273 Forms found for ON00185F

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  • 012-1990
    Application for an Appointment to Take an Examination - Form 7

    This form is for all new applicants for a Well Contractor or a Well Technician Licence. 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.
  • 012-1988
    Well Contractor Licence Renewal Application - Form 3

    This form is for Well Contractors Licence holders who wish to renew their licence; which expires on March 31 following the year of issue; and is required by anyone engaging in the business of well construction. 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.
  • 016-0203
    Request for Information - Employee Reprisal Questionnaire

    The Employee Reprisal Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.
  • 016-0200
    Request for Information - Non-Union Employee Applicant

    The Non-Union Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office
  • 016-0201
    Request for Information - Union/Employer Questionnaire

    The Union/Employer Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.
  • 016-0202
    Request for Information - Represented Employee Questionnaire

    The Represented Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.
  • 014-3384-83
    Application for OHIP Billing Number for Health Professionals

    Physicians complete form to apply for OHIP billing number and/or specialty billing number.
  • 003-atdia-005
    Application To Upgrade a Machine Operator's Licence

    An application is required in order upgrade a machine operator's licence used to operate a tile drainage machine.
  • 014-0000-80
    Out of Province Claim for Physician Services

    Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.
  • on00503
    Application for Renewal of a Licence for the Operation of a Dairy Plant The Milk Act (R.S.O. 1990, c.M12), and Regulations 761

    Dairy plant licences must be renewed annually. An application for a licence for the operation of a dairy plant must be submitted at least 60 days prior to the expiry date on an existing licence (s. 95( 4), Regulation 761 - Milk and Milk Products under the Milk Act). If you have recently made any of the following changes to your operation, an application for an Amended licence for the operation of a dairy plant must also be submitted: changes to the classes or subclasses of cow's milk processed at the plant; changes to the species of animal ( cow or goat) that produce the milk processed at the plant; or changes to the type of plant operated.
  • 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.
  • 014-3134-84
    Application For IVR Participation

    Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
  • on00002
    Forms Management Services – Form Service Request

    To submit service requests for form edits/development to Forms Management Services
  • 014-3889-22
    Clinician Aid A - Patient Request for Medical Assistance in Dying

    The use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse practitioner. The completed aid may be included in your medical records and may be used by your doctor or nurse practitioner to provide health care to you.
  • 006-3242
    Application for a Licence or Renewal of a Licence to Place Children for Adoption

    This is the application for a licence or renewal of a licence to place children for adoption issued by a Director under the Child, Youth and Family Services Act, 2017 (this person is generally the Coordinator of the ministry's Private and International Adoption Unit).
  • 012-1995
    Application for Assistant Well Technician Identification Card - Form 8

    This 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 6

    This 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.
  • 003-atdia-003
    Notice of Transfer of a Machine

    When a tile drainage machine changes ownership, the Regulations under the Agricultural Tile Drainage Installation Act requires that a notice of transfer of a machine must be completed and submitted within ten days after the transfer occurs. Where the machine is already licensed, this licence will be transferred to the new owner.
  • on00785
    Well Evaluation Private Gas Well

    This form is used to collect details about the private well, completed by a Qualified Person. A complete submission includes: - Well Evaluation Form - Well Location Sketch - Ownership documentation - Four photos of the well from N, S, E, W.
  • on00574
    Provider Registration/Change Request Form

    This application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. Options include: • Register for an OHIP Billing Number • Register a Health Care Group • Authorize the ministry to make payments to a health care group on your behalf • Update address, banking, and/or group information • Register for Interactive Voice Response (IVR) • Register for the SAV Portal