ontario operators study manual order form

8/13/2019 Ontario Operators Study Manual Order Form

1/51861E (2013/01) Queen's Printer for Ontario, 2013 Disponible en franais Page 1

Ministry ofthe Environment

Instructions for Study ManualOrder Form

PLEASE READ BEFORE COMPLETING AND SUBMITTING AN APPLICATION FORM

n order for an application to be processed the form MUSTbe filled out completely. Incomplete forms WILLNOT BEPROCESSED. Please type or print CLEARLY.

Please submit the completed application form(s) in ONE of the following ways to the Program Administrator

Ontario Water Wastewater Certification Office (OWWCO) by:

1. Mail:302 The East Mall, Suite 410Etobicoke ON M9B 6C7

2. Fax: 416 231-2107

For questions on how to complete an application form, please call an OWWCO Customer Service Representative at:

416 231-2100 or 1 877 231-2122

NOTE: Where an asterisk (*) is present please refer to A Guide to Completing MOE Operator Certification andClassification Forms for further explanation.

Part A Manual Information

Please indicate the manual quantity of each type of manual being requested as well as the total cost.

The Need-to-Know documents are available free of charge. Hardcopy version can be ordered using this formhowever you can also download a PDF version from the Drinking Water Ontario website at the following link:

www.ene.gov.on.ca/environment/dwo/en/responsibilities/STDPROD_096044

Part B Mailing Information

Orders will be couriered to the address listed in this section.

Part C Applicant Verification and Consent

Please ensure that this section is filled out completely and that you have signed where indicated.

It is an offense under the Ontario Water Resources Actand the Safe Drinking Water Act, 2002 to provide falseinformation. You should understand that should the review of this application disclose such misrepresentation, tha

this application may be rejected.

Part D Check List

Please ensure that all of the items listed in the check list are included with the application.

Part E Payment Information

Please ensure that all cheques and money orders are made payable to the HR Associates(the parent company othe program administrator). Cheques made out to MOE or OWWCO will be returned. For credit card paymentsensure that all information is accurate and a signature is present.

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2/51861E (2013/01) Page 2

Ministry ofthe Environment

Study Manual Order Form

Complete this form to order any of the Study Manuals set out in Part A.

Part A - Manual Information

Manuals Cost Quantity Total

Water Treatment Need-to-Know Free

Water Distribution Need-to-Know Free

Water Distribution & Supply Need-to-Know Free

Limited Water Subsystem Exam Need-to-Know Free

Water Quality Analyst Need-to-Know Free

Wastewater Treatment Need-to-Know Free

Wastewater Collection Need-to-Know Free

Mathematics for Water and Wastewater Operators $25.00

Operator in-Training (OIT) Examination Study Guide

- Prepared by Ontario Municipal Water Association and the Ministry of the Environment- Covers all 4 examination categories 2ndEdition

$45.00

Alberta Water & Wastewater Operations Manual Level 1

- Prepared by Western Canada Water and Wastewater Association- Covers all 4 examination categories

$100.00

Alberta Water & Wastewater Operations Manual Level2

- Prepared by Western Canada Water and Wastewater Association- Covers Water Treatment and Wastewater Treatment

$100.00

Operator Certification Study Guide

- Prepared by American Water Works Association (AWWA)- Covers sample examination questions for Water Treatment and Water Distribution (Level 1 to 4)

$70.00

Certification Study Guide for Wastewater Treatment Personnel

- Prepared by the Water Environment Federation (WEF)- Covers sample examination questions for Wastewater Treatment (Level 1 to 4)

$65.00

Certification Study Guide for Collection Systems Personnel

- Prepared by the Water Environment Federation (WEF)- Covers sample examination questions for Wastewater Collection (Level 1 to 4)

$65.00

TOTAL

(Applicable taxes have already been applied to listed prices)

Part B - Mailing Information

Orders will be couriered to the address below. The courier cannot deliver to P.O. Box and R.R. addresses; a street address must bprovided.

First Name Last Name Middle Initial

Unit No. Street No. Street Name PO Box

City/Town Province Postal Code

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0.00

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3/51861E (2013/01) Page 3

Home Phone Number (including area code) E-mail Address

Please indicate how you would prefer the Program Administrator and/or the Ministry to contact you, if required:

Home Phone Cell Phone E-mail Regular Mail (Canada Post) Business Pho

Part C - Applicant Consent

By signing this Study Material Order Form, I hereby consent to the collection, use, and dissemination of my personal information contained

this application by the Ministry of the Environment and its Program Administrator for the purpose of processing this order, as set out at the tof this form.

Signature of Applicant Date (mm/dd/yyyy)

Part D - Check List

Prior to submitting this application you must enclose and check off the requirements of this application to verify that your application iscomplete.

Payment enclosed (Please make cheques or money orders payable to HR Associates, the parent company of the Program

Administrator)

Personal information provided on this form is collected by the Ontario Water Wastewater Certification Office (OWWCO) on behalf of the Ministry of tEnvironment in accordance with the Safe Drinking Water Act, 2002 S.O. 2002, c. 32, as amended (SDWA) and Ontario Regulation 128/04 and theOntario Water Resources Act, R.S.O. 1990, c. O.40, as amended (OWRA) and Ontario Regulation 129/04. The collection, use and dissemination othis information are governed by the Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. F.31, as amended (FOIPPA).

The information gathered herein will be used for the principle purpose of fulfilling study manual orders.

Any questions can be directed to an OWWCO Customer Service Representative by calling 416 231-2100or 1 877 231-2122or by sending your inqto the address below or to [email protected].

Please submit the completed application form to:

The Ontario Water Wastewater Certification Office (OWWCO)302 The East Mall, Suite 410Etobicoke ON M9B 6C7

Or fax to:416 231-2107

* Please refer to A Guide to Completing MOE Operator Certification and Classification Formsfor further explanation.

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5/51861E (2013/01) Page 4

Part E - Payment Information

Please submit the Study Manual Order Form and payment to the Program Administrator for your application to be processed. No exception

permitted. Methods of payment include cheque, money order, VISA, and Master Card. Please make cheques or money orders payable to HAssociates(the parent company of the Program Administrator).

Total Payment Enclosed

Payment Method

Cheque(s) Money Order(s) VISA MasterCard

VISA / MasterCard Number Card Holders Name Expiry Date (mm/yy)

Card Holders Signature Telephone No. (including area code) Date (mm/dd/yyyy)

Mail Receipt To: check if same as Part A Personal Information

First Name Last Name Middle Initial

Unit No. Street No. Street Name PO Box

City/Town Province Postal Code

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