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014-4431-84
Primary Health Care Unattached Patient Declarationform used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.012-2031
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.012-1867
Application for a Permit to Perform a Water Extermination in Surface Water for West Nile Virus ControlSection 7(2) of the Pesticides Act requires a person to hold a permit issued by the Director for a water extermination. This application form is for a permit to use a pesticide in surface water to control of mosquito larvae that if allowed to mature could be vectors of West Nile Virus.006-3092
Application to Update Information or Remove Name from the Adoption Disclosure RegisterTo allow adopted persons and eligible birth relatives to remove their name or update the contact information they wish to share with a matched party on the Adoption Disclosure Register. Also to allow adopted persons to change the list of relatives they wish to be matched with on the Adoption Disclosure Register.006-fro-018
NOTICE TO FAMILY RESPONSIBILITY OFFICE BY INCOME SOURCEThis notice is used by income sources (usually employers) to communicate with the FRO. This form can be used by an employer or other income source to let the FRO know that payments will be interrupted or stopped. This form can also be used to clarify that the income source or employer does not know the payor. If you are an employer or income source, complete the appropriate sections of this form and return it to the FRO.014-4744-84
IHP Application for Direct Bank PaymentForm used by IHPs to set up direct bank deposit014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs014-4573-84
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.014-7158-84
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-1003-atdia-003
Notice of Transfer of a MachineWhen a tile drainage machine changes ownership, the Regulations under the Agricultural Tile Drainage Installation Act requires that a notice of transfer of a machine must be completed and submitted within ten days after the transfer occurs. Where the machine is already licensed, this licence will be transferred to the new owner.006-fro-019
SUPPORT DEDUCTION ORDERThe 2 forms are used together each time a court makes a support order. When asking the court to make or change a support order, complete the appropriate sections of these forms prior to the court date. The court will complete the rest of the information, based on what the judge orders.on00581
Voluntary Surrender of a Meat Plant LicenceA licensee of a provincially licensed meat plant may voluntarily surrender their meat plant licence if they no longer conduct regulated activities.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 donation014-4747-84
Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI)IHPs requesting approval to submit their claims in MRI format014-1265-84
Health Number ReleaseHospitals submit form to ministry to obtain Health Number of patient when number is not available
