-
014-3889-84
Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit RequestPhysicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.014-5119-84
Consent Authorization Form: Disclosure of Personal Claims History (PCH) Information to Third PartyReceive information required to prove consent provided by individuals or individual's decision makers in order to process Personal Claims History information requests from Third Parties.on00510
Outpatient Referral FormThe form is used to refer a child/youth to outpatient services at CPRI. When an outpatient referral is received, a clinical team works with the referent and community partners to gather information about the referral and how to best meet the needs of the child/youth being referred.on00509
Inpatient Referral FormThis form is used to refer a child/youth to inpatient services at CPRI. Referrals for inpatient services should be submitted through the child/youth's Single Point Access Agency.008-0153
Institutional Patient Death RecordThe Institutional Patient Death Record (IPDR) form has been replaced by the Resident Death Notice (RDN) form. Please refer to the following page for the RDN form: https://forms.mgcs.gov.on.ca/en/dataset/on00412.on00437
Load Refusal ReportForm used to submit load refusal information by the intended receiver of hazardous waste. Use of this form is only permitted if the Director has approved a request to satisfy manifesting requirements by using a paper document.on00436
Manifest FormForm used to submit manifesting requirements for hazardous waste by the generator, carrier and receiver. Use of this form is only permitted if the Director has approved a request to satisfy manifesting requirements by using a paper document.016-1909
Notice of Requirement to Achieve and Maintain Pay EquityThis notice is posted in the employer's workplace as required by Section 7.1 of the Pay Equity Act, R.S.O. 1990, c.P.7, as amended.016-0203
Request for Information - Employee Reprisal QuestionnaireThe Employee Reprisal Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.016-0200
Request for Information - Non-Union Employee ApplicantThe Non-Union Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office016-0201
Request for Information - Union/Employer QuestionnaireThe Union/Employer Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.016-0202
Request for Information - Represented Employee QuestionnaireThe Represented Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.016-1933
Record Keeping TemplateThe Record Keeping Template – This guidance tool is one way that an employer can record the basic occupational health and safety awareness training for their workers and supervisors. This guidance tool is a sample template.1960
Health and Safety ChecklistThe purpose of this checklist is to help employers increase their knowledge about their main responsibilities under the Occupational Health and Safety Act (OHSA), and to evaluate how well they are complying with their duties to ensure their workplaces are healthy and safe.on00455
Credit Card Authorization/Dispute WaiverThe purpose of the form is for clients/cardholders to authorize the MoF to process a credit card payment or recurring credit card payments for non-tax programs and confirm that any and all credit card charges will not be disputed.023-sr-l-105st
Oversize/Overweight Permit Application Single Trip OnlyA single trip permit is issued to facilitate an oversize/overweight move for a one way trip along for a limited time period.016-1966
Claim Form - Protecting Child Performers Act, 2015To enable child performers or their parents or guardians to file a claim under the Protecting Child Performers Act, 2015, which sets out the minimum requirements for employers, child performers and parents or guardians.016-mol-es-048
Section 112 Terms of SettlementThe claimant, in the matter of the claim referenced filed in accordance with s. 96(1) of the Employment Standards Act, 2000, notify the Ministry of Labour of the settlement of the claim/terms.014-3134-84
Application For IVR ParticipationProvider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone016-mol-es-047
Notification of Section 112 Settlement FormThe claimant and employer, in the matter of the claim referenced filed in accordance with s. 96(1) of the Employment Standards Act, 2000, notify the Ministry of Labour of the settlement of the claim.