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on00646
Ontario Disability Support Program (ODSP) - Mandatory Special Necessities (MSN) Benefit ApplicationApplication may only be completed for recipients of ODSP. The following approved health care professionals licensed to practice in Ontario can complete the application: • Physicians, Nurse Practitioners, Registered Nurses, Occupational Therapists, Physiotherapists, Physician Assistants, and Psychologists* *Psychologists can only complete the Medical Transportation section of the form. The application may only be completed for medical supplies, items, and devices listed in the MSN Schedule of Benefits (https://www.ontario.ca/page/ontario-disability-support-program-health-and-disability-benefits) and items must not be otherwise reimbursed or subject to reimbursement from any other source.023-sr-l-105st
Oversize/Overweight Permit Application Single Trip OnlyA single trip permit is issued to facilitate an oversize/overweight move for a one way trip along for a limited time period.on00544
Irrevocable Standby Letter of CreditA letter of credit is a formal written promise made by a financial institution to pay money to a third party. This template is to be used in the context of temporary help agency and recruiter licensing under the Employment Standards Act, 2000.on00493
Application for Gas Bar Authorization – First Nations On-Reserve Gasoline Retailers OnlyTo be completed by a retailer located on a reserve that wishes to obtain authorization to supply gasoline exempt of tax to First Nation individuals and bands on a reserve for their exclusive use.014-4747-84
Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI)IHPs requesting approval to submit their claims in MRI format014-4340-84
Primary Care - Time and Location of After Hours ServicesForm used to record hours of physicians in after hours clinics014-7158-84
In-Patient Standard Ward Costsform used for inpatients to Ontario hospitals who are here visiting from other provinces014-4574-64
Vaccine Cold Chain Maintenance Inspection ReportUsed by public health units when conducting cold chain maintenance inspections in premises that store publicly funded vaccines.on00349
Regular Sales Licence Application Livestock Community Sales ActA licence is required to carry out the community sales of consigned livestock in Ontario.014-2045-67
Release of Information About Previous FundingWritten consent to release information enables the Assistive Devices Program to provide a history of previously funded equipment/supplies to a client and/or third party as specified.0217
June Callwood Outstanding Achievement AwardTo recognize individuals and groups for superlative volunteer contributions to their communities and to the province of Ontario. Up to 20 individuals and/or groups receive this award each year.014-4347-84
Request for Major Eye Examinationform to be completed by those eligible for eye exams to be covered under OHIP014-4311-82
Health Card Re-RegistrationForm is generated by client communication system to have people replace red&white card with photo health cardon00767
Mandatory Season-End Harvest ReportThis is the Mandatory Season-End Report that is required to be completed by the holder of a Trapping Licence as per the Fish and Wildlife Conservation Act, 1997 and O.Reg. 667/98 (Trapping). Additional instructions can be found on the third page of this form.014-0265-82
Registration for Ontario Health CoverageForm is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.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.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.on00808
Notice: Notification to the Office of the Children’s Lawyer under the Child, Youth and Family Services Act of Services for 16- and 17-Year OldsThis form is to be used by children's aid societies for notification to the Office of the Children's Lawyer under the Child, Youth and Family Services Act of services for 16- and 17-year-olds under the CYFSA
