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Government of Ontario

Application for Wildlife Custodian Authorization

Personal information contained on this form is collected under the authority of the Fish and Wildlife Conservation Act, 1997 and will be used for the purpose of authorization, identification, enforcement, resource management and customer service surveys. Please direct further enquiries to the District Manager of the MNRF issuing district.

Name of Applicant
Would the authorization be issued to an individual person or to a corporation?
Mailing Address of Applicant
Physical Address of Applicant (if different from mailing address)
Contact information

Wildlife Specialization

Please check the wildlife category(ies) you are qualified to rehabilitate and have the facilities to support.

wildlife category

Wildlife Rehabilitation Experience

Wildlife Rehabilitation Experience section TO BE COMPLETED BY NEW APPLICANTS ONLY

Please check and describe the category(ies) of training relevant to wildlife rehabilitation you have successfully completed (attach additional pages if more space is required)

Member of a wildlife rehabilitation organization (e.g., IWRC)
Have you passed the Ontario Wildlife Rehabilitation Exam?
If applicable, have you passed the required rabies testing for Wildlife Custodians?

Facilities of Applicant

Facilities of Applicant and Primary Veterinarian sections TO BE COMPLETED BY ALL APPLICANTS

Location of your proposed facility

For inspection purposes, if your wildlife rehabilitation facility would be in the same building or on the same property as a residential dwelling, you must provide a map with this application. You may draw a map on a separate sheet of paper. This map must identify:

  1. areas that would be used as a wildlife rehabilitation facility, and
  2. areas that would be used as a dwelling.

You may not provide rehabilitation or care, or house wildlife undergoing rehabilitation or care, in areas you have designated as a dwelling. The rehabilitation area must be accessible without entering a dwelling area.

TO BE COMPLETED BY THE PRIMARY VETERINARIAN WHO WILL BE PROVIDING MEDICAL TREATMENT

REFERENCE INFORMATION TO BE PROVIDED BY NEW APPLICANTS ONLY

The MNRF district office may contact these references to support assessment of applicant suitability for a wildlife custodian authorization

Reference #1
Reference #2

Signatures TO BE COMPLETED BY ALL APPLICANTS

I certify that the information provided in this application is true.

I give permission to the Ministry of Natural Resources and Forestry to include my name, phone number and city/town/municipality on a provincial list of authorized wildlife custodians that could be broadly distributed to the public and other users of wildlife rehabilitation services, including posting on the Ministry website, for the duration of my wildlife custodian authorization. I understand that I can have my name and phone number removed from this provincial list at any time by contacting my MNRF issuing district and requesting their removal.