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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.on00577
Consent to Revoke a Licence - Issued pursuant to Ontario Regulation 465/19: Fish ProcessingThe licensee of a fish processing operation may consent to the revocation of their licence by a director if the operation no longer conducts regulated activities.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 Portal014-4521-84
Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics TestingThe OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.on00581
Voluntary Surrender of a Meat Plant LicenceA licensee of a provincially licensed meat plant may voluntarily surrender their meat plant licence if they no longer conduct regulated activities.on00700
Laboratory Licensing and X-Ray Inspection Services Fees PaymentTo facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.012-2146
Freedom of Information Request FormsTo facilitate FOI requestson00580
Statement of Compliance Packaging Materials and Labels Bearing the Meat Inspection LegendApproved meat products packaged and labelled in a provincially licensed meat plant must ensure they are labelled with a meat inspection legend before they are shipped from the facility. The Statement of Compliance Form is completed by new meat plant licence applicants and existing clients to request a Director’s permission to reproduce the meat inspection legend.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.on00583
Application for a Non-Shopkeeper- Distributor LicenceA non-shopkeeper distributor licence is required to sell or distribute fluid milk products if you sell more than 50% by volume of your fluid milk products wholesale and you: • process fluid milk products • buy fluid milk products wholesale, or • operate a shop where you also sell some fluid milk products directly to consumers Licences are issued for a period of up to three years and must be renewed before the expiry date stated on the licence.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.on00503
Application for Renewal of a Licence for the Operation of a Dairy Plant The Milk Act (R.S.O. 1990, c.M12), and Regulations 761Dairy plant licences must be renewed annually. An application for a licence for the operation of a dairy plant must be submitted at least 60 days prior to the expiry date on an existing licence (s. 95( 4), Regulation 761 - Milk and Milk Products under the Milk Act). If you have recently made any of the following changes to your operation, an application for an Amended licence for the operation of a dairy plant must also be submitted: changes to the classes or subclasses of cow's milk processed at the plant; changes to the species of animal ( cow or goat) that produce the milk processed at the plant; or changes to the type of plant operated.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, 2017013-0169
Addendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and ShareholderAddendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and Shareholder016-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.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.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.
