412 Forms found for 013-1857M

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  • 5127
    Ontario Seniors Dental Care Program. Authorizing or Cancelling a Representative

    You may use this form to authorize the program administrator of the Ontario Seniors Dental Care Program to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for program matters. The same form can be used to cancel a previously-made authorization.
  • 014-4431-84
    Primary Health Care Unattached Patient Declaration

    form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
  • 014-4406-87
    Request for an Unlisted Drug Product - Exceptional Access Program (EAP)

    For faster decisions, prescribers can use the SADIE online portal to submit requests to the Exceptional Access Program (EAP). Sign in through GO Secure (https://www.ebse.health.gov.on.ca) and select SADIE from the services drop-down menu. Visit the SADIE website for more information: http://www.ontario.ca/sadie. Alternatively, this form can be used for submitting requests to the EAP by fax.
  • 016-1552
    Form 1 - Notice of Termination of Employment under Subsection 58 (2) of the Employment Standards Act, 2000

    Under the ESA, employers who are terminating 50 or more employees at an establishment in a 4-week period are required to submit the completed Form 1 to the Director of Employment Standards, to post a copy of the completed Form 1 in the workplace and to provide a copy of the completed Form 1 to each affected employee. Notice of mass termination does not begin until the Director receives the completed Form 1.
  • on00722
    Application to Surrender an Aggregate Licence or Aggregate Permit under the Aggregate Resources Act

    The Aggregate Resources Act (ARA) provides for the transfer of a licence or permit. A transferred licence or permit will allow the continued operation of the licensed or permitted site under the same terms, conditions and site plan requirements as the original licence or permit. Any changes or amendments to the site plan or licence/permit conditions are a separate process.
  • on00639
    Form 4 - Qualified Person Certificate (Non-Conforming Measures)

    If the rehabilitation measures set out in the closure plan do not conform to the standards, procedures, and requirements of the Part or Parts of the Code to which the certificate relates, but the non-conformance is only to the extent permitted by a conditional filing order submitted together with the closure plan, the certificate shall be in Form 4 to O. Reg. 35/24, Schedule 2.
  • on00539
    2023-24 Seniors Active Living Centres Program Expansion Call-For-Proposals Guidelines

    Senior Active Living Centre (SALC) programs promote wellness, social interaction, and education to help seniors stay active, independent, and engaged. Ontario will be expanding the SALC Program in 2023-24 and inviting organizations to submit proposals to launch a new SALC program, in a municipality that does not already have an existing SALC program and has a demonstrated need. The deadline has been extended. You must submit your application by August 3, 2023, at 5 p.m. EST.
  • 004-0245
    Form 6-Optional Statement to Appoint a Guardian of the Person under Subsection 71 (1)

    A person applying to court under the Substitute Decisions Act, 1992 to be appointed as a guardian of the person for a person who is incapable of personal care may submit this form with their application. The form contains a statement by a person who knows the person alleged to be incapable and who has been in personal contact with him or her during the twelve months before the notice of application was issued.
  • 014-4579-64
    Notice to Operate or Reopen a Small Drinking Water System

    The Small Drinking Water System Identification form is to be used by owners of small drinking water systems to notify in writing the medical officer of health in the health unit where their system is located before supplying drinking water to users of the system following construction or alteration of the small drinking water system or following a shut-down of the system that lasts longer than seven days.
  • 013-0256
    Authorization for Pre-Authorized Debit Plan (PAD)

    To enroll in the Pre-Authorized Debit Plan, tax payments will be deducted from your bank account on the instalment due dates each year. You will continue to receive your tax bill.
  • 018-0134
    Application for a Forest Resource Processing Facility Licence

    Under 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.
  • 013-3446
    Application for Refund - Summary Loss of Product (PRL)

    Used by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was stolen, destroyed (e.g., by fire), or lost (e.g., vehicle accident) prior to the sale of the beer to purchasers. This does not apply to purchases from or through the Liquor Control Board of Ontario.