Request for Registry Termination

Registrants who choose to terminate their CVRP and CCVE certification with the College of Vocation Rehabilitation Professionals must complete the Request for Registry Termination and pay the administration fee to be removed from the database and the Public Registry. Failure to do so will result in the Registrant being listed as ‘Suspended’ on the Public Registry for up to 12 months.

To review the Termination of Registration Policy, click here

Please complete the form below to complete request for Registry termination.

Request for Registry Termination Form

This form must be completed and the administration fee paid through PayPal to complete termination of your College registration with removal of your name and contact information from the Public Registry. Failure to do so will result in your registry being listed as ‘Suspended’. Please note that a Suspended Registrant will be public from 3-12 months, depending on current College Policy.
Date
Name

First

Last
Credential(s) and Registration #:
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Email
Please indicate the reason for cancelling your certificate of registration :
- Leaving the country
- Changing profession Leaving the VR or VE Field
- Returning to School – different Profession
- Retiring – no longer practicing
- Other – please explain below
Please provide 'Other' reason request for registered termination:
Administrative Fee for registry removal*

Price: $ 25.00 CAD

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