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004-0430
004-0430e - Declaration of RepresentativeThis form is used by parties appearing before the Fire Safety Commission to identify their legal representative.014-0225-47
Funding Enrollment for E.S.R.D. PatientsTo register ESRD patients for Special Drug Program for provision of Eythropoietins.006-3239
Director's Registration of Placement of Child for AdoptionA Director uses this form to register the placement of a child for adoption if they become aware of any placement for adoption of a child that has not been registered under subsection 183 (8) of the Child, Youth and Family Services Act, 2017on00870
Ontario Autism Program – Childhood Budget/Interim One-Time Funding Attestation FormUse this form to confirm your Childhood Budget or Interim One-Time funding was used to purchase eligible services and supports. Before you complete this form: You must have received a letter or email from the Ministry with your unique attestation code. Attestation does not impact current or future OAP funding, standard reconciliation options remain available to you to submit an expense form: Ontario Autism Program - Expense Reporting004-0319
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.003-atdia-004
Application For a Business Licence (Licence to Install Drainage Works)To obtain a new business licence, the Regulations under the Agricultural Tile Drainage Installation Act indicate that all businesses must employ a least one Class “A” operator and have access to one licensed machines. To issue a new business licence, an inspection of your operation will be necessary. All business licences are issued for a one-year term expiring March 31; the fee for this licence is $250.00.on00785
Well Evaluation Private Gas WellThis form is used to collect details about the private well, completed by a Qualified Person. A complete submission includes: - Well Evaluation Form - Well Location Sketch - Ownership documentation - Four photos of the well from N, S, E, W.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 Portal014-4442-97
Return Authorization for Resalable Drugs and Medical SuppliesUse this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.016-jpo-001
Contractor Registration Application for Specialized WorkThis form is used by contractors who want to bring their workers into Quebec to do specialized construction work. This type of work is usually associated with the provision of a warranty.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.014-4431-84
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.012-1995
Application for Assistant Well Technician Identification Card - Form 8This form is for licensed well contractors and their assistant technicians (not sooner than after four months of employment with the well contractor) interested in applying for or renewing an Assistant Well Technician Identification Card, which expires 36 months following the date of issue. Ontario Regulation 903 prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.012-2133
Water Wastewater Operator Certification System User Access RequestComplete this form to gain access to the Water Wastewater Operator Certification System (WWOCS).
