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014-4846-87
Request for Aldurazyme®To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease014-4573-84
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.014-4340-84
Primary Care - Time and Location of After Hours ServicesForm used to record hours of physicians in after hours clinics014-0225-47
Funding Enrollment for E.S.R.D. PatientsTo register ESRD patients for Special Drug Program for provision of Eythropoietins.014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health cardon00314
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.on00196
Application for an Amended Licence for the Operation of a Dairy Plant - The Milk Act (R.S.O. 1990, c.M12), and Regulations 761An application is required to make changes to the species of milk used, type of plant, milk class or subclass at a licenced dairy plant receiving cow milk. Details of these changes are provided in Regulation 761, s.96(2) under the Milk Act (Ontario). If these changes require alterations or modifications to a plant you must also submit an “Application for a Permit to Construct or Alter a Building Intended for use as a Dairy Plant - For Existing Applicants”.016-jpo-004
Worker Registration Application for Trade ActivitiesThis form is used for workers who have experience in certain aspects of a voluntary trade and want to work in Quebec with their Ontario employer but who do not hold a certificate for that trade.04-0201
Non-Agricultural Source Materials (NASM) Plan Registration FormTo register agricultural operations that intend to land apply Catergory 2 non-agricultural source materials (NASM) with a low metals content.014-3384-83
Application for OHIP Billing Number for Health ProfessionalsPhysicians complete form to apply for OHIP billing number and/or specialty billing number.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).11315e-b
Adoption Information Disclosure, Birth Parent's Guide for Completing and Submitting an Application for Post Adoption Birth InformationTo provide birth parents with options when submitting a service request to the Office of the Registrar General to apply for Post Adoption Birth Information under the Adoption Information Disclosure Act, 2005.013-3247
Foreign Diplomat - Clear Fuel Schedule 18 - TEU, Fuel Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Foreign Diplomat Clear Fuel Schedule 18 - TEU, Fuel Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit, and will help you to determine whether you are eligible to claim a refund.013-3245
Foreign Diplomat - Gasoline Schedule 16 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Application for Refund Summary Tax Exempt Sales (TES) and supporting Schedule(s). It also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit and contains information to help you to determine whether you are eligible to claim a refund.013-3248
Foreign Diplomat - Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Foreign Diplomat Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit, and will help you to determine whether you are eligible to claim a refund.013-3246
Foreign Diplomat - Propane Schedule 17 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleThe information in this guide will help you complete the Foreign Diplomat Propane Schedule 17 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank deposit, and will help you to determine whether you are eligible to claim a refund.016-jpo-003
Contractor Registration Application Trade ActivitiesThis form is used by contractors who want to bring their qualified but uncertified workers to do work in Quebec. These workers normally have experience in certain aspects of a voluntary trade but do not hold a certificate for that trade.
