308 Forms found for form 13 B

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  • 014-4752-84
    Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI)

    Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI
  • 014-2404-84
    Claims Flagged for Manual Review

    form submitted with claims to provide additional information regarding particular claim
  • 012-2031
    Summary of Planned and Completed Pesticide Aerial Applications in Ontario Crown Forests

    A person who operates an airborne machine in performing a land extermination on Crown Land is required to make a record of each extermination. This is the form to maintain this summary.
  • 012-2027
    Application for a Permit to Use a Pesticide for Structural Pest Control

    Section 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a structural extermination unless exempt under regulation. This application form is for a permit to use a fumigant gas or chloropicrin for any fumigation unless exempt under regulation.
  • 012-1867
    Application for a Permit to Perform a Water Extermination in Surface Water for West Nile Virus Control

    Section 7(2) of the Pesticides Act requires a person to hold a permit issued by the Director for a water extermination. This application form is for a permit to use a pesticide in surface water to control of mosquito larvae that if allowed to mature could be vectors of West Nile Virus.
  • 014-1265-84
    Health Number Release

    Hospitals submit form to ministry to obtain Health Number of patient when number is not available
  • 019-0253
    Application for Determination of Surface Rights Compensation

    If the owner of surface rights considers that a mining claim holder, of the same land, damaged the owners surface rights and is refusing to compensate the surface rights owner, then that owner can send this form to the Mining and Lands Commissioner.
  • 014-4431-84
    Primary Health Care Unattached Patient Declaration

    form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
  • 018-fw1034
    Application for a Licence to Own and Operate a Train and Trial Area

    This licence allows an individual or corporation to own and operate a Train and Trial Area. Part A of this form contains the application for the licence and Part B contains the required annual report. Those who wish to apply for this licence must have previously been issued a Licence to Own and Operate a Train and Trial Area, applications for new areas will not be accepted. Applicants must submit Part A and Part B of this form, as well as a copy of their site map.
  • on00607
    Raptor Log book

    The Fish and Wildlife Conservation Act, 1997, and O.Reg. 668/98 (Wildlife in Captivity) requires that a person who keeps specially protected raptors or non-indigenous falconry birds in captivity keep a log book. Log books must be updated within 24 hours of any business transaction or event, or as soon as reasonably possible. Log book records need to be kept for five years and must be accurate.
  • on00608
    Annual Report of All Specially Protected Raptors Possessed

    The Fish and Wildlife Conservation Act, 1997, and O.Reg. 668/98 (Wildlife in Captivity) requires a person who keeps specially protected raptors in captivity to submit an annual report of all of the specially protected raptors they possessed to the Ministry of Natural Resources and Forestry. The person must also keep a copy of the annual report for five years.
  • on00536
    Low-Volume Claim Submission Claim File Generator

    The "Low-Volume Claim Submission Claim File Generator" is a tool that allows registered Health Care Professionals/Registered Third-Party Billing Agencies (RTPBAs) to generate a claim file that can be securely submitted to the ministry electronically for the purpose of payment.
  • 005-0212
    James Bartleman Indigenous Youth Creative Writing Award

    The James Bartleman Indigenous Youth Creative Writing Award commemorates the legacy of Ontario’s 27th Lieutenant Governor by recognizing up to six Indigenous students for their creative writing talent. Each recipient receives a $2,500 award.
  • 005-0213
    Lincoln M. Alexander Award

    The Lincoln M. Alexander Award commemorates the legacy of Ontario’s 24th Lieutenant Governor by recognizing three young people who have shown strong leadership in eliminating racial discrimination. Two recipients in the Student category and one recipient in the Community category will each receive a $5,000 cash award.
  • 005-0216
    Hilary M. Weston Scholarship

    The Hilary M. Weston Scholarship commemorates the legacy of Ontario’s 26th Lieutenant Governor and is awarded to two graduate-level social work students who specialize in the area of mental health. Successful applicants each receive a one-time award of $7,500.
  • 005-0220
    Ontario Medal for Police Bravery

    This medal recognizes police officers for individual acts of outstanding courage. Nominations must be made through the nominee’s Police Service and endorsed by their Chief of Police or the Commissioner of the Ontario Provincial Police (OPP) for police officers working in the OPP. Nominations must be submitted by the nominee’s Police Service.
  • 005-0224
    Ontario Medal for Paramedic Bravery

    Recognizes individual acts of outstanding courage and bravery performed by members of Ontario’s paramedic services. Nominations must be made through the nominee’s paramedic service and endorsed by their Paramedic Chief. Nominations must be submitted by the nominee’s paramedic service.
  • 005-0221
    Ontario Medal for Firefighter Bravery

    This medal recognizes firefighters for individual acts of outstanding courage. Nominations must be made through the nominee’s Fire Service and endorsed by their Fire Chief. Nominations must be submitted by the nominee’s Fire Service.