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on00002
Forms Management Services – Form Service RequestTo submit service requests for form edits/development to Forms Management Services014-4420-84
Health Claim014-4421-84
Reciprocal ClaimClaim card used by physicians to receive reimbursement for reciprocal claims014-4478-84
Adjustmentonline form to be available to providers and to Regional Operations staff on a permanent basis on the interneton00418
OAC Payment Formon00871
Amateur Multi-Event Permit – Update FormAmateur Multi-Event Permit – Update Form014-0691-84
Request for Approval of Payment for Proposed SurgeryForm to request approval for patient to receive surgery In-Province.045-2308-69
Profile of Long-Term Care FacilityPart of Nursing Home Inspection Kit014-1948-95
Application for Direct Bank Payment - ADPUsed by clients/vendors to receive remuneration by direct deposit versus cheque.006-3240
Acknowledgment of Adoption PlacementThis form is signed by prospective adoptive parents when a child is placed with them.006-3237
Notice to a Director of Proposed PlacementThis form is completed by a licensee who proposes to place a child with an applicant with a view to adoption.014-7521-84
Out of Province Out-patient Servicesform used for out-patient services incurred by visitors from another province003-atdia-002
Application For a Machine LicenceA machine licence is required for a machine used to install tile drainage on agricultural land.003-atdia-001
Application For a Machine Operator's LicenceA licence is required to operate a tile drainage machine.014-2404-84
Claims Flagged for Manual Reviewform submitted with claims to provide additional information regarding particular claim014-4316-84
Patient Enrolment Batch Headerform placed on top of bundles of primary care forms, to submit to ministry for processing.012-2131
Change of Address NotificationComplete this form to notify the Program Administrator of the Ontario Water Wastewater Operator Certification Program of your change of address.on00870
Ontario Autism Program – Childhood Budget/Interim One-Time Funding Attestation FormUse this form to confirm your Childhood Budget or Interim One-Time funding was used to purchase eligible services and supports. Before you complete this form: You must have received a letter or email from the Ministry with your unique attestation code. Attestation does not impact current or future OAP funding, standard reconciliation options remain available to you to submit an expense form: Ontario Autism Program - Expense Reportingon00341
Forms RequestThis form is to request forms to be mailed for a legal name change or to amend/correct information on an Ontario vital event registration.
