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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.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.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.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.004-0312
Commissioner for Taking Affidavits How to Renew or Change your AppointmentThis information sheet instructs commissioners for taking affidavits in Ontario how to renew their appointments or make changes to the wording of their appointments (e.g. change of legal name).004-0314
Non-Lawyer / Non-Paralegal Notary Public How to be Reappointed or Change your AppointmentThis information sheet instructs non-lawyer notaries public in Ontario how to request a reappointment or make changes to the wording of their appointments (e.g. change of legal name).on00061
Application for a Goat Bulk Tank Milk GraderA goat bulk tank milk grader certificate is required for the grading, sampling, measuring and collection of raw goat milk from farm bulk tanks in Ontario.014-3384-83
Application for OHIP Billing Number for Health ProfessionalsPhysicians complete form to apply for OHIP billing number and/or specialty billing number.014-0000-80
Out of Province Claim for Physician ServicesUnder Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.018-fw1007
Head Trapper ApplicationDetermines compliance of applicant with regulated licence pre-requisites, and allows for selection of most suitable applicant through evaluation of applicant's qualifications.012-1993
Well Technician Licence Application - Form 4This 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.014-4723-87
Submission of Patient Evidence Patient Advocacy Groups - Registration FormTo allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.006-3089
Birth Family Member's Application to Request a Severe Medical SearchTo allow birth family members to request a search for an adopted person, or a member of the adopted person's family, in instances of a severe mental or physical illnesson00574
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 Portalon00073
Ontario Autism Program – Expense FormUse this form to report and categorize expenses for Ontario Autism Program: - Childhood Budgets - Interim One-Time Funding Before you report expenses: Check eligible and ineligible expenses for childhood budgets and interim one-time funding https://www.ontario.ca/page/ontario-autism-program-eligible-and-ineligible-expenses-childhood-budgets-and-interim-one-time You can also use this form to apply for and renew Interim One-Time (IOT) Funding, if eligible. Before you apply: Please check if you are eligible for Interim One-Time Funding https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-1 Before you renew: Please check if you are eligible to get a second Interim One-Time Funding payment https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-6 Each eligible child and youth can also renew their funding once. You cannot get more than two interim one-time funding payments.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.on00470
Contravention - Payment FormPlease use this form if you have received an order or notice under one of the following pieces of legislation and are paying the amount of your order or notice, or you are applying for a review. • Employment Standards Act, 2000 • Employment Protection for Foreign Nationals Act, 2009on00284
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.on00350
Special Sales Licence Application Livestock Community Sales ActA licence is required to carry out the community sales of consigned livestock in Ontario. This applies to an operator licensed for Class 1 or Class 2 community sales to hold an extra community sale not authorized by the licence for Class 1 or Class 2 community sales.
