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Access or Correction RequestYou can submit a request if you wish to: • access general records held by institutions (for example, Ontario government ministries, colleges, universities, agencies, municipalities) • request your own personal information • correct your personal information • access another individual’s personal information (with appropriate authorization or consent of the individual)012-1993
Well Technician Licence Application - Form 4This form is for individuals interested in applying for a new Well Technician Licence or to add-a-class(es) to their existing Well Technician Licence, The licence is required to work at the construction of wells and expires on March 31 following the year of issue. Ontario Regulation 903 under the Ontario Water Resources Act prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.014-4817-69
Long-Term Care Home Support Document List - Submitting NOA that included benefit(s) that a resident is no longer receiving because they have transitioned to new benefit(s)To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.021-0459
One Week Survey of Public Library Use (Typical Week Survey)Typical Week Survey helps Ontario public libraries and First Nations public libraries to record, and then report on, their public library usage. Typical Week Survey is annually done in November and data from it is used in the Annual Survey of Public Libraries.on00061
Application for a Goat Bulk Tank Milk GraderA goat bulk tank milk grader certificate is required for the grading, sampling, measuring and collection of raw goat milk from farm bulk tanks in Ontario.003-nm-002
Nutrient Management Strategy and/or Plan Sign-OffTo provide a sign-off to the Nutrient Management Plan.012-2028
Application for a Permit to Perform an Extermination from an Airborne MachineA person who operates an airborne machine in performing a land extermination must hold a permit issued by the Director unless exempt under regulation. This is the application form for this purpose.014-4751-84
Interdisciplinary Health Provider (IHP) Nurse Practitioner (NP) Authorization for Participation in the NP Service Encounter Reporting and Tracking (SERT) InitiativeForm will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC006-3093
Application to be Named on the Adoption Disclosure RegisterTo allow adopted persons and eligible birth relatives to request to be named on the Adoption Disclosure Register006-fro-003
Request for Director's Statement of Arrears (Statement of Account)The Request for Director's Statement of Arrears is another term for statement of account. If a client wants to obtain a statement of their account, they must contact the Family Responsibility Office.The first statement of account will be free while any subsequent requests will be subject to a $25 fee.014-3134-84
Application For IVR ParticipationProvider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone014-3384-83
Application for OHIP Billing Number for Health ProfessionalsPhysicians complete form to apply for OHIP billing number and/or specialty billing number.014-0000-80
Out of Province Claim for Physician ServicesUnder Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.004-3039
Affidavit for Estate Administration Tax - Additional Payment/RefundAn affidavit regarding a revised total value of assets in an estate, resulting in a change in estate administration tax payable.014-4815-69
Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident EligibilityTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment.013-3247
Foreign Diplomat - Clear Fuel Schedule 18 - TEU, Fuel Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Foreign Diplomat Clear Fuel Schedule 18 - TEU, Fuel Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit, and will help you to determine whether you are eligible to claim a refund.013-3245
Foreign Diplomat - Gasoline Schedule 16 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Application for Refund Summary Tax Exempt Sales (TES) and supporting Schedule(s). It also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit and contains information to help you to determine whether you are eligible to claim a refund.013-3248
Foreign Diplomat - Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Foreign Diplomat Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit, and will help you to determine whether you are eligible to claim a refund.013-3246
Foreign Diplomat - Propane Schedule 17 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Foreign Diplomat Propane Schedule 17 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit, and will help you to determine whether you are eligible to claim a refund.on00470
Contravention - Payment FormPlease use this form if you have received an order or notice under one of the following pieces of legislation and are paying the amount of your order or notice, or you are applying for a review. • Employment Standards Act, 2000 • Employment Protection for Foreign Nationals Act, 2009
