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014-4420-84
Health Claim -
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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.on00061
Application for a Goat Bulk Tank Milk GraderA goat bulk tank milk grader certificate is required for the grading, sampling, measuring and collection of raw goat milk from farm bulk tanks in Ontario.on00718
Ontario Ministry of Agriculture, Food and Agribusiness EcommerceFor making the fee payment required by the various program areas of the Ontario Ministry of Agriculture, Food and Agribusiness (OMAFA) for attendance at courses, participation in trade shows, or for other services e.g. Freedom of Information Requestson00470
Contravention - Payment FormPlease use this form if you have received an order or notice under one of the following pieces of legislation and are paying the amount of your order or notice, or you are applying for a review. • Employment Standards Act, 2000 • Employment Protection for Foreign Nationals Act, 2009on00284
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.on00197
Application for Certificate to Act as an ExaminerFor non-emergency, on-farm slaughter, a certificate is required to provide stunning, slaughter and dressing services, perform ante mortem and post mortem examinations and ensure humane animal handling and sanitary dressing.on00089
Access or Correction RequestYou can submit a request if you wish to: • access general records held by institutions (for example, Ontario government ministries, colleges, universities, agencies, municipalities) • request your own personal information • correct your personal information • access another individual’s personal information (with appropriate authorization or consent of the individual)on00489
Application for a Licence to Operate a Supply Facility under s. 4 of the Animals for Research ActA License is needed if you wish to operate a supply facility. Supply facility means premises that are used for breeding and rearing of animals to be used in research, teaching or testing. Please complete this application for a license to operate a supply facility under the Animals for Research Act. A license expires on the 31st day of December of the year of issue. Licenses must be renewed annually. A separate application and payment of fees is required for each supply.on00285
Application for Licence as a Deadstock Facility, Collector or Broker under the Food Safety and Quality Act, 2001 and O. Reg. 105/09A licence is required for a person in the business of receiving, collecting and/or transporting deadstock. Once the application and supporting documents are completed and submitted, the ministry will review. After it is approved, a licence will be mailed to the applicant.014-1948-95
Application for Direct Bank Payment - ADPUsed by clients/vendors to receive remuneration by direct deposit versus cheque.014-4421-84
Reciprocal ClaimClaim card used by physicians to receive reimbursement for reciprocal claims014-4478-84
Adjustmentonline form to be available to providers and to Regional Operations staff on a permanent basis on the interneton00577
Consent to Revoke a Licence - Issued pursuant to Ontario Regulation 465/19: Fish ProcessingThe licensee of a fish processing operation may consent to the revocation of their licence by a director if the operation no longer conducts regulated activities.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.014-0265-82
Registration for Ontario Health CoverageForm is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.014-7179-84
Summary of Inpatient Expensesform sent to other provinces for reimbursement of inpatient claims paid (reciprocal)on00345
Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)This form is used by appellants who have been denied access or correction requests by an institution; or disagree with an institution's decision regarding their requests.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.
