By submitting and signing this “As of Right” Application form, I hereby consent to the collection, use, and disclosure of my personal information, namely, the information contained in this “As of Right” Application form, by the Ministry of the Environment, Conservation and Parks and its Certification Program Administrator (the Ontario Water Wastewater Certification Office) to assess the requirements for temporary Deemed Certification under the Ontario Labour Mobility Act, 2009 and Ontario Regulation 199/25: Deemed Certification made under it, and to assess compliance with the Ontario Safe Drinking Water Act, 2002 and its regulations and the Ontario Water Resources Act and its regulations, and to support enforcement as set out in this form.
I further declare that all information in this application is true and correct and that I understand it is an offence under the Ontario Labour Mobility Act, 2009, the Safe Drinking Water Act, 2002, and the Ontario Water Resources Act to make a representation, knowing it to be false.