Form used so patient can submit out of country medical receipts

Form used by physicians to make inquiries regarding payment details on Remittance Advice

This form is used by surface rights holder(s) to make the withdrawn mining rights available for claim registration.

When the holder of a mining lease, mining licence of occupation or patented mining lands needs other surface rights for the purpose of mining, such as infrastructure buildings or tailings ponds, the client must submit this application form.

This form is used for registering a facility, updating or revoking an existing registration, the identification of a licensed laboratory or to provide notice of reduce lead sampling.

If a client holds a mining lease or patented mining land and wants to convert all or part of the land back to a mining claim, they use this form.

Form outlines the Conformance Testing-Acceptable Use Policy and is part of agreement between ministry and vendor who must successfully pass the conformance testing.

This is the training provider application form a training provider must complete and submit to the Chief Prevention Officer, pursuant the authority under subsection 7.1(2) and 7.2(2) of the Occupational Health and Safety Act (OHSA), for the purpose of the CPO approving the training provider to deliver an approved working at heights training program.

Complete this form to notify the Program Administrator of the Ontario Water Wastewater Operator Certification Program of your change of address.

Form to be used by coroners and pathologists in seeking approval to retain a specimen(s) collected at autopsy for a longer or shorter period than prescribed in Regulation 180 under the Coroners Act.

An affidavit regarding the solvency of each of the amalgamating co-operative corporations. This form must be submitted along with the Articles of Amalgamation.

This form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.

Complete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence.

form used for out-patient services incurred by visitors from another province

This form will be used to evaluate requests for the use of a specified dispersion model under s. 7 of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA

Form used as part of EDT registration package for IHPs

Form to show all group locations where physician services provided

This form is to be used when claiming an Ontario book publishing tax credit.

The form is for requests for medically necessary items that are not in the Ministry of Community and Social Services (MCSS) Vision Care Fee Schedule. Requests may be made where exceptional medical circumstances exist. Service providers must obtain pre-authorization from MCSS before providing Exceptional Circumstances services to clients.

A person who operates an airborne machine in performing a land or water extermination is required under regulation to make a summary of applications for each extermination. This is the form to maintain this summary.