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014-4455-64
Universal Influenza Immunization Program Pharmacy FormUniversal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.014-4590-64
Response to Adverse Drinking Water Quality Incidents - ResolveThis form is completed by Public Health Boards when MOH site is down.003-0198
Notice of Appeal to Tribunal from the Court of RevisionNotice that the appellant(s) to the Court of Revision appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal.012-2136
Drinking Water Certificate and Wastewater Licence ApplicationComplete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence.014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs023-05045
Application for Demonstrator Vehicles with extended MileageThe extended mileage limit allows dealers to register a demonstrator vehicle with mileage above 2,000 kilometers as eligible for the EVIP. A dealer is permitted two eligible electric vehicles under the EVIP per calendar year with the extended mileage limit in the program.2953
Canada-Ontario Job Grant (COJG) Training AgreementFor use by Canada-Ontario Job Grant (COJG) Service Providers when entering into training agreements with approved Employers006-3183
Vision Care Benefit (Exceptional Circumstances)The form is for requests for medically necessary items that are not in the Ministry of Community and Social Services (MCSS) Vision Care Fee Schedule. Requests may be made where exceptional medical circumstances exist. Service providers must obtain pre-authorization from MCSS before providing Exceptional Circumstances services to clients.
