167 Forms found for 013-1857L

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  • 004-0360
    Living Beyond the Murder of a Loved One

    Information for Families and Others Affected by Homicide
  • 014-3889-22
    Clinician Aid A - Patient Request for Medical Assistance in Dying

    The 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.
  • on00284
    Application for a Licence to Sell Livestock Medicines under the Animal Health Act, 2009 and (O. Reg. 584/20) (Licences to Sell Livestock Medicines Regulation)

    A licence is required to sell livestock medicines to owners of livestock or to another person acting on the owner's behalf, for the treatment of the owner's livestock under the Animal Health Act, 2009 and the Licences to Sell Livestock Medicines Regulation.
  • 012-1995
    Application for Assistant Well Technician Identification Card - Form 8

    This form is for licensed well contractors and their assistant technicians (not sooner than after four months of employment with the well contractor) interested in applying for or renewing an Assistant Well Technician Identification Card, which expires 36 months following the date of issue. Ontario Regulation 903 prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.
  • 012-1989
    Well Technician Licence Renewal Application - Form 6

    This form is for Well Technician Licence holders who wish to renew their licence, which expires on March 31 following the year of issue. A Well Technician Licence of the proper prescribed class(es) is required to work at the construction of wells. 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.
  • 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.
  • 006-3091
    Application to Request Non-Identifying Information Relating to an Adoption

    To allow adopted persons and certain birth family members to request a copy of the adoption file information with information that would reveal the identify of any person other than the requestor removed
  • on00488
    Application for Registration of a Research Facility under s. 4 of the Animals for Research Act

    A registration is needed if you wish to operate a research, teaching, or testing facility in Ontario. This is required if your premises uses animals in research, teaching or testing and your premises are used for collecting, assembling, or maintaining of animals in connection with a research facility under R.S.O. 1990, c. A.22, s. 4. Please complete this application for registration of a research/teaching/testing facility in full, as per section 4 of the Animals for Research Act. The Director appointed under the Animals for Research Act will approve applications for registrations in accordance with the requirements of the Act. A registration expires on the 31st day of December of the year in which registration is made. Registration must be renewed annually. If an application includes more than one research, teaching or testing facility, details must be provided for each facility in the application, and payment of fees are required.
  • on00583
    Application for a Non-Shopkeeper- Distributor Licence

    You must hold a non-shopkeeper distributor licence if you meet at least one of the following: • You sell or distribute fluid milk products and do not operate a shop. • You operate a shop and less than 50% by volume of your fluid milk products are sold directly to consumers from your shop. • You are a fluid milk distributor and you don’t buy your milk products from a licensed non-shopkeeper distributor. Licences are issued for a period of up to 3 years and must be renewed before the expiry date stated on the licence.
  • 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 761

    Dairy 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.
  • on00358
    Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant For Existing Licensed Plants The Milk Act (R.S.O. 1990, c.M12), s.14 (1), (2), and (3) and Regulation 761

    Prior to beginning alterations to an existing dairy plant, an "Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant - for Existing Licensed Plants" must be completed and submitted and approved by the Director. This application must demonstrate, through drawings and other information as necessary, that the alterations to the plant will meet the regulatory requirements under the Milk Act (Ontario). In some cases an “Application for an Amended Licence for the Operation of a Dairy Plant” may also be required.
  • on00198
    Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant for New Applicants The Milk Act (R.S.O. 1990, c.M12), s.14 (1), (2), and (3) and Regulation 761

    Prior to beginning construction of a new dairy plant an "Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant – for New Applicants" must be completed and submitted and approved by the Director. This application must demonstrate, through drawings and other information as necessary, that the plant will be built to meet the regulatory requirements under the Milk Act (Ontario). An “Application for a Licence for the Operation of a Plant” must also be submitted with this permit application.
  • on00700
    Laboratory Licensing and X-Ray Inspection Services Fees Payment

    To facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.
  • on00089
    Access or Correction Request

    You 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)
  • 012-2146
    Freedom of Information Request Forms

    To facilitate FOI requests
  • 012-1987
    Well Contractor Licence Application - Form 1

    This 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.
  • 012-1993
    Well Technician Licence Application - Form 4

    This 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.
  • 014-4817-69
    Long-Term Care Home Support Document List - Submitting NOA that included benefit(s) that a resident is no longer receiving because they have transitioned to new 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 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 have a Notice of Assessment from the year when they were 64 years of age.
  • 003-atdia-004
    Application For a Business Licence (Licence to Install Drainage Works)

    To obtain a new business licence, the Regulations under the Agricultural Tile Drainage Installation Act indicate that all businesses must employ a least one Class “A” operator and have access to one licensed machines. To issue a new business licence, an inspection of your operation will be necessary. All business licences are issued for a one-year term expiring March 31; the fee for this licence is $250.00.
  • 008-0104
    WARRANT FOR ARREST (TELEWARRANT) under subsections 11(3) and (5) of the Act (Sex Offender Registry) Form 4

    This form is to be filled out by judges or justices of the peace if they decided to issue a warrant for the arrest of a sex offender for the purpose of having him/her comply with the reporting requirements under Christopher's Law. This form is a telewarrant.