-
cla-7
Form 7 - Certificate of Completion of Subcontract Under Subsection 33 (1) of the Act Construction Lien ActThis form certifies the completion of a subcontract for the supply of services or materials.004-0360
Living Beyond the Murder of a Loved OneInformation for Families and Others Affected by Homicide014-4807-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule C: Continuation of Previous Dependant DeductionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if their LTC home has notified them that they are eligible for a “Continuation of Previous Dependant Deduction”.on00601
Financial Circumstances FormTo provide financial information of the creditor and debtor to assist in the enforcement of a support order and to assist the court in the establishment or modification of a support order for applications under the 2007 Hague Child Support Convention.045-4803-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Resident with a Notice of Assessment and Transitioning to new Government Benefit(s)To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.013-3483
Wine and Wine Cooler Return - B - Guide (Wineries that have off-site winery retail stores)This guide will help wine tax collectors that have off-site winery retail stores complete the Wine and Wine Cooler Return - B and Schedules.014-0406-67
Authorizer Agreement with the Assistive Devices ProgramThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the individual's basic needs. To accomplish this goal the ADP must establish relationships with health professionals in order to ensure that ADP clients are assessed for cost-effective devices that best suit their needs.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.016-1572
Interactive Job Comparison ToolThis tool is to help small business employers create a job comparison system adapted to their workplace, which they can then use to evaluate and compare jobs using Job-to-Job and Proportional Value. This form is a complement to the e-learning modules using Macromedia Breeze.on00816
Landowner- Trapper AgreementResident trappers are required to obtain the written permission of landowners upon whose land they wish to trap. The Landowner - Trapper Agreement form should be used by trappers to document written permission to trap on private land. This completed form may be requested by the ministry before the ministry will make any consideration of issuing a resident trapping licence to a person. Information submitted through this form may assist in assignment of harvest quotas for some species.012-2115
Generator Registration ReportForm used to register waste generation activity. Use of this form is only permitted if the Director has approved a request to satisfy submission requirements by using a paper document.on00508
Referral for Agency to Agency Community Consultation ServiceThe form is used to refer an agency for agency to agency consultation services at CPRI. This service is a one-time consultation specifically designed for clinical discussion only. Agency staff will consult with CPRI’s clinical team for support, feedback, or further recommendations for a child/youth they are currently working with. Clients and/or guardians do not attend. Should further CPRI services be required, regular CPRI intake processes apply and a full intake package must be submitted.on00521
Exceptional Access Program (EAP) – Biosimilar Exemption RequestThis form is only to be used by prescribers to request an exemption for Ontario’s Biosimilar Switch Policy for a patient who HAS BEEN USING AN ORIGINATOR BIOLOGIC REIMBURSED THROUGH THE ONTARIO DRUG BENEFIT (ODB) PROGRAM previously authorized through the Exceptional Access Program and is unable to switch from an originator biologic or who is requesting to switch back to the originator following biosimilar switch.on00859
Coordinated Service PlanThe Coordinated Service Plan (CSP) is a standardized document used to support coordinating service planning for children and youth with complex special needs. It captures key information about the child and family, outlines current services and goals, and supports ongoing collaboration among providers. The form is intended to be regularly reviewed and updated by Service Planning Coordinators in partnership with families to reflect changes in needs, monitor progress, and guide service adjustments.on00089
Access or Correction RequestYou can submit a request if you wish to: • access general records held by institutions (for example, Ontario government ministries, colleges, universities, agencies, municipalities) • request your own personal information • correct your personal information • access another individual’s personal information (with appropriate authorization or consent of the individual)on00785
Well Evaluation Private Gas WellThis 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.on00721
Request for Minister's Order under section 28.1.1. of the Conservation Authorities ActThis form is to be used for applications to request a Minister's Review of a conservation authority decision.
