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014-4747-84
Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI)IHPs requesting approval to submit their claims in MRI format013-2260
Schedule 2 Associated Employers Exemption AllocationAll eligible employers in an associated group must enter into an agreement and complete the schedule below allocating the tax exemption for the year.014-4347-84
Request for Major Eye Examinationform to be completed by those eligible for eye exams to be covered under OHIP023-sr-ld-050
Ontario Photo Card - Address Requirement for the Homeless or Marginally Housed ApplicantsIn order to obtain an Ontario Photo Card, an Ontario resident address is required. This form authorizes the applicant who is without a permanent and principal residence to use a recognized institution address to acquire an Ontario Photo Card004-0420
Summons to a WitnessThis form is used by a party before the Fire Safety Commission to request a summons be issued.006-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.014-2743-84
Request for Approval of Payment for Proposed Dental Proceduresform completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs004-0318
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, 2009.012-1868
Out-of-Province Permission Letter for List of Out-of-Province Eligible LaboratoriesFor Labs outside Ontario to apply to test Drinking Water in Ontario014-4750-84
Application for IHP GONet Electronic Data Transfer (EDT) ServiceIHPs apply to submit claim information via EDT004-0424
Summons to a WitnessThis form is used by a party before the Animal Care Review Board to request a summons be issued.013-0052
Schedule 1 – Multiple AccountsA Multiple Account Employer must complete and submit this schedule with the Annual Return of the employer's designated account.004-0423
Application for an Extension of TimeThis form is used by a potential appellant before the Fire Safety Commission to request an extension for filing an appeal outside the statutory period.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.on00010
Ontario Autism Program Interim One-Time Funding - Independent Youth ApplicationIndependent youths registered in the Ontario Autism Program can use this form to apply for Interim One-Time Funding. Before you apply: please check if you are eligible for Interim One-Time Funding: https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-1on00008
Ontario Autism Program Interim One-Time Funding - Primary Caregiver ApplicationPrimary Caregivers of children registered in the Ontario Autism Program can use this form to apply for Interim One-Time Funding. Before you apply: please check if your child is eligible for Interim One-Time Funding: https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-1012-2031
Summary of Planned and Completed Pesticide Aerial Applications in Ontario Crown ForestsA person who operates an airborne machine in performing a land extermination on Crown Land is required to make a record of each extermination. This is the form to maintain this summary.
