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on00453
Proof of Business Address – Obtaining/Amending a Registrant Identification Number (RIN)A RIN is a unique 9-digit number identifying a business requesting registration of vehicles and/or plates with the Ministry. To be eligible to receive a company RIN an organization must be either an Indian Band or incorporated. To get a RIN, change the name or address of a business with an existing RIN, or merge two RINs, an organization must provide original identification documents, complete this form and provide two (2) proof of address documents at a ServiceOntario Centre.007-11291
Medical Certificate of Death - Form 16014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health cardon00700
Laboratory Licensing and X-Ray Inspection Services Fees PaymentTo facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.014-4442-97
Return Authorization for Resalable Drugs and Medical SuppliesUse this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.014-4895-64
Statement of Medical Exemption – Immunization of School Pupils ActA physician or nurse practitioner must complete a Statement of Medical Exemption for children who require a medical exemption from vaccine requirements under the Immunization of School Pupils Act.on00413
Medical Assistance In Dying (MAiD) Death ReportMedical Assistance In Dying (MAiD) Death Report - This form is to be used by Medical and Nurse Practitioners for mandatory reporting to the Office of the Chief Coroner (OCC) of a medically assisted death (MAiD) (Coroners Act, Section 10.1 (1)(2)).014-4812-99
Application to Re-enter Postgraduate Medical TrainingThe Application Form collects information from applicants regarding their contact information, medical practice and education history.006-3261
Invoice for Completing a Disability Determination Package, Medical Review Package or Providing Additional Medical InformationFor health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.on00407
Medical Certificate to Support Entitlement to Family Caregiver Leave, Family Medical Leave, and/or Critical Illness LeaveThis is a form that employees may wish to provide to a qualified health practitioner to fill out, in order to support their eligibility to take one of these leaves.028-0002
Fire Sprinkler Retrofit Program for Licensed Small or Rural Retirement Homes Grant ApplicationTo administer a grant based funding program for the cost of installing automatic fire sprinklers in licensed retirement homes002-5220
Bond by Insurer Licensed to Write Surety and Fidelity Insurance, Form 2, Bailiffs ActThis form is the prescribed form for a bond of an insurer licensed under the Insurance Act to write surety and fidelity insurance as provided for under clause 14(2)(b) of the Bailiffs Act, R.S.O. 1990, c. B.2 and prescribed as"Form 2" under paragraph 2 of section 2 of R.R.O. 1990, Reg. 53 made under that Act.006-3090
Adopted Person's and Descendant of Adopted Person's Application to Request a Severe Medical SearchTo allow adopted persons, and their family members, to request a search for an adopted person's birth relative or birth relative's family member, in instances of a severe mental or physical illness006-3089
Birth Family Member's Application to Request a Severe Medical SearchTo allow birth family members to request a search for an adopted person, or a member of the adopted person's family, in instances of a severe mental or physical illnesson00880
Medical Certificate to Support Entitlement to Long-term Illness LeaveThis is a form that employees may wish to provide to a qualified health practitioner to fill out, in order to support their eligibility to take this leave.008-pcs102
Applicant Medical Examination Report - Casual/Part-time PolicingPCS102 is to be completed by an Applicant's examining Physician and the information collected is used by the Ontario Provincial Police (OPP) with respect to the Casual/Part-time Policing program. Information collected is for the purpose of initiating an employee file in relation to potential employment with the OPP. The authority for this collection of personal information is the Freedom of Information and Protection of Privacy Act, section 38(2), and the Police Services Act, sections 18 and 43.
