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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.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.011-0027
Application for Ontario's Home Energy Audit Grant (Program)Application Form for entry into the Ontario Home Energy Audit Program for Corporate Owned Residential Properties. Homeowners are required to complete this form with a licensed Energy Advisor during their home energy audit to be eligible for an audit grant. For more information, visit www.ontario.ca/homeneergyon00195
Application for a New Licence for the Operation of a Dairy Plant The Milk Act (R.S.O. 1990, c.M12), and Regulations 761A new licence is required prior to beginning the operations of a dairy plant including: When a facility is being licensed for the first time. When an existing licensed plant is transferred to a new owner (transfer of ownership) An "Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant – For New Applicants" must be submitted at the same time as an “Application for a Licence for the Operation of a Plant”. Note, the licence will not be issued until the plant is complete and the Ontario Ministry of Agriculture, Food and Rural Affairs (OMAFRA) has confirmed, through inspection, that it meets all applicable regulations under the Milk Act (Ontario).012-2133
Water Wastewater Operator Certification System User Access RequestComplete this form to gain access to the Water Wastewater Operator Certification System (WWOCS).014-4751-84
Interdisciplinary Health Provider (IHP) Nurse Practitioner (NP) Authorization for Participation in the NP Service Encounter Reporting and Tracking (SERT) InitiativeForm will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC014-0000-80
Out of Province Claim for Physician ServicesUnder Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.016-jpo-004
Worker Registration Application for Trade ActivitiesThis form is used for workers who have experience in certain aspects of a voluntary trade and want to work in Quebec with their Ontario employer but who do not hold a certificate for that trade.on00577
Consent to Revoke a Licence - Issued pursuant to Ontario Regulation 465/19: Fish ProcessingThe licensee of a fish processing operation may consent to the revocation of their licence by a director if the operation no longer conducts regulated activities.004-0007
Removal of Crown Ward - Child and Family Services Review Board Application - Child and Family Services Act - Section 61To enable a foster parent to request a review of a CAS decision to remove a Crown ward who has lived with the foster parent for at least 2 years.on00580
Statement of Compliance Packaging Materials and Labels Bearing the Meat Inspection LegendApproved meat products packaged and labelled in a provincially licensed meat plant must ensure they are labelled with a meat inspection legend before they are shipped from the facility. The Statement of Compliance Form is completed by new meat plant licence applicants and existing clients to request a Director’s permission to reproduce the meat inspection legend.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)014-3889-22
Clinician Aid A - Patient Request for Medical Assistance in DyingThe 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.003-0120
Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6)Under the Farm Implements Act, 1990, registration as a distributor is required for any person, including a manufacturer, who, in the ordinary course of business, sells, consigns or delivers farm implements or parts to a dealer. Any person that meets the definition of both dealer and distributor should register as a distributor/dealer.016-2026
File a workplace health and safety complaintComplete and submit this form to file a complaint with the Ministry of Labour, Training and Skills Development's Health and Safety Contact Centre about a workplace health and safety concern.013-2260
Schedule 2 Associated Employers Exemption AllocationAll eligible employers in an associated group must enter into an agreement and complete the schedule below allocating the tax exemption for the year.013-3446
Application for Refund - Summary Loss of Product (PRL)Used by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was stolen, destroyed (e.g., by fire), or lost (e.g., vehicle accident) prior to the sale of the beer to purchasers. This does not apply to purchases from or through the Liquor Control Board of Ontario.004-0009
Request for Review of Children's Aid Society - Child and Family Services Review Board Application - Child and Family Services Act - Section 68To enable a person who has sought or received services from a CAS to make a complaint about certain services to the independent CFSRB.on00314
Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health ServicesThis form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.