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046-0002
Personal Disclosure and Conflict of Interest Form for Public Appointment CandidatesThis Personal Disclosure and Conflict of Interest Form is to be used when applying for appointments to provincial agencies, short term advisory bodies or other entities, as well as special advisors to ministers/Premier.130-7540-1107
Post-service Activity Conflict of Interest Form for Current and Former Public Servants (Ministry, Public Body and Ontario Provincial Police)To be used by current/former ministry employees, current/former public body employees/appointees requesting a determination from their ethics executive regarding the application of the conflict of interest rules to a post-service to a post-service activity (existing/planned/contemplated).002-5208
Security and Confidentiality Agreement of Personal Information for Research Purposes - Freedom of Information and Protection of Privacy ActForm 5208 is a template agreement that a researcher and institution would enter into to ensure the security and confidentiality of personal information which may be disclosed for a research purpose.012-2134
Municipal Residential Drinking Water Subsystem and Wastewater Facility ClassificationComplete this form to request the classification or reclassification of a municipal residential drinking water subsystem or wastewater facility. A separate application must be made for each subsystem or facility.004-0244
Form 5 - Statement of Grantor under Subsection 50 (1)Subsection 50(2) of the Substitute Decisions Act, 1992 lists certain special provisions that may be included in a power of attorney for personal care, but only if the person granting the power of attorney completes this form within 30 days of granting the power of attorney.012-2160
Director Approved Continuing Education Reassessment and Instructor Assessment ApplicationComplete this form to request the reassessment and re-approval of Director approved continuing education training or to add/remove an instructor from a course004-0418
Form 11 – Declaration of Abandonment (Land Registered under the Registry Act)Under the Expropriations Act, where land to be abandoned is registered under the Registry Act, the expropriating authority registers this form in the proper land registry office. The form is also served on each owner.014-4580-64
Notice of Adverse Test Results and Issue ResolutionThe Notice of Adverse Test Results and Issue Resolution form is to be used by licensed laboratories and owners/operators of small drinking water systems to support required written notifications pertaining to small drinking water system adverse water quality incidents (AWQI).003-0193
Notice of Appeal to Tribunal by Owner of Land or Public Utility Re: Engineer's ReportFor the Council of the Corporation of a City, County, Municipality, Town, Township or Village to appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal0210
Ontario Senior of the Year AwardThe Ontario Senior of the Year Award gives each municipality in Ontario the opportunity to honour one outstanding local Ontarian who after the age of 65 has enriched the social, cultural or civic life of his or her community.014-4594-84
Fact Sheet - Gift of Life Consent Form - Organ and Tissue Donor Registrationaccompanied with form completed by clients to record their wishes for organ/tissue donation014-5050-67
Vendor Registration Application - Home Oxygen TherapyThe Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of home oxygen therapy who is requesting registration with the Assistive Devices Program.004-0414
Form 4 – Notice of GroundsThe expropriating authority uses this form to serve notice of the grounds upon which it intends to rely at a hearing requested by an owner under s. 6(2) of the Expropriations Act. Notice must be served on each party to the inquiry at least five days before the date fixed for the hearing.002-5229
Final Certificate under Section 24This form is the prescribed form for a final certificate under section 24 of the Repair and Storage Liens Act, and prescribed as"Form 6" under section 6 of O. Reg. 111/18 FORMS made under that Act.010-3043
Notice of Administrative Penalty - Application for ReviewUnder the Child Care and Early Years Act, 2014 a person who has been issued a Notice of Administrative Penalty may request a review of the notice in a form approved by the Minister. The authority to approve these forms has been delegated to the Director of CCQAL Branch.7219-41
Form 17 - Notice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the ActNotice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act023-5061
Service Provider AuthorizationThis form needs to be filled out by a Carrier registrant and the requirements indicated submitted along with the form if the Carrier wishes to designate a Service Provider (Permitting Agency) to act on their behalf of the Oversize/Overweight (O/O) Program.014-3437-67
Application for Funding of Changes/Modifications/New Options to ADP Approved DevicesThis form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.013-1963
Application for Tobacco Retail Dealer's PermitEffective July 1, 2010 retail dealers of tobacco products who do not have a valid Retail Sales Tax Act vendors permit on June 30, 2010, or a current authorization under Ontario's First Nations Cigarette Allocation System, must register for a tobacco retail dealers permit under the Tobacco Tax Act.
