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014-4455-64
Universal Influenza Immunization Program Pharmacy FormUniversal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.014-2861-69
Consent to Inspect Assets Form 2Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.014-4590-64
Response to Adverse Drinking Water Quality Incidents - ResolveThis form is completed by Public Health Boards when MOH site is down.003-0198
Notice of Appeal to Tribunal from the Court of RevisionNotice that the appellant(s) to the Court of Revision appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal.012-2136
Drinking Water Certificate and Wastewater Licence ApplicationComplete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence.014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs003-0166
Affidavit of Clerk – Form 5Form that officially confirms the passing of the by-law by a municipality for borrowing money for the construction of drainage works.
