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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.014-4747-84
Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI)IHPs requesting approval to submit their claims in MRI format013-2260
Schedule 2 Associated Employers Exemption AllocationAll eligible employers in an associated group must enter into an agreement and complete the schedule below allocating the tax exemption for the year.on00784
Private Gas Well Licence ApplicationThis Application for a Well Licence, under the policy "Approach to Licensing Private Gas Wells", is used to apply for a licence for an existing, operating private gas well in Ontario. A complete submission includes: - Well Evaluation Form - Private Gas Well Licence Application Form - Well Location Sketch: Existing Private Gas Wellon00785
Well Evaluation Private Gas WellThis form is used to collect details about the private well, completed by a Qualified Person. A complete submission includes: - Well Evaluation Form - Well Location Sketch - Ownership documentation - Four photos of the well from N, S, E, W.fw1030
Application for a Wildlife Scientific Collectors AuthorizationGenerally, wildlife cannot be kept in captivity in Ontario. There are some exceptions provided through authorization for persons who engage in approved activities. Persons may apply for a Wildlife Scientific Collector’s Authorization to capture, kill, temporarily possess, and/or release wildlife for educational or scientific purposes. This is the application form for a Wildlife Scientific Collector’s Authorization. Applicants must submit this completed application form as well as any required supporting materials. If you have questions regarding how to apply, please contact your local ministry work centre. For more information, please visit https://www.ontario.ca/page/keep-wild-animals-captivity.045-4767-69-lhin
Application for Determination of Eligibility for Long-Term Care Home Admission (Ontario Health atHome)To be filled out by long-term care (LTC) home applicants as part of the process for determination of eligibility for admission to a LTC home. This completed form is for use by Ontario Health atHome, as the designated placement co-ordinators for long-term care homes, as per the Fixing Long-Term Care Act, 2021, s 47(1).014-4900-85
Physician Affiliation Authorization and Declaration of Professional Standing for ICHSCsThe form is used to confirm a physician's qualifications to provide the requested services prior to processing a request to affiliate to a particular ICHSC. The licensee must ensure that the physician has been affiliated to the centre before they begin to provide licensed services.014-4769-85
Appointment & Acknowledgement of Quality Assurance AdvisorThe ICHSC Program must be notified of a change in quality assurance advisor through the submission of the Quality Assurance Advisor form which must be signed by both the centre’s quality assurance advisor and the licensee.on00859
Coordinated Service PlanThe Coordinated Service Plan (CSP) is a standardized document used to support coordinating service planning for children and youth with complex special needs. It captures key information about the child and family, outlines current services and goals, and supports ongoing collaboration among providers. The form is intended to be regularly reviewed and updated by Service Planning Coordinators in partnership with families to reflect changes in needs, monitor progress, and guide service adjustments.on00088
Francophone Community Grants Program (FCGP)This page includes the guidelines and other reference documents for the Francophone Community Grants Program (FCGP) for the current edition. The application forms for the Program's two funding streams are available through the Transfer Payment Ontario (TPON) system during the submission period.012-2132
Operator-in-Training Certificate and Licence IssuanceComplete this form to request the issuance of drinking water and wastewater operator-in-training (OIT) certificate(s)/licence(s), including water treatment, water distribution/distribution and supply, wastewater treatment and wastewater collection.on00276
Report of a workplace fatality, injury, illness or incident (OHSA s. 51, 52 ,53)If you are an employer or constructor, you can use this form to give written reports and notices to the Ministry of Labour, Training and Skills Development, the joint health and safety committee and the union (if there is one) if there is a fatality, injury, occupational illness, or other workplace incident under sections 51-53 of the Occupational Health and Safety Act.130-7540-1055
Conflict of Interest Declaration for Public Servants (Ministry Employees, Public Body Employees/Appointees and Ontario Provincial Police Employees - Civilian and Uniform)For disclosure of potential conflict of interest for public servants including ministry employees and public body employees/appointees. Note: Adobe Reader version 11.0.04 or up is needed for the full functionality of the form.on00460
Physician/Nurse Practitioner ReportForm 1 - Physician/Nurse Practitioner Report Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
