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004-0422
Application for an AuthorizationThis form is used by a fire service to request authorization to perform work on a subject property from the Fire Safety Comission Commission.004-0425
Notice of WithdrawalThis form is used by an appellant to withdraw their appeal before the Animal Care Review Board.014-4478-84
Adjustmentonline form to be available to providers and to Regional Operations staff on a permanent basis on the internet014-4746-84
Interdisciplinary Health Provider (IHP) Health Number ReleaseForm submitted to ministry to obtain Health Number of patient when not available014-7158-84
In-Patient Standard Ward Costsform used for inpatients to Ontario hospitals who are here visiting from other provincesph-a-17
Application for Sign Permit013-1909
Waiver of Time Limit for Issuing ReassessmentsWaive time limits for assessments and reassessments under Employer Health Tax013-1821
Debt Retirement Charge (DRC) Return012-2028
Application for a Permit to Perform an Extermination from an Airborne MachineA person who operates an airborne machine in performing a land extermination must hold a permit issued by the Director unless exempt under regulation. This is the application form for this purpose.014-1265-84
Health Number ReleaseHospitals submit form to ministry to obtain Health Number of patient when number is not available012-2027
Application for a Permit to Use a Pesticide for Structural Pest ControlSection 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a structural extermination unless exempt under regulation. This application form is for a permit to use a fumigant gas or chloropicrin for any fumigation unless exempt under regulation.004-0022
Application to Appeal School Board Expulsion DecisionThis form is for use by applicants to the CFSRB/CRB, an arms length government agency, for a review of a strudent expulsion from a school board pursuant to section 311.7 of the Education Act.014-4297-82
Health Card RenewalForm is generated by client communication system to have people come in to renew photo health card014-3266-54
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.014-7521-84
Out of Province Out-patient Servicesform used for out-patient services incurred by visitors from another province014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs014-4342-84
Primary Care-List of Locations Where Group Serv. are Regularly ProvidedForm to show all group locations where physician services provided012-2030
Summary of Planned and Completed Pesticide Aerial ApplicationsA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a summary of applications for each extermination. This is the form to maintain this summary.014-7179-84
Summary of Inpatient Expensesform sent to other provinces for reimbursement of inpatient claims paid (reciprocal)
