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Relocation Application (Fixed Site)Licensees of Integrated Community Health Services Centres (ICHSCs) must submit an application and obtain written approval from the Director of Integrated Community Health Services Centres prior to a centre’s relocation. For the purposes of this application, a “Fixed Site” centre is a licensed ICHSC where the Limitations and Conditions of the licence specify a single geographic location or address where specified services may be provided.014-5035-64
Healthy Smiles Ontario Parent Notification Preventive Services Only Stream (HSO-PSO)This form is to be used by Public Health Units after dental screening to notify parents/guardians that their child would benefit from preventive dental services. If the parent/guardian can complete the form and return it to the Public Health Unit if they wish to enroll their child into the Preventive Services Only Stream of Healthy Smiles Ontario.014-0406-67
Authorizer Agreement with the Assistive Devices ProgramThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the individual's basic needs. To accomplish this goal the ADP must establish relationships with health professionals in order to ensure that ADP clients are assessed for cost-effective devices that best suit their needs.005-0209
Order of OntarioThe Order of Ontario is the province’s highest civilian honour. An Ontarian who has shown outstanding qualities of individual excellence and achievement in any field is eligible for nomination.005-0225
David C. Onley Award for Leadership in AccessibilityThis award commemorates the legacy of Ontario’s 28th Lieutenant Governor by recognizing Ontarians who have gone above and beyond to improve accessibility for people with disabilities.on00508
Referral for Agency to Agency Community Consultation ServiceThe form is used to refer an agency for agency to agency consultation services at CPRI. This service is a one-time consultation specifically designed for clinical discussion only. Agency staff will consult with CPRI’s clinical team for support, feedback, or further recommendations for a child/youth they are currently working with. Clients and/or guardians do not attend. Should further CPRI services be required, regular CPRI intake processes apply and a full intake package must be submitted.012-1995
Application for Assistant Well Technician Identification Card - Form 8This form is for licensed well contractors and their assistant technicians (not sooner than after four months of employment with the well contractor) interested in applying for or renewing an Assistant Well Technician Identification Card, which expires 36 months following the date of issue. Ontario Regulation 903 prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.012-1989
Well Technician Licence Renewal Application - Form 6This form is for Well Technician Licence holders who wish to renew their licence, which expires on March 31 following the year of issue. A Well Technician Licence of the proper prescribed class(es) is required to work at the construction of wells. Ontario Regulation 903 under the Ontario Water Resources Act prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.016-1931
Training Program Assessment for WorkersTraining Program Assessment for Workers - This guidance tool can help employers assess whether their occupational health and safety awareness training program meets the minimum requirements of the Occupational Health and Safety Awareness and Training Regulation (O. Reg. 297/13).016-1932
Training Program Assessment for SupervisorsTraining Program Assessment for Supervisors - This guidance tool can help employers assess whether their occupational health and safety awareness training program meets the minimum requirements of the Occupational Health and Safety Awareness and Training Regulation (O. Reg. 297/13).on00105
Community Stream Full Application: Eastern Ontario Development Fund (EODF) and Southwestern Ontario Development Fund (SWODF)The objective of the Regional Development Program – Eastern Ontario Development Fund and Southwestern Ontario Development Fund is to provide financial assistance and incentives to support Eastern and Southwestern Ontario by helping municipalities, Indigenous Communities, economic development agencies, sector associations, and consortia.on00104
Business Stream Full Application: Eastern Ontario Development Fund (EODF) and Southwestern Ontario Development Fund (SWODF)The Regional Development Program takes a coordinated approach to supporting business growth in eastern and southwestern Ontario. The program supports eligible small- and medium-sized businesses investing in new equipment and training to expand operations in these regions, and also provides support to municipalities and not-for-profit organizations investing in economic development projects.018-0180
Information Gathering Form for activities that may affect species or habitat protected under the Endangered Species ActThe purpose of this form is to gather the information that proponents need to submit to the Ministry of Natural Resources (MNR) to inform the Ministry's determination of whether or not a proposed activity is likely to contravene subsection 9(1) or 10(1) of the ESA and whether it is advisable for the proponent to apply for an overall benefit permit under section 17 of the ESA prior to proceeding with the activity.5127
Ontario Seniors Dental Care Program. Authorizing or Cancelling a RepresentativeYou 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.022-3045
Supported Employment Financial Support AgreementOutlines the roles and responsibilities to Participants, Employers and Service Providers in the event of a Job Trial or a Job Match. Attached to the agreement is a Participant Employment Plan, which provides the opportunity for the Service Provider and the Participant to review the Job Trial or Job Match outcomes. The Participant Employment Plan form also includes a record of any expenditures and training supports that were agreed upon and utilized to assist achieve such outcomes.023-sr-lh-0112
Commercial Vehicle Operator's Registration (CVOR) Voluntary Termination ApplicationThis application is to be completed only by carriers who no longer require a CVOR certificate. If the CVOR client is a Corporation, this application must be signed by one of the business owners/partners/corporate officers. If the CVOR client is a Multi-Party, this application must be signed by both members. If the CVOR client is an Individual, this application must be signed by the individual, a trustee, an executor or administrator of the Estate.009-0039
Expression of InterestThe Accessibility Innovation Showcase (AIS) is hosted by the Ontario government to demonstrate advances in market-ready assistive technologies and devices, stimulate investment and growth in the industry, and raise the profile of accessibility. The Expression of Interest form should be completed by Ontario-based companies and organizations interested in exhibiting at the event.012-2144
Registration as a Voluntary Participant in the Cap and Trade ProgramThis form is to be used by persons who are eligible to apply and who wish to apply for registration as a voluntary participant in the cap and trade program pursuant to Part IV of O.Reg 144/16 The Cap and Trade Program Regulation made under the Climate Change Mitigation and Low-carbon Economy Act, 2016 (the “Cap and Trade Regulation”).004-0236
Form 1 - Application to Replace the Public Guardian and Trustee as Statutory Guardian by a Person Authorized to Apply Under Subsection 17(1)This form must be used by a person listed in s. 17(1) of the Substitute Decisions Act, 1992 to apply to replace the Public Guardian and Trustee as an incapable person's statutory guardian of property. The person must also submit a Management Plan (Form 2).012-2153
Schedule C – Director's Directions for Operational Plans (Subject System Description Form)This form is part of the Director's Directions for Operational Plans. These directions provide instructions respecting the preparation and content of operational plans prepared by owners of municipal residential drinking water systems pursuant to subsection 16(2) of the Safe Drinking Water Act, 2002, and where otherwise required under the Act. A completed copy of this form is required to be included in every operational plan.
