The National Occupational Therapy Certification Examination (NOTCE) is administered by the Canadian Association of Occupation Therapists (CAOT). The exam is held twice a year, once in July and once in November.


Exam candidates have a maximum of three attempts to pass the exam. No further attempts will be permitted.

Cost to Attempt the Exam

$655 + HST.

Study Resources

CAOT offers several study resources including: the NOTCE Practice Exam, NOTCE Study Guide, NOTCE Online Prep Class and NOTCE Resource Manual. Visit their website to learn more.


If you require accommodation when writing the exam, please contact CAOT directly.


If you experience ill health during the exam and continue to write the exam, or believe that there were administrative issues on the examination day that significantly impaired your performance, you can appeal to CAOT on the basis of extenuating circumstances.

Appeals must be made directly to CAOT and consist of a letter, supporting documentation and an administrative fee of $50.00.

Appeals MUST be received in the CAOT office no later than 14 days after the exam day. Appeals are NOT considered once the exam results have been mailed to the candidates.

If an appeal is granted, you must notify the College and provide the appropriate documentation.

For more information about the exam, including policies and resources, please visit the website.