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Change of Registration Class

Current registrants are required to submit an application to the College to change their class of registration for periods they will not be practising midwifery in Ontario or to resume the practice of midwifery in Ontario. Applications for class changes may be submitted at any time during the registration year, however, processing times vary depending on the type of class change, and if the application is received during the high-volume Registration Renewal period of August through October.


Types of Class Changes

There are three types of class changes. For more information on the different types of class changes and to access the required application form, click to expand:

1. General Class to Inactive Class

General class (eligible to practise) to Inactive class (not practising)

Registrants in the General class who wish to change to the Inactive class of registration simply submit an application form to the College before the effective date of the change. This type of class change can be processed by the College relatively quickly and generally takes up to 10 business days. Class changes effective between July 29 up to November 1, can be initiated as per note below.

Registrants in the Inactive class remain current registrants of the College, and thus are required to renew their registration with the College by the October 1 deadline. Renewal information is available annually in late July/early August. Inactive class registrants of the College may continue to use the title Registered Midwife or RM, however, are not permitted to practise midwifery in Ontario while in the Inactive class. For more information about the Inactive class and not practising midwifery, please click here.

Note: For class changes effective between July 29 up to November 1, registrants may submit a class change request to Inactive class directly through the renewal portal and do not need to submit a separate class change application, but must submit their renewal form before the effective date of the class change. This option is available in the renewal portal from late July/early August to October 1 only. This process automatically adjusts registration renewal fees to the inactive renewal fees.

Once the College processes the class change to Inactive, the following occurs:

  1. Professional liability insurance is suspended. Registrants are not permitted to practise midwifery in Ontario while in the Inactive class of registration.
  2. Public Register Information is updated, and an updated wallet card becomes available through the Member Portal
  3. Midwifery Stakeholders are notified (AOM, MOHLTC, MGCS, OMP, MEP, HIROC)
  4. Class change is confirmed by email to the registrant
  5. Registration fees are re-calculated and a refund is issued to the registrant by cheque, if applicable. A refund is issued within four to six weeks after the effective date of the class change and is the difference between General fees paid and Inactive fees for the registration year. That is, a registrant pays General fees for the months or partial months practising and Inactive fees for the months not practising in a registration year.

Note: In accordance with the Registration Regulation, all class changes to the General class require the completion of the College’s Jurisprudence Course, if the course was not completed previously. In accordance with the College’s Fees and Remuneration By-law, a $50 fee will apply when a registrant requests to change class from Inactive back to General. 

To initiate the class change process from General to Inactive, submit a class change application form to the College through the secure deposit box. Click here to access the application: Change of Class General to Inactive Class Form

2. Inactive Class to General Class

Inactive class (not practising) to General class (eligible to practise)

Registrants in the Inactive class who wish to change to the General class of registration are requested to submit an application form to the College a minimum of eight weeks before the requested date of the change. Class changes of this type can generally be processed within 15 business days when the registrant has submitted all required items, and a review by a Panel of the Registration Committee is not required.

The Registration Regulation requires current registrants wishing to be re-issued a General certificate of registration to meet the requirements outlined in section 15(4)(a). This includes the following requirements:

A registrant must have practised midwifery for at least two years in the preceding four years immediately before the date of application for re-issuance of a General certificate of registration, and have the following birth numbers:

  • 40 births consisting of
    • 20 primary births including
      • 10 primary out of hospital birth
      • 10 primary hospital births

In addition, a registrant must have, at the time of entry into the profession or over the course of the registrant’s time practising the profession, completed the following:

  • Have attended at least 60 births, of which at least
    • 40 were attended as primary midwife
    • 30 were attended as part of the care provided to a woman in accordance with the principles of continuity of care
    • 10 were attended in hospital, of which at least five were attended as primary midwife, and
    • 10 were attended in a residence or remote clinic or remote birth centre, of which at least five were attended as primary midwife.

Note: All class changes to the General class effective as of April 1, 2018 require the completion of the College’s Jurisprudence Course, if the course was not completed previously.

Required items for a class change from Inactive Class to the General Class are:

  1. Completed Inactive to General application form submitted to the College through the secure deposit box-above. A completed application includes complete registrant information, completion of the disclosure questions and provision of information if applicable, and reporting of birth numbers indicating active practice in the previous four years prior to application.
  2. Payment of a $50 class change fee from Inactive to General upon notice by the College of an available invoice.
  3. Current NRP, CPR, ES certificates of completion, which are in accordance with the College’s Continuing Competency Requirements and Approved Courses, uploaded to the Member Portal. All certificates must be current on the day of the class change.
  4. College’s Jurisprudence Course Certificate of Completion uploaded to Continuing Competency tab in the Member Portal, if not completed earlier.  Fee is $150.
  5. Evidence that you are legally authorized to work in Canada. Must be a Canadian Citizen, Permanent Resident or have valid open employment authorization.
  6. Professional liability insurance coverage evidence. For insurance through the Association of Ontario Midwives (AOM), the College will contact the AOM for confirmation. The effective date of the class change is contingent on the effective date of the professional liability insurance.
  7. Registration fee credit card payment through the Member Portal upon notice by the College of an available invoice.

A registrant pays General fees for the months or partial months practising and Inactive fees for the months not practising in a registration year (October 1 to September 30). Registration fees due and paid are reflected in the Member Portal. See the Class Change Fees from Inactive to General here for 2021 – 2022.  Click here for 2022 – 2023 Class Change Fees from Inactive to General.

Unless otherwise notified by the College, additional registration fees are required to change to the General class from Inactive class.

Note: During the processing of the class change application, if it is determined that a review by a Panel of the Registration Committee is required, a registrant will be advised in writing. A panel review process is initiated when a registrant does not meet the current clinical experience requirement, and the review may take two months to complete. Registrants are advised to plan accordingly.

Once the College processes the class change to General, the following occurs:

  1. Professional liability insurance is confirmed with the AOM, unless the registrant has provided evidence of insurance coverage in Ontario. Until a registrant has been notified by the College in writing of the class change, practising midwifery in Ontario remains unauthorized.
  2. Class change is confirmed by email to the registrant, which then allows the registrant to practise midwifery.
  3. Public Register Information is updated, and an updated wallet card becomes available through the Member Portal.
  4. Midwifery Stakeholders are notified (AOM, MOHLTC, MGCS, OMP, MEP, HIROC)
  5. Registrant to review public register profile and update information including but not limited to hospital privileges via the Member Portal.

To initiate the class change process from Inactive to General, submit a class change application form to the College through the secure deposit box. Click here to access the application: Change of Class Inactive to General Class Change Form

Jurisprudence Course Required for Class Changes to General Class

In accordance with Sections 15 (4) (a) and 7.7 of the Registration Regulation, all registrants requesting a class change from the Inactive class to the General class of registration, are required to show evidence of having completed the College’s Jurisprudence Course, unless the course was previously completed.

Requalification Program Approval and Registrar Authorization Policy

3. Inactive to General Class Requiring a Registration Committee Panel Review

Inactive class (not practising) to General class (Eligible to practise) requiring a Registration Committee Panel review

Where a registrant cannot demonstrate current clinical experience and active practice, the Registration Regulation provides an alternative means for the registrant to become eligible for a General certificate of registration. Section 15(4)(b) enables a registrant to successfully complete a requalification program that has been approved by a panel of the Registration Committee for that purpose. The purpose of the requalification program is to ensure a registrant moving from Inactive to General has the current knowledge and skill to practise midwifery safely and effectively as a primary care provider.

During the processing of the class change application, if it is determined that a review by a Panel of the Registration Committee is required to approve a requalification program, the registrant will be advised in writing and requested to make a formal written submission to the Panel within 30 days.


Registration Committee Panel Referral Process

Therefore, the registrant will be referred to a panel of the Registration Committee as follows:

  1. Registrant will be sent a letter of referral outlining the grounds or reasons for the referral.
  2. Registrant will be asked to make written submissions for the panel’s consideration within 30 days of the date of the referral letter.
  3. The panel will meet (according to the posted schedule) and review all referrals.
  4. The panel will consider all written submissions and will approve a requalification program using a risk assessment tool.
  5. Following the meeting, a written decision and reasons will be drafted.
  6. Once finalized, the written decision and reasons will be issued to the registrant.
  7. The registrant must successfully complete the approved requalification program prior to being issued a General certificate of registration. Written proof of completion is required. In some cases, a registrant may be required to complete a period of supervised practice as part of a requalification program, and in this case, the registrant will be issued a Supervised Practice certificate of registration.

Note: This process takes time and registrants should apply at least two months prior to their anticipated return to practice date. While the College works to accommodate the return to practice date of registrants, each individual case is different, and timeframes may vary. In addition, registrants should account for the possibility of needing to complete a requalification program prior to being re-issued a General certificate. The time required for this may be more than the processing time when there is a panel referral.


To initiate the class change process from Inactive to General, submit a class change application form to the College through the secure deposit box. Click here to access the application: Change of Class Inactive to General Class Change Form

Secure Deposit Box

Class change applications are to be submitted electronically to our secure deposit box by clicking here.  

Processing timelines

General to Inactive:

  • 3 to 10 business days maximum
  • Class changes to Inactive with an effective date of August 1 up to November 1 may be submitted to the College within the renewal portal between August up to October 1 with the submission of a renewal form before the effective date of the class change.

Inactive to General:

  • 8 weeks minimum. May require additional time during the Registration Renewal period between August to October.
  • Applications requiring a panel review may require more than 8 weeks for processing depending on the complexity of the application and/or the date of the next scheduled panel meeting.
  • Applications that are incomplete or are missing required documentation will result in processing delays.

An email acknowledging receipt of your application will be sent to you within 3 business days.

If you require any further information regarding class changes, please contact the Registration Department at registration@cmo.on.ca or 416-640-2252 ext. 222.