Recreational Water Facility Opening Notification Form revised Friday June 12 2020

Notification at least 14 days before the opening or reopening date is required as per the Regulation.

This is to notify the medical officer of health or a public health inspector for the health unit that the pool or spa is intended to be opened or reopened for use in accordance with Section 5(1)(2)(3) of Ontario Regulation 565 made under the Health Protection and Promotion Act R.S.O. 1990.

(*) Mandatory fields.

Facility Information

Check all that apply:


Indoor Pool
Outdoor Pool
Indoor Spa
Outdoor Spa

Indoor Pool
Outdoor Pool
Indoor Spa
Outdoor Spa

Indoor/Outdoor Wading Pool
Indoor/Outdoor Splash/Spray Pad
Indoor/Outdoor Slide Receiving Basin
Owner Information
Operator Information (This operator has been designated by the owner as being responsible for the operation of the facility noted above)
Property Management Information (if applicable)

Note: The personal information on this form is collected under the authority of the Health Protection and Promotion Act, R.S.O. 1990 and Ontario Regulation 565. It will be used for the enforcement of the Act, Regulation, and in the administration of the program.

I certify that the above information is complete and correct, and the facility will be operated in compliance with Provincial Regulations.

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