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014-2862-69
Medical Certificate Form 3Application used by First Nations and the North016-2021
Request for Appointment of Single Arbitrator Under Section 53.0.1 (Expedited Arbitration)From April 1st, 2026, the e-Request PDF application form for conciliation and/or arbitration will no longer be available. To submit your conciliation and/or arbitration application, please visit Collective Bargaining Ontario | ontario.ca (https://www.ontario.ca/page/collective-bargaining-ontario) and select one of the following options, as applicable: • Request a conciliation appointment (https://www.lrg.labour.gov.on.ca/s/request-conciliation?language=en_CA) • Request a grievance arbitration appointment (https://www.lrg.labour.gov.on.ca/s/request-grievance-arbitration?language=en_CA) • Request an interest arbitration appointment (https://www.lrg.labour.gov.on.ca/s/request-interest-arbitration?language=en_CA) If you have any questions or require further assistance, please contact our office at drs.director@ontario.ca or call 416-326-1300.014-4508-67
Insulin Pump Product EvaluationUsed to evaluate Insulin pumps014-4658-67
Application for Funding Ocular ProsthesesUsed to apply for Funding for Ocular Prostheses014-4509-67
Application for Equipment Listing Insulin PumpsUse by vendor/manufacturer to apply for equipment listing insulin pumps.014-1057-82
(Change of Address form) What's Your Address?Form used to update/change address information of OHIP cardholders014-5069-87
Drug Benefit Claim Reversal FormUsed by pharmacies for submitting claims or reversals014-4420-84
Health Claim014-2784-87
Drug Benefit Claim Submission FormUsed by pharmacies for submitting claims014-3975-87
Visudyne Therapy Registration/Funding EnrollmentApplication for reimbursement of cost due to use of Visudyne
