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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 MRI014-7158-84
In-Patient Standard Ward Costsform used for inpatients to Ontario hospitals who are here visiting from other provinces014-2404-84
Claims Flagged for Manual Reviewform submitted with claims to provide additional information regarding particular claimon00010
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-1on00314
Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health ServicesThis form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.013-2448
Fuel and Gasoline Manufacturer ReturnIf you are registered as a Manufacturer under the FTA and/or the GTA, you must complete the Fuel and Gasoline Tax Manufacturer Return for the reporting period. You are required to complete a Return even if you did not have any activity during the reporting period.007-11318
Adoption Information Disclosure Application to Register or Withdraw a Disclosure VetoTo allow adopted persons and birth parents to submit a service request to the Office of the Registrar General to register or withdraw a Disclosure Veto under the Vital Statistics Act.004-0009
Request for Review of Children's Aid Society - Child and Family Services Review Board Application - Child and Family Services Act - Section 68To enable a person who has sought or received services from a CAS to make a complaint about certain services to the independent CFSRB.003-0346
Application for a licence to operate a meat plant under the Food Safety and Quality Act, 2001 and its RegulationsThis form is an application for a licence to operate a provincial meat plant under the Food Safety and Quality Act, 2001 and O. Reg. 31/05. It is used to apply for a new licence or to revise information on an existing licence.on00578
Notice of Proposed Alteration Food Safety and Quality Act, 2001, Ontario Regulation 31/05 (Part III Section 12)No person shall make an alteration with respect to a meat plant unless the operator of the plant has given written notice of the proposed alteration to a director at least 30 days before making the alteration.on00700
Laboratory Licensing and X-Ray Inspection Services Fees PaymentTo facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.014-4817-69
Long-Term Care Home Support Document List - Submitting NOA that included benefit(s) that a resident is no longer receiving because they have transitioned to new benefit(s)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 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 from the year when they were 64 years of age.002-32-5128
Assessment Tool: Conflict of Interest Rules for Public BodiesThis tool is to be used by public bodies (identified government agencies) that choose to submit conflict of interest rules or revised rules to the Conflict of Interest Commissioner for approval. These rules should use the language and format of Ontario Regulation 381/07 to the extent possible.014-4594-84
Fact Sheet - Gift of Life Consent Form - Organ and Tissue Donor Registrationaccompanied with form completed by clients to record their wishes for organ/tissue donation014-4751-84
Interdisciplinary Health Provider (IHP) Nurse Practitioner (NP) Authorization for Participation in the NP Service Encounter Reporting and Tracking (SERT) InitiativeForm will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC014-3134-84
Application For IVR ParticipationProvider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
