1. health and fitness
2. therapy

2015 – 2016 REGISTRATION RENEWAL GUIDE
April 1, 2015
This guide has been designed to assist in your completion of the COTM/MSOT 2015
Application for Renewal of Registration. You are encouraged to complete your form early to
allow yourself time to gather all required documents.
Renewal deadline is May 31, 2015
(Renewals received before 4:00 p.m. on Monday, June 1, 2015 will not be considered
late given the renewal deadline falls on a weekend)
The Occupational Therapists Act, which received Royal Assent in 2002, came into force on December 15,
2005. The Occupational Therapists Act and Regulation, which dictate the registration and renewal
requirements, are available for your reference at www.cotm.ca.
The completed renewal form is a legal document; you may wish to retain a copy for your files. Send your
original completed form to COTM. It is essential that all necessary information be complete including the
required enclosures and signatures. In accordance with COTM By-Laws, you must update this information
throughout the year.
1. MEMBERSHIP STATUS: If you are a member of COTM, check one of the status options provided. If you
would like to be a member of MSOT for the upcoming year, check one of the status options provided. The
‘Complete Sections’ area offers an overview of the sections of the form you will need to fill in as determined by
the renewal status you have chosen.
2. DEMOGRAPHICS: Make any changes or corrections to the right of your preprinted information. Complete the
information regarding your work phone number(s) and preferred email address. It is critical that this address be
current; do not use a work email address if you are on a leave. COTM can only use one email address.
3. EDUCATION UPDATES: Complete this section only if:
 information has changed since your initial application or last renewal; or,
 if you want to provide information not previously submitted
A copy of the new qualification must be submitted before it can become part of your file.
4. EMPLOYMENT HISTORY: Complete this section to inform COTM where you have been employed as an
O.T. in the past 12 months (June 1, 2014 – May 31, 2015).
The COTM currency requirement as per The Occupational Therapists Regulation is for 700 hours of practice in
the three year period preceding the date of application for registration or renewal of registration. We ask you to
provide us with your worked hours in the one year period (June 1, 2014 to May 31, 2015) in order to conduct our
review of your practice hours to determine if you meet the 3 year currency requirement.
In section (a), you will be required to select at least one of the following options to describe your O.T. practice for
the past year. Select all items that apply to you. In section (b), you must provide details of your employment.
Detail requirements for each option are listed below:
(i) I have worked 700 hours during this period.
 In section (b), you are required to provide the names and addresses of your employers.
(ii) I have changed employers during this registration year.
 In section (b), you are required to provide the names and addresses of your employers, plus
the dates and hours worked for each, and tally your worked hours.
(iii) I have not worked at least 700 hours in the past year.
 In section (b), you are required to provide the names and addresses of your employer(s), plus
the dates and hours worked for each, and tally your worked hours.
(iv) I was on leave of absence for more than three months.
 In section (b), you are required to provide the names and addresses of your employer(s), plus
the dates and hours worked for each, and tally your worked hours
(v) Some of my hours are education or volunteer hours.
 In section (b), you are required to provide the number of hours. Evidence of worked hours
must accompany your form.
5. CURRENT EMPLOYMENT:
See the separate and expanded guide for this section entitled COTM Renewal Guide - Statistics.
For additional clarification, please contact COTM
E: [email protected] or P: (204) 957-1214 (ext. 20) or Toll-free: 1(866) 957-1214 (ext. 20)
COTM/MSOT Registration Renewal Guide 2015-2016
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6. LIABILITY INSURANCE:
Every occupational therapist who provides clinical services shall obtain or be covered by, and maintain liability
insurance coverage to a minimum of $5,000,000.00 as per The Occupational Therapists Regulation; Section 18.
Please provide proof of insurance by forwarding a paper copy with your renewal of the PDF for your BMF Group
Insurance Certificate sent to you by CAOT. If your insurance is with another insurance agency provide an original
certificate of your insurance.
If you are relying on your Employer Insurance please provide a letter from your employer(s). If your facility is
insured by HIROC or HED, indicate on the renewal form (no further proof is needed). Please note that HIROC
and HED provide insurance coverage only for employees; contract work is not covered by these agencies.
Please note: Insurance coverage through an employer is applicable to services supplied on behalf of that
employer only, and will not provide coverage for other services you may render as a volunteer or in the private
sector.
For further information regarding malpractice insurance, please review the Malpractice Insurance Information
Sheet on the COTM website, at http://www.cotm.ca/upload/InsuranceInfoSheet.pdf. You may also phone the
office with any questions or concerns.
* If you are unable to submit an original CAOT certificate, COTM will accept email verification from CAOT. To
arrange this, please contact CAOT and request that an email be sent directly to [email protected] to verify
coverage.
7. PROFESSIONAL REGISTRATION: If you are registered as an OT in another jurisdiction, complete this
section and provide a photocopy of your registration card(s).
8. REGISTRATION IN OTHER REGULATED PROFESSIONS: If you are registered with another regulated
profession, complete this section and provide a photocopy of your registration card(s). If you have a permanent
certificate and have submitted it previously, indicate so on the form.
9. HISTORY AND CONDUCT: You are required to answer the questions in this section truthfully and completely;
failure to do so may result in revocation of your registration.
As a requirement of The Occupational Therapists Act, each member is required to disclose information
regarding any health condition or addiction that impacts his/her ability to practise as an occupational therapist. If
you answer “yes” to any of the questions in this section, you will be asked by the COTM Registrar to provide
additional information related to the timing, nature, and current status of the disclosed information. With regard to
health conditions, you may be asked to provide documentation regarding any accommodations needed or
limitations to your ability to practise occupational therapy. The additional information will be used to determine
your eligibility for renewal of registration.
Please note that any information you provide will be collected, used, and stored in accordance with the
confidentiality sections of The Occupational Therapists Act.
10. CONTINUING COMPETENCE PROGRAM (CCP)
1. You are required to answer the questions in this section truthfully and completely; failure to do so may
result in revocation of your registration.
2. As a requirement of The Occupational Therapists Act, each member is required to complete the current
requirements of the CCP in order to be eligible for registration renewal. Detailed information regarding
current requirements is available at http://cotm.ca/index.php/quality_practice/ccp_current_forms .
3. Declare the month and year that you completed each of the three requirements. If you have not
completed a requirement, please select the code (1-4) that best describes why you have answered in the
negative. If you select code #4 for any question, please explain in the space provided.
For additional clarification, please contact COTM
E: [email protected] or P: (204) 957-1214 (ext. 20) or Toll-free: 1(866) 957-1214 (ext. 20)
COTM/MSOT Registration Renewal Guide 2015-2016
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***ALL COTM MEMBERS MUST COMPLETE EITHER SECTION 11 OR 12***
11 DECLARATION: Complete this section to formally confirm your intentions to register as a COTM member, to
verify that all information is accurate, to confirm your ability to practise within the governances of COTM, and to
confirm that you understand your responsibilities regarding professional liability insurance.
12. RESIGNATION: Complete this section to formally confirm your intention to resign from COTM, and to verify
that all information is accurate.
13. COTM / MSOT NOMINATIONS: Your answers to these questions will assist the Nominations Coordinator of
COTM and the Nominating and Awards Committee of MSOT. A ‘yes’ answer does not obligate you to participate;
rather, it will result in the organization(s) contacting you with openings and opportunities for your consideration.
14. MSOT INFORMATION: All MSOT members are requested to provide information regarding non-English
language skills.
Please note the Manitoba Society of Occupational Therapists Research Foundation (MSOTRF) portion of
this section. If you wish to make a donation include a cheque made payable to COTF (Canadian Occupational
Therapy Foundation) with your renewal. A receipt will be issued on behalf of MSOTRF by COTF.
Contact Preferences:
a) Answer ‘yes’ to indicate you would like to be included on the MSOT email list – you will receive items such as
the newsletter, website update notifications, professional development opportunities, etc., via email from MSOT,
deemed to be of potential interest to MSOT members.
b) Answer ‘yes’ to indicate you would like to be included on the MSOT mailing list – you will receive the
newsletter and items from third parties via MSOT, deemed to be of potential interest to MSOT members.
15. FEES: Make cheque or money order payable to the “College of Occupational Therapists of Manitoba” or
“COTM”. Cheques must not be post-dated later than June 1, 2015. All cheques are cashed, and receipts and
membership cards are issued within the first week of June.
If your renewal is received by the College after June 1, 2015, a late fee penalty of $50.00 will automatically be
applied.
A flat rate fee of $35.00 is charged for N.S.F. or returned cheques. Should this occur, your fees will be
considered late and the late fee penalty will be applied.
If, according to the information provided, the category for which you apply does not seem suitable, the office will
contact you.
Thank you for taking the time to review this guide; your thorough and correct completion of the COTM / MSOT
renewal form is of significant assistance to COTM & MSOT staff, and may help you to avoid late fees.
For additional clarification, please contact COTM
E: [email protected] or P: (204) 957-1214 (ext. 20) or Toll-free: 1(866) 957-1214 (ext. 20)
COTM/MSOT Registration Renewal Guide 2015-2016
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