Application for Agricultural Operation Planning Certificate

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The information contained in this document is derived from the Nutrient Management Act, 2002 and O. Reg 267/03 as amended. Every effort has been made to make it as accurate as possible, but is not authoritative. Please refer to the e-Laws website or the official volumes printed by Publications Ontario for the authoritative text of the act.

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Note: Original signatures are required. Please type or print clearly in ink. Please complete the application form and submit by mail or in person. Do not fax. Signature and contact information are on page two.

PDF Version - 87 KB

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____ Application for new certificate

____ Application for renewal certificate

Current Certificate Number (if applicable): _______________________________

Expiry Date (if applicable): _____________________________

Section 1 – Applicant Information

Applicant: Name: ___________________________________________________

Farm Name: _______________________________________________________

Home Mailing Address (include 911, RR #): ____________________________________

__________________________________________________________________

City/Town: _________________________________________________________

Province: __________________________________________________________

Postal Code: _______________________________________________________

Tel: _____________________________

Fax: _____________________________

E-mail:

Section 2 – Requirements for Certification

Courses

____ Introduction to Nutrient Management

Location: ___________________________________________________________

Date: ______________________________________________________________

or

____ Equivalency (Quiz and 3^rd Edition EFP)

Location: ___________________________________________________________

Date: ______________________________________________________________

Quiz: Mark received _____________

EFP: Letter of approval attached ________________________________________

____ Regulation and Protocols

Location: ___________________________________________________________

Date: ______________________________________________________________

Additional Information

Personal information is collected under the authority of the Nutrient Management Act, 2002, s. 32. The information will be collected and used by the Ministry or their agents for: a) the support of the certification and licensing program under the Nutrient Management Act, 2002, including future communications, research, training, certification, program development, plan approvals, monitoring and compliance, and b) will be added to an informational database. For information, contact the Agricultural Information Contact Centre, Ministry of Agriculture, Food and Rural Affairs, 1-866-242-4460 or nman.omafra@ontario.ca. Note: In the future, the certification and registration registry may be maintained by a third party service provider.

Section 3 – Signature

Declaration

I hereby declare that, to the best of my knowledge, all information I have provided in this form is complete and accurate. I further hereby declare that I have completed the training and testing requirements as required to obtain the Agricultural Operation Planning (AOP) Certificate.

Name (print): _______________________________________________________

Applicant's Signature: _________________________________________________

Date: ______________________________________________________________

CCA#: _______________________ (if applicable)

Applications must be submitted to:

Environmental Management Branch
Ministry of Agriculture, Food and Rural Affairs
Training, Education and Communications Unit
3rd Floor SW
1 Stone Road West
Guelph, Ontario N1G 4Y2
Tel: 1-866-242-4460