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016-0202
Request for Information - Represented Employee QuestionnaireThe 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 ProfessionalsPhysicians complete form to apply for OHIP billing number and/or specialty billing number.014-0691-84
Request for Approval of Payment for Proposed SurgeryForm to request approval for patient to receive surgery In-Province.045-2308-69
Profile of Long-Term Care FacilityPart of Nursing Home Inspection Kit014-7521-84
Out of Province Out-patient Servicesform used for out-patient services incurred by visitors from another province016-0203
Request for Information - Employee Reprisal QuestionnaireThe Employee Reprisal Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.on00294
Ontario Autism Program - Expense Reporting for Core Clinical ServicesThis form allows families to report and categorize how their Ontario Autism Program Core Clinical Services funding was spent in order to receive the next payment installment or to reconcile for their annual payment.012-1988
Well Contractor Licence Renewal Application - Form 3This 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.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.003-0373
Beekeeper RegistrationA certificate of registration issued by the Provincial Apiarist is required for a person who owns or is in possession of honey bees or beekeeping equipment, but does not include a person who is in possession of new beekeeping equipment for the purpose of transportation, distribution or sale or who is a manufacturer of beekeeping equipment.004-0316
Commissioner for Taking Affidavits Student-at-Law / Law Student ApplicationThis form is used by students-at-law (articling students), and by law students working for a lawyer, who seek to become commissioners for taking affidavits. If you are not a student-at-law or a law student employed by a lawyer, please use the form "Commissioner for Taking Affidavits - General Application".014-0000-80
Out of Province Claim for Physician ServicesUnder Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.014-3889-22
Clinician Aid A - Patient Request for Medical Assistance in DyingThe 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.on00583
Application for a Non-Shopkeeper- Distributor LicenceA non-shopkeeper distributor licence is required to sell or distribute fluid milk products if you sell more than 50% by volume of your fluid milk products wholesale and you: • process fluid milk products • buy fluid milk products wholesale, or • operate a shop where you also sell some fluid milk products directly to consumers Licences are issued for a period of up to three years and must be renewed before the expiry date stated on the licence.004-0313
Commissioner for Taking Affidavits General ApplicationThis form is used by applicants seeking to become commissioners for taking affidavits in Ontario. If you are a student-at-law (articling student), or a law student working for a lawyer, please use the form "Commissioner for Taking Affidavits - Student-at-Law / Law Student Application".016-0201
Request for Information - Union/Employer QuestionnaireThe Union/Employer Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.003-atdia-003
Notice of Transfer of a MachineWhen 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.006-3239
Director's Registration of Placement of Child for AdoptionA Director uses this form to register the placement of a child for adoption if they become aware of any placement for adoption of a child that has not been registered under subsection 183 (8) of the Child, Youth and Family Services Act, 2017006-3238
Registration of Placement of a Child for AdoptionA children's aid society or a licensee uses this form to register the placement of a child for adoption under subsection 183(7) of the Child, Youth and Family Services Act, 2017.
