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014-4815-69
Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident EligibilityTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment.014-4816-69
Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident without NOATo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who do not have a Notice of Assessment.014-4744-84
IHP Application for Direct Bank PaymentForm used by IHPs to set up direct bank deposit014-3266-54
Application for Reduction of Assessed Co-payment FeesThis 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.003-nm-005
Nutrient Management Farm Registration FormTo register your Farm Unit under the Nutrient Management Program.003-nm-001
Farm Unit DeclarationTo identify properties included as part of the farm unit for the purposes of the Nutrient Management Act.014-4573-84
Primary Health Care Request to Change Designated Physician - Group EnrolmentUsed by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.014-4752-84
Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI)Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI006-3216
Direct Bank Deposit (Electronic Funds Transfer) Enrolment / Change of Information Third Party PayeesTo support direct bank deposit enrolment and information management for third party vendor records in Social Assistance Programs04-0201
Non-Agricultural Source Materials (NASM) Plan Registration FormTo register agricultural operations that intend to land apply Catergory 2 non-agricultural source materials (NASM) with a low metals content.006-fro-003
Request for Director's Statement of Arrears (Statement of Account)The Request for Director's Statement of Arrears is another term for statement of account. If a client wants to obtain a statement of their account, they must contact the Family Responsibility Office.The first statement of account will be free while any subsequent requests will be subject to a $25 fee.004-0319
Vulnerable Victims and Family Fund RequestFor eligible victims of crime and their families who wish to apply for financial assistance and other supports available under the Vulnerable Victims and Family Fund.014-3975-87
Visudyne Therapy Registration/Funding EnrollmentApplication for reimbursement of cost due to use of Visudyne
