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014-2859-69
Application for Services Form 1Application for services of a homemaker or a nurse008-0151
Case Selection Data FormFor use by investigating coroners.006-fro-014
Third Party Authorization FormThe Third Party Authorization form authorizes a person other than the payor or recipient to act on the payor's or recipient's behalf. A Family Responsibility Office (FRO) support payor or support recipient may designate this person to request and receive information from the FRO regarding their case.014-2862-69
Medical Certificate Form 3Application used by First Nations and the North006-fro-015
Cancellation of Third Party Authorization FormThe Cancellation of Third Party Authorization form stops all third party access to a client's case. Once the third party access is cancelled, only the payor or recipient will be able to receive information about their case.003-nm-005
Nutrient Management Farm Registration FormTo register your Farm Unit under the Nutrient Management Program.014-2861-69
Consent to Inspect Assets Form 2Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.006-fro-021
SUPPORT DEDUCTION ORDER INFORMATION FORMThe 2 forms are used together when a court makes a support order. The support deduction order allows the FRO to collect support by sending notice to a support payer's employer or other income source, requiring support to be deducted from the payer's income. If asking the court to make/change a support order, complete the appropriate sections of these forms prior to the court date, and provide them to the court clerk.004-0318
Prescribed Form of Summons Under Subsection 33(4) of the ActThe purpose of this form is for a Summons under s. 33(4) of the Public Inquiries Act, 2009.014-4500-69
Determination of Available Monthly Income Form 4Used for the determination of applicant's available monthly income.014-4723-87
Submission of Patient Evidence Patient Advocacy Groups - Registration FormTo allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.014-4717-87
Submission of Patient EvidenceTo provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.014-4442-97
Return Authorization for Resalable Drugs and Medical SuppliesUse this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.006-fro-028
ALTERNATIVE PAYMENT ORDERThe alternative payment order allows a support payor to pay by another method rather than by automatic income deductions under a support deduction order. If you are asking the court to make an alternative payment order, complete the appropriate sections of this form prior to your court date. If you or the support recipient has a lawyer, the lawyer will complete the rest of the form based on what the judge orders. If neither of you has a lawyer, provide the form to the court clerk.006-fro-018
NOTICE TO FAMILY RESPONSIBILITY OFFICE BY INCOME SOURCEThis notice is used by income sources (usually employers) to communicate with the FRO. This form can be used by an employer or other income source to let the FRO know that payments will be interrupted or stopped. This form can also be used to clarify that the income source or employer does not know the payor. If you are an employer or income source, complete the appropriate sections of this form and return it to the FRO.019-0252
Notice of AppealThis form is used by clients when they appeal to the Mining and Lands Commissioner regarding a decision of the Provincial Mining Recorder.006-fro-020
REFRAINING ORDERThis form is used when asking the court for a refraining order to prevent the FRO from suspending a driver's licence. If asking for a refraining order, complete the appropriate sections prior to the court date. If you and the FRO lawyer agree on the conditions for the refraining order, complete the form together and provide it to the court clerk for the judge's approval. If you and the FRO lawyer cannot agree, the court will complete the rest of the information, based on what the judge orders.006-fro-019
SUPPORT DEDUCTION ORDERThe 2 forms are used together each time a court makes a support order. When asking the court to make or change a support order, complete the appropriate sections of these forms prior to the court date. The court will complete the rest of the information, based on what the judge orders.012-2029
Record of Land and Water Exterminations by an Airborne MachineA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a record of each extermination. This is the form to maintain this record.
