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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 OHIP014-7521-84
Out of Province Out-patient Servicesform used for out-patient services incurred by visitors from another province014-1668-69
Application for a Licence to Establish or Maintain and Operate a Nursing HomeApplication for a Licence to Establish or Maintain and Operate a Nursing Home014-4573-84
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.014-7179-84
Summary of Inpatient Expensesform sent to other provinces for reimbursement of inpatient claims paid (reciprocal)012-2032
Application for a Permit to Use a Pesticide in a Land ExterminationSection 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a land extermination unless exempt under regulation. This application form for this purpose.014-0225-47
Funding Enrollment for E.S.R.D. PatientsTo register ESRD patients for Special Drug Program for provision of Eythropoietins.014-4500-69
Determination of Available Monthly Income Form 4Used for the determination of applicant's available monthly income.014-3759-83
Community Treatment Order (CTO) Report Logform used to provide patient with a comprehensive plan of community-based treatment or care and supervision.014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health cardon00239
Application for the Transfer of a Licence or Permit under the Aggregate Resources ActApplication for the Transfer of a Licence or Permit under the Aggregate Resources Acton00238
Application for an Aggregate Licence, Aggregate Permit or Wayside Permit under the Aggregate Resources ActApplication for an Aggregate Licence, Aggregate Permit or Wayside Permit under the Aggregate Resources Acton00727
Annual Wildlife Rehabilitation ReportWildlife Custodian Authorization holders must submit this Annual Wildlife Rehabilitation Report for each calendar year by January 31st of the next year to the District Supervisor of their local ministry work centre.on00600
Application for Modification of a DecisionTo be used to commence an application for modification of a decision under the 2007 Hague Child Support Convention to change a support order.on00599
Application for Establishment of a DecisionTo be used to commence an application for the establishment of a decision under the 2007 Hague Child Support Convention to obtain a support order.on00605
Application for Review - LicencingEmployment Standards Appeal for Licencing019-0228
Application to Exchange LeaseThe holder of a mining lease uses this form when they want to convert 2 or more leases into one lease or convert one lease into 2 or more leases.on00284
Application for a Licence to Sell Livestock Medicines under the Animal Health Act, 2009 and (O. Reg. 584/20) (Licences to Sell Livestock Medicines Regulation)A licence is required to sell livestock medicines to owners of livestock or to another person acting on the owner's behalf, for the treatment of the owner's livestock under the Animal Health Act, 2009 and the Licences to Sell Livestock Medicines Regulation.
