-
on00574
Provider Registration/Change Request FormThis application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. Options include: • Register for an OHIP Billing Number • Register a Health Care Group • Authorize the ministry to make payments to a health care group on your behalf • Update address, banking, and/or group information • Register for Interactive Voice Response (IVR) • Register for the SAV Portal014-4815-69
Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident EligibilityTo 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.on00576
Business Profile – Abattoir and/or Free Standing Meat PlantThe application for a meat plant licence includes the completion of a Business Profile. The Business Profile is to be completed by the licensee and reviewed by OMAFRA. It captures necessary information used to assess the types of regulated activities conducted by the operation and the level of inspection services required at the facility. It also requires updates and resubmission every three years and when any changes occur to any of the contained information.016-jpo-003
Contractor Registration Application Trade ActivitiesThis form is used by contractors who want to bring their qualified but uncertified workers to do work in Quebec. These workers normally have experience in certain aspects of a voluntary trade but do not hold a certificate for that trade.007-11318
Adoption Information Disclosure Application to Register or Withdraw a Disclosure VetoTo allow adopted persons and birth parents to submit a service request to the Office of the Registrar General to register or withdraw a Disclosure Veto under the Vital Statistics Act.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.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.011-0022
Application for Ontario's Home Energy Audit Grant (Program)Application Form for entry into the Ontario Home Energy Audit Program. Homeowners are required to complete this form with a licensed Energy Advisor during their home energy audit to be eligible for an audit grant. Please visit the program website at www.ontario.ca/homeenergy for more information.004-0319
Vulnerable Victims and Family Fund RequestFor eligible victims of crime and their families who wish to apply for financial assistance and other supports available under the Vulnerable Victims and Family Fund.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.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.012-2031
Summary of Planned and Completed Pesticide Aerial Applications in Ontario Crown ForestsA person who operates an airborne machine in performing a land extermination on Crown Land is required to make a record of each extermination. This is the form to maintain this summary.012-1867
Application for a Permit to Perform a Water Extermination in Surface Water for West Nile Virus ControlSection 7(2) of the Pesticides Act requires a person to hold a permit issued by the Director for a water extermination. This application form is for a permit to use a pesticide in surface water to control of mosquito larvae that if allowed to mature could be vectors of West Nile Virus.006-fro-002
Confirmation of Identity Letter RequestConfirmation of Identity Letter is prepared by the Family Responsibility Office (FRO) confirming that an individual is not one and the same as the support payor against whom the FRO has taken enforcement action. Most commonly, these letters are prepared in relation to writs of seizure and sale and real estate transactions.007-11314
Adoption Information Disclosure Application to Register or Withdraw a Notice of Contact PreferenceTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a Notice of Contact Preference under the Adoption Information Disclosure Act, 2005.003-0346
Application for a licence to operate a meat plant under the Food Safety and Quality Act, 2001 and its RegulationsThis form is an application for a licence to operate a provincial meat plant under the Food Safety and Quality Act, 2001 and O. Reg. 31/05. It is used to apply for a new licence or to revise information on an existing licence.on00196
Application for an Amended Licence for the Operation of a Dairy Plant - The Milk Act (R.S.O. 1990, c.M12), and Regulations 761An application is required to make changes to the species of milk used, type of plant, milk class or subclass at a licenced dairy plant receiving cow milk. Details of these changes are provided in Regulation 761, s.96(2) under the Milk Act (Ontario). If these changes require alterations or modifications to a plant you must also submit an “Application for a Permit to Construct or Alter a Building Intended for use as a Dairy Plant - For Existing Applicants”.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/homeneergy007-11313
Adoption Information Disclosure Application to Register or Withdraw a No Contact NoticeTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a No Contact Notice under the Adoption Information Disclosure Act, 2005.
