2,206 Forms found for 016-2019F

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  • 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 Program

    Please 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 Credit

    A 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 Only

    To 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 Generator

    The "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 52

    Personal 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 Deduction

    To 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 Credits

    The 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.
  • 004-0245
    Form 6-Optional Statement to Appoint a Guardian of the Person under Subsection 71 (1)

    A person applying to court under the Substitute Decisions Act, 1992 to be appointed as a guardian of the person for a person who is incapable of personal care may submit this form with their application. The form contains a statement by a person who knows the person alleged to be incapable and who has been in personal contact with him or her during the twelve months before the notice of application was issued.
  • 017-2235
    Disaster Recovery Assistance for Ontarians: Application Form for Small Businesses, Farms and Not-For-Profit Organizations

    Disaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligible small businesses, farms and not-for profit organizations that have been impacted by a natural disaster and are located within the defined geographical area where the program has been activated.
  • 017-2234
    Disaster Recovery Assistance for Ontarians: Application Form for Homeowners and Tenants

    Disaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligible homeowners and tenants whose primary residence has been impacted by a natural disaster and who are located within the defined geographical area where the program has been activated.
  • 018-0178
    Avoidance Alternatives Form for activities that may require an overall benefit permit under clause 17(2)(c) of the Endangered Species Act

    The purpose of this Avoidance Alternatives Form (AAF) is to assist the proponent with considering alternatives that would not adversely affect protected species or habitat(s). The completion of the Avoidance Alternatives Form (AAF) by the proponent is required prior to applying for an overall benefit permit (i.e., prior to filling out the Application for an Overall Benefit Permit under clause 17(2)(c) of the Endangered Species Act.
  • on00069
    Application for Refund - Tax Adjustment Form (TAF)

    The refund is available to the individual or business that purchased aviation fuel at a tax rate higher than the applicable aviation fuel tax rate for Northern Ontario. The purchase/sale of the aviation fuel was in the boundaries as designated as Northern Ontario. The amount refundable is the difference between the amount of tax paid on the aviation fuel and the tax applicable on aviation fuel in Northern Ontario.
  • on00301
    Economic Diversification Grant Application Guide

    This guide provides information on the EDG for applicants and funding recipients. This Application Guide is valid for the 2021-22 fiscal year. The guide describes the application process as well as project management requirements of the EDG and provides specific information on eligibility criteria and eligible activities. All applications will be assessed, evaluated and approved using requirements outlined in this application guide.
  • on00144
    Civil Remedies Grant Program 2021-2022 Application Guidelines

    The Ministry of the Attorney General is pleased to announce that the 2021-22 Civil Remedies Grant Program application process is now open. The Program provides one-time funding of up to $100,000 per project (up to $200,000 per applicant organization) and will focus on the following priority crime types and population groups: Indigenous communities; Children and youth; Intimate partner and family violence; Gun and gang violence; and Rural/remote communities.
  • on00140
    Improving Connectivity for Ontario (ICON) Program Stage 2 Program Guidelines

    The form is the Program Guidelines document for the new Improving Connectivity for Ontario (ICON) program, a discretionary, application-based funding program that will support broadband and cellular connectivity in areas of need. The Program Guidelines document provides information about the ICON program rules and conditions and describes the process for applying.
  • csr-11-21
    Form 11 - Order Releasing Exhibit(s) for Scientific Testing (Criminal Code, ss. 605(1) and Criminal Proceedings Rules, Rule 21)

    Criminal proceedings in the Superior Court of Justice. Form completed by solicitor of the accused for the release of identified exhibits for testing. Judge of Superior Court of Justice must approve and sign for it to become an order of the court.
  • csr-10a-20-42
    Form 10A - Conditions of Release (Criminal Code, s. 520 to 523, 816 and Criminal Proceedings Rules, Rules 20 and 42)

    Criminal proceedings in the Superior Court of Justice. Form sets out the conditions upon which an accused is to be released from a detention facility. The form is to be completed by the solicitor of the accused and signed by both the solicitor and the Crown. It accompanies the Release Order of the Superior Court of Justice.
  • 014-4579-64
    Notice to Operate or Reopen a Small Drinking Water System

    The Small Drinking Water System Identification form is to be used by owners of small drinking water systems to notify in writing the medical officer of health in the health unit where their system is located before supplying drinking water to users of the system following construction or alteration of the small drinking water system or following a shut-down of the system that lasts longer than seven days.