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014-4769-85
Appointment & Acknowledgement of Quality Assurance AdvisorThe ICHSC Program must be notified of a change in quality assurance advisor through the submission of the Quality Assurance Advisor form which must be signed by both the centre’s quality assurance advisor and the licensee.019-0253
Application for Determination of Surface Rights CompensationIf the owner of surface rights considers that a mining claim holder, of the same land, damaged the owners surface rights and is refusing to compensate the surface rights owner, then that owner can send this form to the Mining and Lands Commissioner.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.012-2027
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.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.on00358
Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant For Existing Licensed Plants The Milk Act (R.S.O. 1990, c.M12), s.14 (1), (2), and (3) and Regulation 761Prior to beginning alterations to an existing dairy plant, an "Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant - for Existing Licensed Plants" must be completed and submitted and approved by the Director. This application must demonstrate, through drawings and other information as necessary, that the alterations to the plant will meet the regulatory requirements under the Milk Act (Ontario). In some cases an “Application for an Amended Licence for the Operation of a Dairy Plant” may also be required.on00198
Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant for New Applicants The Milk Act (R.S.O. 1990, c.M12), s.14 (1), (2), and (3) and Regulation 761Prior to beginning construction of a new dairy plant an "Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant – for New Applicants" must be completed and submitted and approved by the Director. This application must demonstrate, through drawings and other information as necessary, that the plant will be built to meet the regulatory requirements under the Milk Act (Ontario). An “Application for a Licence for the Operation of a Plant” must also be submitted with this permit application.on00123
Great Lakes Local Action FundThis form is to be filled out by those applying for funding for the Great Lakes Local Action Fund, a new program that provides funding support for local projects that have environmental benefits for the Great Lakes. The purpose of the form is to collect applicant information including contact and organization information, project details for evaluation purposes, and to obtain a declaration that applicants will comply with applicable laws.014-4442-97
Return Authorization for Resalable Drugs and Medical SuppliesUse this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.014-3890-22
Clinician Aid B - (Primary) “Medical Practitioner” or “Nurse Practitioner” Medical Assistance in Dying AidThe use of this aid is voluntary. It is being provided to assist you in maintaining records of requests for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting medical assistance in dying and it is your intention to provide medical assistance in dying to the patient. You should also include the completed aid in the patient's medical records.012-1866
Application for a Permit to Perform a Water Extermination in Catch Basins 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 catch basin for the control of mosquito larvae that if allowed to mature to adults could be vectors of West Nile Virus.006-fro-020
REFRAINING ORDERThis form is used when asking the court for a refraining order to prevent the FRO from suspending a driver's licence. If asking for a refraining order, complete the appropriate sections prior to the court date. If you and the FRO lawyer agree on the conditions for the refraining order, complete the form together and provide it to the court clerk for the judge's approval. If you and the FRO lawyer cannot agree, the court will complete the rest of the information, based on what the judge orders.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.sr-ld-049
Application for Ontario Photo Card - Ontario Residents OnlyApplications can be processed at any ServiceOntario centre. Visit ServiceOntario.ca/FindServices to find the centre nearest you.006-fro-028
ALTERNATIVE PAYMENT ORDERThe alternative payment order allows a support payor to pay by another method rather than by automatic income deductions under a support deduction order. If you are asking the court to make an alternative payment order, complete the appropriate sections of this form prior to your court date. If you or the support recipient has a lawyer, the lawyer will complete the rest of the form based on what the judge orders. If neither of you has a lawyer, provide the form to the court clerk.018-0134
Application for a Forest Resource Processing Facility LicenceUnder the Crown Forest Sustainability Act, 1994 and Ontario Regulation 167/95, you need a Forest Resource Processing Facility (mill) Licence if you want to construct and/or operate a mill and your mill consumes more than 1,000 cubic metres of forest resources in one year (regardless of the source). If you have a mill licence, you will need to get a new one where your existing licence is expiring/has expired or your mill: a) changes ownership, and/or b) changes productive capacity, and/or c) is converted to another mill type.014-4311-82
Health Card Re-RegistrationForm is generated by client communication system to have people replace red&white card with photo health card
