Application to Upgrade a Machine Operator's Licence Under The Agricultural Tile Drainage Installation Act

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Name: ____________________________________________

Operator Licence #: _______________

Res. Mailing Address:_________________________________________

City: __________________________________________

Postal Code: _______________________

Telephone: _____________________________________

Facsimile: _________________________

Note: As specified by the Regulations under The Agricultural Tile Drainage Installation Act, to upgrade from a Class "C" to a Class "B" operator's licence, the applicant must have a minimum of three months experience operating a tile drainage machine and must have successfully completed the Primary Drainage Course. To upgrade from a Class "B" to a Class "A" operator's licence, the applicant must have a minimum total of seven months experience operating a tile drainage machine and must have successfully completed both the Primary and the Advanced Drainage Courses.

Applicant Information:

1. I am currently employed by:
   
   _______________________________________________________(name of tile drainage business)
   
   
2. My tile drainage machine operation has been supervised by:
   
   ________________________________________________________________ (name of individual)
   
   
3. I currently hold a Class_______ (C or B) licence and am applying for upgrade to a
   
   Class _______ (B or A) licence
   
   
4. I have successfully completed the:
   
   Primary Drainage Course: ___________ (Y or N) Year:_________________
   
   Advanced Drainage Course: __________ (Y or N) Year: ________________
   
   
5. The $5.00 fee to upgrade my machine operator's licence accompanies this application form*
   
   
6. Applicant's Signature: _______________________ Date: ____________

Certification by Supervising Machine Operator:

I hereby certify that the above applicant has operated tile drainage machines for the required minimum time period under my supervision.

Name (please print): ________________________________________________________________

Operator Licence # ________________________

Licence Class _____________________________

Signature: ___________________________________________________

Date: _________________

*Cheques or money orders must be made out to The Minister of Finance. A cheque tendered to the Government of Ontario and not honoured by your bank will be subject to a $35.00 service charge.

The personal information on this form is collected under the authority of The Agricultural Tile Drainage Installation Act. It will be used to issue a Machine Operator's licence as a requirement under the Act. If you have any questions about this collection contact: Drainage Coordinator, Ontario Ministry of Agriculture and Food, 1 Stone Rd. W., Guelph ON N1G 4Y2, 519-826-3552.

Please Submit Application and Payment to Address Below:

Ministry of Agriculture, Food and Rural Affairs
Drainage Licencing, Environmental Management Branch
1 Stone Rd. West, 3rd Floor
Guelph, Ontario N1G 4Y2
Telephone: 519-826-3552
Fax: 519-826-3259

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