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045-4804-69
Application for Reduction in Long-Term Care Home Basic Accommodation Resident Receiving ODSP FormTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.006-3006
Confirmation of AssignmentAny person commencing a court proceeding to change the terms of their support order must complete a Confirmation of Assignment form to obtain information about whether their support order is assigned. The ministry will only provide information to the support payor, the support recipient or his/her lawyer. When the form is completed it must be sent to MCCSS, Confirmation of Assignment Unit.007-11291
Medical Certificate of Death - Form 16006-3256
Ontario Autism Program Childhood Budget FormUse this form to apply for Ontario Autism Program Childhood Budget funding, if eligible. Applications are now closed. Learn more about Ontario Autism Program Childhood Budgets: https://www.ontario.ca/page/ontario-autism-program-childhood-budgets Learn more about other Ontario Autism Program services and supports: https://www.ontario.ca/page/ontario-autism-program#section-3014-2451-67
Application for Funding Home Oxygen TherapyTo be used for all applications for Home Oxygen Therapy funding.013-9992
IRREVOCABLE STANDBY LETTER OF CREDIT - LAND TRANSFER TAXThe Land Transfer Tax Act allows the Minister to accept security for the payment of taxes in any form that the Minister considers satisfactory (being a letter of credit or cash). A Letter of Credit must be drawn on an Ontario-based financial institution.on00867
Form 1 - (For Amendments) Proponent's Certificate (Requirements are met)If the closure plan amendment meets the requirements of O. Reg. 35/24, Rehabilitation of Lands, a certificate in Form 1 to O. Reg. 35/24, Schedule 2, in English or in French, must be signed.026-0251
Death Investigation Oversight Council Complaint FormThe Death Investigation Oversight Council (DIOC) administers a public complaints process through its Complaints Committee, which reviews complaints regarding death investigations, specifically, complaints against a coroner or a forensic pathologist working in the Province of Ontario. Families may use the DIOC complaint form to submit their complaint to the DIOC Secretariat.013-1473
Ontario Current Cost Adjustment (OCCA)To be completed when claiming the Ontario current cost adjustment for pollution control equipment.009-0053
Appendix “B” Ontario Investment and Trade Centre Fire and Emergency Evacuation ProceduresEmergency Procedures (Provided with reservation confirmation)013-1487
Total of Other Deductions Allowed by OntarioThis supplemental schedule itemizes other deductions allowed by Ontario not previously deducted in calculating net income/loss for Ontario purposes.045-4768-69e
Health Assessment - Ontario Health atHomePLEASE NOTE: The Health Assessment Form has been updated as of July 7th, 2025. Practitioners are asked to begin using the new form immediately. However, assessments completed using the old form will be accepted by Ontario Health atHome until December 31st, 2025. This form is to be used for completion of the assessment required under the Fixing Long-Term Care Act, 2021 when a person applies for a determination of eligibility for long-term care home admission. The required assessment is of the applicant’s physical and mental health, and the applicant’s requirements for medical treatment and health care. This assessment must be made by a physician or registered nurse.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.