Application for a Licence as a Supply Facility under the Animals for Research Act

New Application

The following information is required to apply for a licence as an operator of a supply facility under the Animals for Research Act for the year January 1, 2017 to December 31, 2017.

Name of Organization:
Name of the Operator:
Position Title:
Telephone: Fax: Email:
Mailing Address: City/Town: Postal Code:
Contact Name (if different): Position Title:  
Telephone: Fax: Email:
Name of Supply Facility: Address: City/Town:
Postal Code: On-Site Contact Name: Position Title:
Telephone: Fax: Email:
Owner of premise, if not the applicant:
Types or Species of Animals that are Bred and Reared on the Premises:
Operator(s) of the research facilities with whom the applicant has a contract:
I, the undersigned, certify that the foregoing information is, to the best of my knowledge, true, and correct. I undertake to furnish to the Director, Animal Health and Welfare Branch, details of any changes from the information stated on this form no later than 10 business days after the date changes are made.
Dated this ______ day of _____________, 20___

 

Print Name:
Signature:
Position Title:
Language Preference:
English
French

Please complete, sign and return this form together with a $100.00 licence fee.

Please make cheques payable to the MINISTER OF FINANCE. A cheque not honoured by your bank will be subject to a $35.00 service charge.

Mail completed applications to:

Animals for Research Registration
Animal Health and Welfare Branch
Ministry of Agriculture and Food and
Ministry of Rural Affairs
1 Stone Road West, 5th Floor NW
Guelph, ON N1G 4Y2

 

If you have any questions, please call (519) 826-4397


For more information:
Toll Free: 1-877-424-1300
E-mail: ag.info.omafra@ontario.ca
Author: OMAFRA/ Animal Health & Welfare Branch / Veterinary Services
Creation Date: 20 November 2012
Last Reviewed: 16 August 2017