337 Forms found for form 13 B

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  • 014-4521-84
    Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing

    The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.
  • on00153
    Compliance Assessment Report Aggregate Resources Act (Licences and Permits)

    The Aggregate Resources Act (ARA) requires all licence and permit holders to submit an annual Compliance Assessment Report to the ministry and municipalities. Regular assessment of compliance helps the licensee or permittee to stay familiar with what activities are permitted on their site. Enhanced compliance action will not be taken before the established deadline date for any contraventions disclosed in the report. All information in this report is available for public review. Submit this form and any additional information online using the Natural Resources Information Portal (NRIP). If web access is not available, submit this form by mail to the ministry work centre where the site is located. Please call the Natural Resources Information and Support Centre (NRISC) at 1-800-667-1940 if assistance is required in determining your local ministry work centre.
  • 010-52-0147
    Notice of Intention to Operate a Private School (NOI)

    Requirement under section 16 of the Education Act for private schools to submit a notice of intention to operate annually to the Ministry of Education by September 1. Submission of the form triggers registration for all private schools and inspection for those wishing to grant credits towards the Ontario Secondary School Diploma.
  • on00533
    Poster Template for Payday Loan Agreements

    This poster template was produced to help licensees under Ontario’s Payday Loans Act, 2008 comply with requirements pertaining to posters for payday loan agreements under that act. This is not an official form required by the Ministry of Public and Business Service Delivery; no data in this template is required to be returned to the ministry.
  • 006-fro-028
    ALTERNATIVE PAYMENT ORDER

    The alternative payment order allows a support payor to pay by another method rather than by automatic income deductions under a support deduction order. If you are asking the court to make an alternative payment order, complete the appropriate sections of this form prior to your court date. If you or the support recipient has a lawyer, the lawyer will complete the rest of the form based on what the judge orders. If neither of you has a lawyer, provide the form to the court clerk.
  • on00460
    Physician/Nurse Practitioner Report

    Form 1 - Physician/Nurse Practitioner Report Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
  • on00462
    Respondent Report

    Form 3 - Respondent Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
  • on00461
    Applicant Report

    Form 2 - Applicant Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
  • on00700
    Laboratory Licensing and X-Ray Inspection Services Fees Payment

    To facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.
  • 014-4900-85
    Physician Affiliation Authorization and Declaration of Professional Standing for ICHSCs

    The form is used to confirm a physician's qualifications to provide the requested services prior to processing a request to affiliate to a particular ICHSC. The licensee must ensure that the physician has been affiliated to the centre before they begin to provide licensed services.
  • 009-0041
    Accessibility Innovation Showcase – Volunteer Application

    Applications for Volunteers to complete for volunteering at the Accessibility Innovation Showcase (September 21, 2017, September 24 - 27, 2017). Deadline to volunteer is August 18, 2017. If you need an alternate format or other accommodation to access this document, please contact Olivia Hall at olivia.hall@ontario.ca or call 437-991-4383.
  • 014-4751-84
    Interdisciplinary Health Provider (IHP) Nurse Practitioner (NP) Authorization for Participation in the NP Service Encounter Reporting and Tracking (SERT) Initiative

    Form 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 MOHLTC
  • 014-3890-22
    Clinician Aid B - (Primary) “Medical Practitioner” or “Nurse Practitioner” Medical Assistance in Dying Aid

    The use of this aid is voluntary. It is being provided to assist you in maintaining records of requests for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting medical assistance in dying and it is your intention to provide medical assistance in dying to the patient. You should also include the completed aid in the patient's medical records.
  • 0214
    Lieutenant Governor's Community Volunteer Award for Students

    The Lieutenant Governor's Community Volunteer Award for Students pays tribute to students who not only complete the required number of volunteer hours to graduate, but who go above and beyond. Each year, an award is given to one graduating student at each of Ontario's secondary schools.
  • 018-fw1023
    Application for an Authorization to Conduct Field Trials and Training

    Section 26 of the Fish and Wildlife Conservation Act, 1997 (FWCA) prohibits a person from using a dog to chase live game mammals or game birds during the closed hunting season for the purpose of teaching the dog hunting skills (training) or testing the dog’s hunting skills (field trial) unless the person has the authorization of the Minister. This application can be used to apply for an Authorization to Conduct Field Trials and Training which may be issued to authorize these activities during certain discrete periods of time outside of the hunting season for the game species being chased.
  • on00583
    Application for a Non-Shopkeeper- Distributor Licence

    You must hold a non-shopkeeper distributor licence if you meet at least one of the following: • You sell or distribute fluid milk products and do not operate a shop. • You operate a shop and less than 50% by volume of your fluid milk products are sold directly to consumers from your shop. • You are a fluid milk distributor and you don’t buy your milk products from a licensed non-shopkeeper distributor. Licences are issued for a period of up to 3 years and must be renewed before the expiry date stated on the licence.
  • on00576
    Business Profile – Abattoir and/or Free Standing Meat Plant

    The application for a meat plant licence includes the completion of a Business Profile. The Business Profile is to be completed by the licensee and reviewed by OMAFRA. It captures necessary information used to assess the types of regulated activities conducted by the operation and the level of inspection services required at the facility. It also requires updates and resubmission every three years and when any changes occur to any of the contained information.
  • on00646
    Ontario Disability Support Program (ODSP) - Mandatory Special Necessities (MSN) Benefit Application

    Application may only be completed for recipients of ODSP. The following approved health care professionals licensed to practice in Ontario can complete the application: • Physicians, Nurse Practitioners, Registered Nurses, Occupational Therapists, Physiotherapists, Physician Assistants, and Psychologists* *Psychologists can only complete the Medical Transportation section of the form. The application may only be completed for medical supplies, items, and devices listed in the MSN Schedule of Benefits (https://www.ontario.ca/page/ontario-disability-support-program-health-and-disability-benefits) and items must not be otherwise reimbursed or subject to reimbursement from any other source.
  • 023-sr-l-105st
    Oversize/Overweight Permit Application Single Trip Only

    A single trip permit is issued to facilitate an oversize/overweight move for a one way trip along for a limited time period.
  • 007-11314
    Adoption Information Disclosure Application to Register or Withdraw a Notice of Contact Preference

    To allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a Notice of Contact Preference under the Adoption Information Disclosure Act, 2005.