The National Occupational Therapy Certification Examination (NOTCE) is administered by the Canadian Association of Occupational 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.

Study Resources

  • CAOT offers several study resources including: the NOTCE Practice Exam, NOTCE Study Guide, NOTCE Online Prep Class, and NOTCE Resource Manual. Additional information can be found on the CAOT website.


  • Exam candidates must contact CAOT directly if they require accommodations when writing the exam.


  • Exam candidates who experienced ill health during the exam and continued to write the exam or believed that there were administrative issues on the examination day that significantly impaired their performance, 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 date. Appeals are NOT considered once the exam results have been mailed to the candidates.

  • If an appeal has been granted, exam candidates must notify SSOT and provide the appropriate documentation.

For additional resources and information about the exam, please visit the CAOT website.