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014-3057-87
Nutrition ProductsUsed for obtaining authorization for nutrition products as an ODB benefit under certai circumstances012-1987
Well Contractor Licence Application - Form 1This 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.014-4297-82
Health Card RenewalForm is generated by client communication system to have people come in to renew photo health card014-7521-84
Out of Province Out-patient Servicesform used for out-patient services incurred by visitors from another province014-1668-69
Application for a Licence to Establish or Maintain and Operate a Nursing HomeApplication for a Licence to Establish or Maintain and Operate a Nursing Home014-7179-84
Summary of Inpatient Expensesform sent to other provinces for reimbursement of inpatient claims paid (reciprocal)012-2032
Application for a Permit to Use a Pesticide in a Land ExterminationSection 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a land extermination unless exempt under regulation. This application form for this purpose.014-0225-47
Funding Enrollment for E.S.R.D. PatientsTo register ESRD patients for Special Drug Program for provision of Eythropoietins.014-3759-83
Community Treatment Order (CTO) Report Logform used to provide patient with a comprehensive plan of community-based treatment or care and supervision.014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health card008-0103
WARRANT FOR ARREST under subsections 11(3) of the Act (Sex Offender Registry) Form 3This 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 regular warrant.012-2028
Application for a Permit to Perform an Extermination from an Airborne MachineA person who operates an airborne machine in performing a land extermination must hold a permit issued by the Director unless exempt under regulation. This is the application form for this purpose.012-2029
Record of Land and Water Exterminations by an Airborne MachineA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a record of each extermination. This is the form to maintain this record.008-0101
INFORMATION IN SUPPORT OF WARRANT under subsections 11(3) of the Act (Sex Offender Registry) Form 1Under subsection 11(3) of Christopher's Law (Sex Offender Registry), 2000, this form is to be filled out by police officers seeking to obtain a warrant to arrest a sex offender for the purpose of having him/her comply with the reporting requirement under Christopher's Law. This form is used if they are appearing in court to seek the warrant.008-0102
INFORMATION IN SUPPORT OF WARRANT (TELEWARRANT) under subsections 11(3) AND (5) of the Act (Sex Offender Registry) Form 2This form is to be filled out by police officers seeking to obtain a warrant to arrest a sex offender for the purpose of having him/her comply with the reporting requirements under Christopher's Law. This form is used if they are seeking a warrant via fax – i.e. a telewarrant.014-4746-84
Interdisciplinary Health Provider (IHP) Health Number ReleaseForm submitted to ministry to obtain Health Number of patient when not available014-4316-84
Patient Enrolment Batch Headerform placed on top of bundles of primary care forms, to submit to ministry for processing.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.
