-
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.008-0151
Case Selection Data FormFor use by investigating coroners.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.003-nm-006
Nutrient Mgmt Strategy ApplicationTo be completed by eligible farms under the Nutrient Management Act.006-fro-015
Cancellation of Third Party Authorization FormThe Cancellation of Third Party Authorization form stops all third party access to a client's case. Once the third party access is cancelled, only the payor or recipient will be able to receive information about their case.003-nm-005
Nutrient Management Farm Registration FormTo register your Farm Unit under the Nutrient Management Program.003-nm-001
Farm Unit DeclarationTo identify properties included as part of the farm unit for the purposes of the Nutrient Management Act.004-0318
Prescribed Form of Summons Under Subsection 33(4) of the ActThe purpose of this form is for a Summons under s. 33(4) of the Public Inquiries Act, 2009.006-fro-014
Third Party Authorization FormThe Third Party Authorization form authorizes a person other than the payor or recipient to act on the payor's or recipient's behalf. A Family Responsibility Office (FRO) support payor or support recipient may designate this person to request and receive information from the FRO regarding their case.014-4637-67
Application for Rehabilitation Assessor/Fitter/Dispenser StatusApplication for Rehabilitation Assessor/Fitter/Dispenser Status014-2859-69
Application for Services Form 1Application for services of a homemaker or a nurse016-jpo-001
Contractor Registration Application for Specialized WorkThis form is used by contractors who want to bring their workers into Quebec to do specialized construction work. This type of work is usually associated with the provision of a warranty.006-fro-010
Financial StatementSupport payors may be requested to complete a Family Responsibility Office Financial Statement to support a Voluntary Arrears Payment Schedule, or because a payor is in default of his/her support obligations and the FRO has begun a default hearing. Documents to provide proof of income must be included with a financial statement.006-3095
Application for a Copy of an Adoption OrderTo allow adopted persons of at least 18 years old of age and adoptive parents to request a copy of the adopted person's adoption order with any information which identify a birth parent removed.003-nm-002
Nutrient Management Strategy and/or Plan Sign-OffTo provide a sign-off to the Nutrient Management Plan.006-3093
Application to be Named on the Adoption Disclosure RegisterTo allow adopted persons and eligible birth relatives to request to be named on the Adoption Disclosure Register006-fro-003
Request for Director's Statement of Arrears (Statement of Account)The Request for Director's Statement of Arrears is another term for statement of account. If a client wants to obtain a statement of their account, they must contact the Family Responsibility Office.The first statement of account will be free while any subsequent requests will be subject to a $25 fee.014-4777-87
Request for Zavesca® - Niemann Pick Type C (NPC)To facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).
