevant courses, practical work experience)

Date of Completion of Bulk Tank Milk Grader Course or Date of Next Available Course

Course information available from Dairy Farmers of Ontario at www.milk.org or contact them at questions@milk.org.
Date (yyyy/mm/dd)

File Attachments

If you have completed the Bulk Tank Milk Grader course, you will be asked to attach a copy of the “Letter of Achievement”.

1. File

1. Attachment Description

2. Employer Contact Information

Contact Name

Last Name

First Name

Middle Initial

Mailing Address

Unit Number

Street Number

Street Name

PO Box

City/Town

Province

Postal Code

Telephone Number

Extension

Email Address

Applicant’s Current Duties

3. Declaration and Collection and Use of Personal Information

Declaration

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

Notice of Collection of Personal Informationn

I have read and agree to the Declaration and have read, agree and consent to the Collection and Use of Information as stated above.

Name (First and Last Name)

Date

Submission ID

Submit Status

User Type

Application Language

Application Version

Form ID

Form Number

Form Title

Form Template Path

Applicant Email Address

Applicant CC Email Address

Applicant Email Body

Applicant Subject

Applicant From Email Address

Program Area Email Address

Program Area CC Email Address

Program Area Email Body

Program Area Email Subject

Program From Area Email Address

Do Encrypt

Do Attach XML

Do PDF Applicant

Include Attactment In Email

Success Message

Error Message

JSON Path

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Declaration

Collection and Use of Information

Notice of Collection of Personal Information

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Summary Review

1. Applicant

Mailing Address

Date of Completion of Bulk Tank Milk Grader Course or Date of Next Available Course

File Attachments

2. Employer Contact Information

Contact Name

Mailing Address

3. Declaration and Collection and Use of Personal Information

Declaration

Notice of Collection of Personal Informationn

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Declaration

Collection and Use of Information

Notice of Collection of Personal Information

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Summary Review

1. Applicant

Mailing Address

Date of Completion of Bulk Tank Milk Grader Course or Date of Next Available Course

File Attachments

2. Employer Contact Information

Contact Name

Mailing Address

3. Declaration and Collection and Use of Personal Information

Declaration

Notice of Collection of Personal Informationn

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761

Application for a Goat Bulk Tank Milk Grader Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761 (application in progress)

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761

Application for a Goat Bulk Tank Milk Grader
Pursuant to the Milk Act (R.S.O. 1990, c.M12), and Regulation 761