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010-63-1970
Work Education AgreementThe Ministry of Education provides Workplace Safety and Insurance Board (WSIB) coverage for students who are registered as participants in a work education program administered by a school board. This form must be completed and signed by all parties prior to student placement.002-5236
Application under Section 23 for Small Claims CourtThis form is the prescribed form of application to the Small Claims Court under section 23 of the Repair and Storage Liens Act, and prescribed as"Form 2" under section 2 of O. Reg. 111/18 FORMS made under that Act.002-5235
Financial Guarantee Bond under Section 24This form is the prescribed form for a financial guarantee bond that is a type of security that may be deposited with a court under section 24 of the Repair and Storage Liens Act, and prescribed as"Form 12" under section 12 of O. Reg. 111/18 FORMS made under that Act.002-5234
Irrevocable Letter of CreditThis form is the prescribed form for an irrevocable letter of credit that is a type of security that may be deposited with a court under section 24 of the Repair and Storage Liens Act, and prescribed as"Form 11" under section 11 of O. Reg. 111/18 FORMS made under that Act.002-5233
Waiver of Further Claim under Section 24This form is the prescribed form for a waiver of further claim under section 24 of the Repair and Storage Liens Act, and prescribed as"Form 10" under section 10 of O. Reg. 111/18 FORMS made under that Act.002-5231
Receipt under Section 24 for Article that is SeizedThis form is the prescribed form for a receipt for article that is seized under section 24 of the Repair and Storage Liens Act, and prescribed as"Form 9" under section 9 of O. Reg. 111/18 FORMS made under that Act.002-5219
Personal Bond, Form 1, Bailiffs ActThis form is the prescribed form for a personal bond accompanied by collateral security as provided for under clause 14(2)(a) of the Bailiffs Act, R.S.O. 1990, c. B.2 and prescribed as"Form 1" under paragraph 1 of section 2 of R.R.O. 1990, Reg. 53 made under that Act.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.on00866
Complex Special Needs Service Plan and Budget TemplateComplex Special Needs Service Plan (CSN service plan): is a service plan developed by a CSN placing agency using the recommendations of the CSN Resource Review process. The plan includes a proposed budget and how services funded through the CSN Program will be delivered to support the needs and goals of the child and family.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.014-5034-64
Healthy Smiles Ontario Parent Notification Form (PNF) Emergency and Essential Services Stream (EESS)This form is to be used by Public Health Units after dental screening to notify parents/guardians that their child has an emergency and/or essential dental condition(s). Parents/Guardian will complete the form and return it to the Public Health Unit to let them know that the child has initiated treatment or to attest to financial hardship and enroll into the Emergency and Essential Services Stream of Healthy Smiles Ontario.5083-69
Withdrawal of Consent for Automated Income Verification with the Canada Revenue Agency –Long-Term Care Rate Reduction ProgramPlease complete this form if you wish to withdraw your consent to the Ministry of Long-Term Care (MLTC), Ministry of Finance and the Long-Term Care Home Licensee (LTCH Licensee) collecting your income information from the Canada Revenue Agency (CRA) using an Automated Income Verification (AIV) service for the purpose of MLTC assessing and administering your Application for Reduction in Long-Term Care Home Basic Accommodation (Application).on00544
Irrevocable Standby Letter of CreditA letter of credit is a formal written promise made by a financial institution to pay money to a third party. This template is to be used in the context of temporary help agency and recruiter licensing under the Employment Standards Act, 2000.on00493
Application for Gas Bar Authorization – First Nations On-Reserve Gasoline Retailers OnlyTo be completed by a retailer located on a reserve that wishes to obtain authorization to supply gasoline exempt of tax to First Nation individuals and bands on a reserve for their exclusive use.on00536
Low-Volume Claim Submission Claim File GeneratorThe "Low-Volume Claim Submission Claim File Generator" is a tool that allows registered Health Care Professionals/Registered Third-Party Billing Agencies (RTPBAs) to generate a claim file that can be securely submitted to the ministry electronically for the purpose of payment.019-0316
Bulk Sample Evaluation Report Mining Act, Section 52Personal information if any, collected on this form is obtained under the authority of sections 52 and 178.2 (1) of the Mining Act. This information will be used for the purposes of processing report and to communicate with the named Contact Person in that regard. Any information on this form is subject to the Freedom of Information and Protection of Privacy Act (FIPPA), RSO 1990. Questions about this collection should be directed to the Mineral Exploration and Development, Ministry of Mines, 933 Ramsey Lake Road, Sudbury, Ontario, P3E 6B5. Telephone 705-465-0879.014-4807-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule C: Continuation of Previous Dependant DeductionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if their LTC home has notified them that they are eligible for a “Continuation of Previous Dependant Deduction”.2002
Notice of Lead Exceedance Test Results in Plumbing - Municipal Residential and Non-Municipal Year Round Residential Drinking Water Systems (O. Reg 170/03 Schedule 15.1)In accordance with the Drinking Water Systems Regulation (O. Reg 170/03), Schedule 15.1, the following drinking water systems are required to take plumbing and distribution samples and to have the samples tested for Lead by a licensed laboratory: • Large Municipal residential systems • Small Municipal residential systems • Non-municipal year round residential systems.012-2205
Offset Initiative Registration Application in the Cap and Trade Program Under Ontario Regulation 539/17 Ontario Offset CreditsThe Offset Initiative Registration Application is to be used by sponsors, such as individuals or entities, who wish to register or re-register a single offset initiative pursuant to Ontario Regulation 539/17, Ontario Offset Credits. It is used to provide the Director of the Cap and Trade Branch with information about the offset initiative, including documentation signed and dated by the sponsor.
