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014-4746-84
Interdisciplinary Health Provider (IHP) Health Number ReleaseForm submitted to ministry to obtain Health Number of patient when not availableon00579
Authorization and Consent Formhe purpose of this form is to collect necessary information to obtain authorized consent and assure identity, under the Freedom of Information and Protection of Privacy Act (FIPPA), for application of services delivered by the Ministry of Health on your behalf (or for a “Health Care Group” in which you are a registered member), including: • Application for an OHIP Billing Number • Changes to Health Care Group Registration Informationon00496
Application for an order opening crown mining rights in OntarioThis form is used by surface rights holder(s) to make the withdrawn mining rights available for claim registration.on00495
Application for lease of surface rightsWhen the holder of a mining lease, mining licence of occupation or patented mining lands needs other surface rights for the purpose of mining, such as infrastructure buildings or tailings ponds, the client must submit this application form.014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs014-4342-84
Primary Care-List of Locations Where Group Serv. are Regularly ProvidedForm to show all group locations where physician services provided014-4752-84
Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI)Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI014-2404-84
Claims Flagged for Manual Reviewform submitted with claims to provide additional information regarding particular claim012-2031
Summary of Planned and Completed Pesticide Aerial Applications in Ontario Crown ForestsA person who operates an airborne machine in performing a land extermination on Crown Land is required to make a record of each extermination. This is the form to maintain this summary.012-2027
Application for a Permit to Use a Pesticide for Structural Pest ControlSection 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a structural extermination unless exempt under regulation. This application form is for a permit to use a fumigant gas or chloropicrin for any fumigation unless exempt under regulation.012-1867
Application for a Permit to Perform a Water Extermination in Surface Water for West Nile Virus ControlSection 7(2) of the Pesticides Act requires a person to hold a permit issued by the Director for a water extermination. This application form is for a permit to use a pesticide in surface water to control of mosquito larvae that if allowed to mature could be vectors of West Nile Virus.022-0026
Early Researcher Awards Round 18 ApplicationThe Early Researcher Award is a discretionary, non-entitlement program that gives funding to new researchers at publicly funded Ontario research institutions to build a research team. Through the completion of this form and supplementary requirements the applicant may be eligible for the review process and award selection. Upon selection, the institution will sign a contract with the Government of Ontario on behalf of the researcher, detailing the terms and conditions for the award.on00348
Application for Refund - Tax Exempt Sales for First Nations RetailersThis application form is for authorized on-reserve tobacco retailers who pay the Ontario Cigar tax when purchasing cigars from their ministry authorized suppliers. Retailers can apply to the ministry for a refund of the cigar tax paid on cigars sold tax-exempt to qualifying First Nation purchasers.014-1265-84
Health Number ReleaseHospitals submit form to ministry to obtain Health Number of patient when number is not available018-2382
Ontario Managed Forest Tax Incentive Program - Landowner ReportMust be completed to stay eligible in program. MFTIP Landowner Report must include your 19 digit property tax numberon00400
This document is not available in EnglishThis document is not available in English. Please switch to the French language version of CFR by clicking the link "français" at the top-right corner of the screen to see the description in French.019-0253
Application for Determination of Surface Rights CompensationIf the owner of surface rights considers that a mining claim holder, of the same land, damaged the owners surface rights and is refusing to compensate the surface rights owner, then that owner can send this form to the Mining and Lands Commissioner.014-4431-84
Primary Health Care Unattached Patient Declarationform used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.on00109
Transfer Payment Ontario (TPON) – Get HelpResources to help users logging in, navigating or updating their organization’s profile in the Transfer Payment Ontario system.
