-
014-1265-84
Health Number ReleaseHospitals submit form to ministry to obtain Health Number of patient when number is not availableon00700
Laboratory Licensing and X-Ray Inspection Services Fees PaymentTo facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.012-2146
Freedom of Information Request FormsTo facilitate FOI requests003-0119
Application for a Dealer Registration (under the Farm Implements Act Section 6)Under the Farm Implements Act, 1990, registration as a dealer is required for any person who, in the ordinary course of business, offers farm implements or parts for sale at retail.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.004-0008
Refusal of Adoption - Child and Family Services Review Board Application - Child and Family Services Act - Section 144To enable a person to request a review of a CAS or licensee decision to refuse an appl. to adopt or remove a child who has been placed for adoption.021-0459
One Week Survey of Public Library Use (Typical Week Survey)Typical Week Survey helps Ontario public libraries and First Nations public libraries to record, and then report on, their public library usage. Typical Week Survey is annually done in November and data from it is used in the Annual Survey of Public Libraries.006-3090
Adopted Person's and Descendant of Adopted Person's Application to Request a Severe Medical SearchTo allow adopted persons, and their family members, to request a search for an adopted person's birth relative or birth relative's family member, in instances of a severe mental or physical illness003-0120
Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6)Under the Farm Implements Act, 1990, registration as a distributor is required for any person, including a manufacturer, who, in the ordinary course of business, sells, consigns or delivers farm implements or parts to a dealer. Any person that meets the definition of both dealer and distributor should register as a distributor/dealer.012-1993
Well Technician Licence Application - Form 4This form is for individuals interested in applying for a new Well Technician Licence or to add-a-class(es) to their existing Well Technician Licence, The licence is required to work at the construction of wells and expires on March 31 following the year of issue. 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.on00073
Ontario Autism Program – Expense FormUse this form to report and categorize expenses for Ontario Autism Program: - Childhood Budgets - Interim One-Time Funding Before you report expenses: Check eligible and ineligible expenses for childhood budgets and interim one-time funding https://www.ontario.ca/page/ontario-autism-program-eligible-and-ineligible-expenses-childhood-budgets-and-interim-one-time You can also use this form to apply for and renew Interim One-Time (IOT) Funding, if eligible. Before you apply: Please check if you are eligible for Interim One-Time Funding https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-1 Before you renew: Please check if you are eligible to get a second Interim One-Time Funding payment https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-6 Each eligible child and youth can also renew their funding once. You cannot get more than two interim one-time funding payments.004-0009
Request for Review of Children's Aid Society - Child and Family Services Review Board Application - Child and Family Services Act - Section 68To enable a person who has sought or received services from a CAS to make a complaint about certain services to the independent CFSRB.012-1987
Well Contractor Licence Application - Form 1This form is for individuals/businesses interested in applying for a new Well Contractor Licence, which is required by anyone engaging in the business of well construction, and expires on March 31 each year following the year of issue. 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.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 761Dairy 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.006-fro-019
SUPPORT DEDUCTION ORDERThe 2 forms are used together each time a court makes a support order. When asking the court to make or change a support order, complete the appropriate sections of these forms prior to the court date. The court will complete the rest of the information, based on what the judge orders.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.014-4818-69
Long-Term Care Home Support Document List - Resident Receiving ODSPTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.002-02030
Declaration of Representative008-0152
Case Selection InvoiceFor use by investigating coroners.014-0280-82
Change of InformationForm used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
