I hereby declare that I am voluntarily resigning my Certificate of Registration (“Certificate”) with the College of Opticians of Ontario (the “College”). I understand that my resignation will be effective the date it is received by the College and my status will be displayed as “Resigned” on the Public Register.
By signing and dating this form, I hereby acknowledge that I have read and I understood the Registration Policy - Retiring or Resigning from the College. I acknowledge that once I have resigned my Certificate, I cannot reinstate it. If I choose to return to the practice of opticianry in the future, I must re-apply to the College as a new optician and meet the registration requirements in place at that time.
By selecting the "I have read and understood" button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.