Letter of Standing Request Form

If you are moving to another province and require registration as an MLT with another provincial regulatory body, you must request a letter of standing from the CMLTA by filling out this form and submitting payment of $50.

Name *

First

Last

Email *

Phone

CMLTA Registration # *

Name of Regulatory Body *

Email of Regulatory Body *

Letters of Standing will only be issued to the email address provided.

Address of Regulatory Body *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Declaration: *

By submitting this form, I hereby acknowledge the CMLTA will release all information related to my registration history, Continuing Competence Program compliance, and professional conduct and discipline records.

Signature *

Clear Signature

Date *

Letter of Standing Processing Fee

Price: $50.00

Stripe Credit Card *

Card

Name on Card