002-02021E Notice of Appeal - Motor Vehicle ImpoundmentEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02021E 002-02022E Notice of Appeal - Administrative Driver's Licence SuspensionEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02022E 002-02023E Notice of Appeal – Commercial Motor Vehicle Impoundment and SuspensionEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02023E 002-02024E Notice of Appeal - Downgrade of a Driver's Licence for Medical ReasonsEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02024E 002-02025E Notice of Appeal - Suspension or Cancellation of a Driver's Licence for Medical ReasonsEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02025E 002-02026E Notice of Appeal - Registration, Certificate, Licence, Claim Denial, OrderEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02026E 002-02027E Notice of Appeal - Liquor Licence Act, Gaming Control Act,1992, Vintners Quality Alliance Act,1999, Alcohol and Gaming Regulation and Public Protection Act, 1996EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02027E 002-02028E Summons to a WitnessEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02028E 002-02029E Notice of WithdrawalEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02029E 002-02030E Declaration of RepresentativeEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02030E 002-02048E Application for Removal of Conditions from a Liquor Licence under Subsection 14 (2) of the Liquor Licence ActEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02048E 002-02053E Supporting Documentation - Administrative Driver's Licence Suspension – Applicant's Medical InformationEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal12-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02053E 002-02-5181E Application for Appointment to Agencies, Boards and CommissionsEGovernment and Consumer ServicesPublic Appointments SecretariatCorporate Policy and Agency Coordination DivisionApplication for Appointment to Agencies, Boards and Commissions15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02-5181E 002-12119E Payday Lenders and Loan Brokers Licence Application, and Consent to Disclosure of Personal InformationEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioPayday Lenders and Loan Brokers Licence Application, and Consent to Disclosure of Personal Information19-Jul25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-12119E 002-14002 The Ontario Business Registration ApplicationEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchThe Ontario Business Registration Application is required by most entrepreneurs starting a new business or expanding an existing business.14-Nov91http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-14002 002-14-5145E Direct Access and Deposit Account Application FormEGovernment and Consumer ServicesServiceOntarioPersonal Property Security Registration SystemApplication form to obtain access and to open up a pre-payment deposit account to conduct registrations and enquiries transactions in the Personal Property Security Registration system.13-Apr47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-14-5145E 002-1983E Contractor Security Screening Request and VerificationEGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningTo request a contractor security screening check and allow for verification of identity of individual applicant18-Oct40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1983E 002-1984E Contractor Security Screening DeclarationEGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningTo allow contractors, who are applying for a security clearance, to declare any criminal convictions and/or outstanding criminal charges.18-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1984E 002-1985E Contractor Security Screening ConsentEGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningTo provide applicant's written consent to the contractor security screening check.18-Oct38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1985E 002-1986E Request for Transferability of Contractor Security Clearance from an Approved Organization (Ontario Public Service Contractor Security Screening Program)EGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningThis form should be completed by contractors who would like to have their existing security clearance from an accredited organization be considered for transferability to the Ministry of Government and Consumer Services (MGCS)/Ontario Public Service (OPS)18-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1986E 002-2046E Terminology Request FormEGovernment and Consumer ServicesBusiness Development and Services BranchGovernment Translation ServiceThis form is used to submit requests concerning Ontario official government names and their abbreviations (including acronyms) not found on the ONTERM website – www.onterm.gov.on.ca. Official terminology includes names of ministries, divisions, branches, 15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-2046E 002-20-5202E Customer CommentsEGovernment and Consumer ServicesArchives of OntarioCustomer Service and Preservation ServicesThis form is used by customers when issuing a complaint and/or providing feedback regarding the services offered at the Archives of Ontario.15-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5202E 002-20-5203E Educational Programming Booking RequestEGovernment and Consumer ServicesArchives of OntarioStrategic Stakeholder Development16-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5203E 002-20-5204E Tour Booking RequestEGovernment and Consumer ServicesArchives of OntarioStrategic Stakeholder Development15-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5204E 002-23-5151E Compliance Report - Compensation Arrangements Pursuant to Section 7.18 of the Broader Public Sector Accountability Act, 2010, S.O. 2010, Chapter 25EGovernment and Consumer ServicesHR OntarioEmployee Relations Division13-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-23-5151E 002-32-5128E Assessment Tool: Conflict of Interest Rules for Public BodiesETreasury Board SecretariatOffice of the Conflict of Interest CommissionerOffice of the Conflict of Interest CommissionerThis tool is to be used by public bodies (identified government agencies) that choose to submit conflict of interest rules or revised rules to the Conflict of Interest Commissioner for approval. These rules should use the language and format of Ontario Re12-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-32-5128E 002-33-5098E Supplier Registration and Application for Direct Deposit/Electronic Funds TransferEGovernment and Consumer ServicesExpenditure Management BranchCentral Control UnitSuppliers to either pre-register their information before their first payment or for current suppliers to setup or update their banking for direct deposit payments.17-Sep1071http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-33-5098E 002-35-026E Notary Public Application - Solicitors OnlyEGovernment and Consumer ServicesBusiness Development and Services BranchOfficial Documents ServicesApplication for a Barrister and Solicitor to apply for certification as a Notary Public in Ontario.16-Apr626http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-026E 002-35-5031E Customer CommentsEGovernment and Consumer ServicesBusiness Development and Services BranchOfficial Documents ServicesTo comment and offer suggestions on ODS services.14-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-5031E 002-35-5118E Authentication Service RequestEGovernment and Consumer ServicesBusiness Development and Services BranchOfficial Documents ServicesTo enable public applying services for authenticating legalized documents requested by foreign consulates and embassies14-Aug27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-5118E 002-42-345 Forms History File FolderEGovernment and Consumer ServicesDocument Solutions and Logistics BranchForms Management Services01-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-42-345 002-5201E Consumer ComplaintEGovernment and Consumer ServicesConsumer Protection OntarioBusiness Process Modernization BranchForm that can be filled out by the public to file a complaint with the Ministry of Government and Consumer Services.19-May260http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5201E 002-5205E Complaint Regarding an Ontario Government ProcurementEGovernment and Consumer ServicesProgram and Policy Enablement BranchPolicy Liaison and EnablementSuppliers who have an Ontario Government procurement complaint are required to complete and submit this bid dispute form and attach a detailed description of the complaint with relevant background information16-May19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5205E 002-5208E Security and Confidentiality Agreement of Personal Information for Research Purposes - Freedom of Information and Protection of Privacy ActEGovernment and Consumer ServicesPolicy and PlanningPolicy Research and Issues ManagementForm 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.16-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5208E 002-5209E Security and Confidentiality Agreement of Personal Information for Research Purposes - Municipal Freedom of Information and Protection of Privacy ActEGovernment and Consumer ServicesPolicy and PlanningPolicy Research and Issues ManagementForm 5209 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.16-May23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5209E 002-5216E Initial Report of Insider, Form 14, Corporations ActEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioA report required to be filed by an insider under subsections 73(1) and (2) of the Corporations Act shall be prepared in accordance with Initial Report of Insider, Form 14, as required by Regulation 181.16-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5216E 002-5217E Report of Insider on Changes in Ownership of, or Control or Direction Over, Capital Securities, Form 15, Corporations ActEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioA report of subsequent changes required to be filed by an insider under subsection 73(3) of the Corporations Act shall be prepared in accordance with Report of Insider on Changes in Ownership of, or Control or Direction Over, Capital Securities, Form 15 a16-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5217E 002-5218E Information Circular, Form 16, Corporations ActEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioAn information circular shall be prepared in accordance with Information Circular, Form 16 as required by Regulation 181.16-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5218E 002-5219E Personal Bond, Form 1, Bailiffs ActEGovernment and Consumer ServicesLicensing, Inspections and Investigations BranchPayday Loans and Debt Recovery UnitThis form is the prescribed form for a personal bond accompanied by collateral security as provided for under clause 14(2)(a) of the Bailiffs Act, R.S.O. 1990, c. B.2 and prescribed as "Form 1" under paragraph 1 of section 2 of R.R.O. 1990, Reg. 53 made 17-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5219E 002-5220E Bond by Insurer Licensed to Write Surety and Fidelity Insurance, Form 2, Bailiffs ActEGovernment and Consumer ServicesLicensing, Inspections and Investigations BranchPayday Loans and Debt Recovery UnitThis form is the prescribed form for a bond of an insurer licensed under the Insurance Act to write surety and fidelity insurance as provided for under clause 14(2)(b) of the Bailiffs Act, R.S.O. 1990, c. B.2 and prescribed as "Form 2" under paragraph 2 o17-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5220E 002-5221E Bond by Guarantor other than Insurer, Form 3, Bailiffs ActEGovernment and Consumer ServicesLicensing, Inspections and Investigations BranchPayday Loans and Debt Recovery UnitThis form is the prescribed form for a bond of a guarantor, other than an insurer referred to in clause 14(2)(b) of the Bailiffs Act, R.S.O. 1990, c. B.2, accompanied by collateral security, as provided for under clause 14(2)(c) of that Act and prescribed17-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5221E 002-5225E Direction to Seize under Section 14EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a direction to seize under section 14 of the Repair and Storage Liens Act, and prescribed as "Form 1" under section 1 of O. Reg. 111/18 FORMS made under that Act18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5225E 002-5226E Application for Initial Certificate under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for an application for initial certificate under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 3" under section 3 of O. Reg. 111/18 FORMS made under that Act.18-Jan29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5226E 002-5227E Initial Certificate under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for an initial certificate under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 4" under section 4 of O. Reg. 111/18 FORMS made under that Act.18-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5227E 002-5228E Notice of Objection under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a notice of objection under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 5" under section 5 of O. Reg. 111/18 FORMS made under that Act.18-Jan27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5228E 002-5229E Final Certificate under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis 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.18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5229E 002-5230E Writ of Seizure under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a writ of seizure under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 7" under section 7 of O. Reg. 111/18 FORMS made under that Act.18-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5230E 002-5231E Receipt under Section 24 for Article that is SeizedEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a receipt for article that is seized under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 9" under section 9 of O. Reg. 111/18 FORMS made under that Act.18-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5231E 002-5232E Receipt under Section 24 for Article that is ReleasedEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a receipt for article that is released under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 8" under section 8 of O. Reg. 111/18 FORMS made under that Act.18-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5232E 002-5233E Waiver of Further Claim under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a waiver of further claim under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 10" under section 10 of O. Reg. 111/18 FORMS made under that Act.18-Jan26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5233E 002-5234E Irrevocable Letter of CreditEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for an irrevocable letter of credit that is a type of security that may be deposited with a court under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 11" under section 11 of O. Reg. 111/18 FORMS m18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5234E 002-5235E Financial Guarantee Bond under Section 24EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a financial guarantee bond that is a type of security that may be deposited with a court under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 12" under section 12 of O. Reg. 111/18 FORMS made u18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5235E 002-5236E Application under Section 23 for Small Claims CourtEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form of application to the Small Claims Court under section 23 of the Repair and Storage Liens Act, and prescribed as "Form 2" under section 2 of O. Reg. 111/18 FORMS made under that Act.18-Jan41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5236E 002-5248E Relief from Forfeiture ApplicationEGovernment and Consumer ServicesRealty Management BranchPortfolio Management UnitUnder Section 26 of the Forfeited Corporate Property Act, 2015, the Minister of Government and Consumer Services may dispose of forfeited corporate property by restoring or transferring it to an applicant who satisfies the Minister that the applicant has 18-Aug72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5248E 002-5249E Co-ownership of Real Property by Tenants in Common ApplicationEGovernment and Consumer ServicesRealty Management BranchPortfolio Management UnitUnder Section 28 of the Forfeited Corporate Property Act, 2015, the Minister of Government and Consumer Services may dispose of the prior corporate owner's interest in a forfeited corporate property by transferring, assigning or otherwise conveying it to 18-Aug19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5249E 002-5253E Request to publish in the Ontario Gazette for Non-Ontario Government ClientsEGovernment and Consumer ServicesDocument Solutions and Logistics BranchPublications OntarioThis form is to be used by private citizens and non-OPS organizations (e.g., legal firms, municipalities and businesses etc.) who are required by statute or regulation to publish a notice in The Ontario Gazette. External clients must submit this form in o19-Apr36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5253E 002-5349E Requirements for a Police Record Check for a Change of NameEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralRequirements for a Police Record Check for a Change of Name19-Jan2854http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5349E 002-5350E Procurement Rationale Report FormEGovernment and Consumer ServicesStrategic Procurement ServicesDirector's OfficeThe government is planning to centralize Ontario Public Service (OPS) and Broader Public Sector (BPS) purchasing and supply chains. Centralization will help to realize savings and put money back into programs and services that support Ontarians, make proc19-Sep193http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5350E 002-5352E General Form AffidavitEGovernment and Consumer ServicesServiceOntarioCustomer CareGeneral Form Affidavit for ServiceOntario transactions19-May18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5352E 002-SR-LV-129E Application for Accessible Parking PermitEGovernment and Consumer ServicesServiceOntario – Kingston Production and Verification ServicesAccessible Parking Permit Services Office17-May19293http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-SR-LV-129E 003-0162E Borrowing By-law for Municipalities Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 1EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law for lower-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act.12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0162E 003-0163E Borrowing By-law for Municipalities Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 2EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law for lower-tier municipalities located within specific upper-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act.12-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0163E 003-0164E Borrowing By-law for a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 3EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law for specific upper-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act.12-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0164E 003-0165E Tile Drainage Debenture - Form 4EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingForm of debenture sold to the Province by a municipality with respect to funds loaned to property owners for installing tile drainage.12-Aug7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0165E 003-0166E Affidavit of Clerk – Form 5EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingForm that officially confirms the passing of the by-law by a municipality for borrowing money for the construction of drainage works.13-Jun15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0166E 003-0167E Application for Tile Loan – Form 6EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingApplication submitted by a property owner for a tile loan from the municipality under the Tile Drainage Act.12-Aug24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0167E 003-0168E Inspection and Completion Certificate – Form 7EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingCertify inspection and completion of drainage works by a municipal Drainage Inspector.12-Aug12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0168E 003-0169E Offer to Sell for a Municipality Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 8EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingOffer to sell debenture to the Minister of Finance by a lower-tier municipality.12-Aug4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0169E 003-0170E Offer to Sell for a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 9EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingOffer to sell a debenture to the Minister of Finance by a specific upper-tier municipality.12-Aug3http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0170E 003-0171E Rating By-law - Form 10EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law to impose special annual drainage rates upon land in respect of which money is borrowed under the Tile Drainage Act.12-Aug5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0171E 003-0172E Notice of On-site Meeting for Construction or Improvement Project – Form 4EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingGive notice to property owner(s) of on-site meeting with the appointed engineer to examine the area and site of proposed drainage works.12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0172E 003-0173E Petition for Drainage Works by Owners – Form 1EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo allow property owner(s) to petition municipal council for a new drainage works.12-Aug62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0173E 003-0174E Petition for Drainage Works by Director - Form 3EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo allow the Director to petition municipal council for a new drainage works.12-Aug4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0174E 003-0175E Petition for Drainage Works by Road Authority - Form 2EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo allow a road authority to petition municipal council for a new drainage works.12-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0175E 003-0176E By-law for Municipalities Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 5EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor lower-tier municipalities to enact a by-law for drainage works.15-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0176E 003-0177E By-law for Municipalities Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 6EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor lower-tier municipalities located within specific upper-tier municipalities to enact a by-law for drainage works.12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0177E 003-0178E Borrowing By-law for Use by a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 7EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor specific upper-tier municipalities to enact a borrowing by-law for drainage works on behalf of a lower-tier municipality.12-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0178E 003-0179E Notice of Compensation Paid for Insufficient Outlet and/or Loss of Access – Form 8EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo give notice to property owner for compensation paid due to insufficient outlet or loss of access.12-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0179E 003-0180E Agreement By Owners - Mutual Agreement DrainsEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor owners to enter into an agreement for drainage for the describe land and acknowledge financial obligations 13-Feb63http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0180E 003-0181E Notice of On-Site Meeting for Maintenance and/or Repair of a Drainage Works Under the Drainage ActEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo take notice that a Council of a City, County, Municipality, Town, Township or Village is considering the maintenance or repair of the drainage works in accordance with section 74 of the Drainage Act. 13-Feb13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0181E 003-0182E Notice of Meeting to Consider the Preliminary ReportEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn accordance with section 10(2) of the Drainage Act, notice for an owner of land affected to attend a council meeting to consider the preliminary report 13-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0182E 003-0183E Notice to Repair an Award Drain Constructed Under the Ditches and Watercourses ActEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn accordance with section 3(18) of the Drainage Act, every ditch constructed under the Ditches and Watercourses Act shall be maintained in accordance with the award of the engineer. Notification to maintain a section of drain that has been assigned. 13-Feb7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0183E 003-0184E Notice of Council's Decision on PetitionEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that a Council of the Corporation of the City, County, Municipality, Town, Township or Village has considered a petition for drainage at their meeting dated, and a decision whether or not to proceed with drainage works was made. 13-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0184E 003-0185E Generic Notice of Appeal to Tribunal By Petitioner(s) or Property Owner(s)EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that Petitioners or Property Owners appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal 13-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0185E 003-0186E Notice That Environmental Appraisal RequiredEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that an Environmental Appraisal is required for the area of the drainage works 13-Feb5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0186E 003-0187E Notice That Benefit Cost Statement RequiredEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that a benefit cost statement is required for a drainage works 13-Feb4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0187E 003-0188E Notice of Withdrawal From Petition At a Meeting to Consider a Preliminary ReportEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor petitioners for drainage works to indicate their desire to withdraw their names from the petition. 13-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0188E 003-0189E Notice of Withdrawal From Petition At a Meeting to Consider Engineer's Report or At a Meeting to Consider Contract PriceEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor signatories of a petition for drainage works to indicate their desire to withdraw from a petition 13-Feb7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0189E 003-0190E Notice of Engineer's Recommendation Not to ProceedEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo take notice that the engineer appointed by council in response to a petition for drainage works has investigated and reported that the proposed drainage works is not recommended to proceed 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0190E 003-0191E Notice of Meeting to Consider the Engineer's ReportEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn accordance with section 42 of the Drainage Act, an owner of land affected by the proposed drainage works is requested to attend a council meeting to consider the final report filed with the City, County, Municipality, Town, Township or Village. 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0191E 003-0192E Generic Notice of Appeal to Tribunal By a Municipality, Conservation Authority, Ministry of Natural Resources, Road Authority or Public UtilityEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor the Council of the Corporation of a City, County, Municipality, Town, Township or Village to appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal 13-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0192E 003-0193E Notice of Appeal to Tribunal by Owner of Land or Public Utility Re: Engineer's ReportEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor the Council of the Corporation of a City, County, Municipality, Town, Township or Village to appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0193E 003-0194E Notice of Sitting of Court of RevisionEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice to Property Owner(s) of sitting of court revision. 13-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0194E 003-0195E Notice of Appeal to Tribunal by Local Municipality Re: Engineer's ReportEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that the Council of a City, County, Municipality, Town, Township or Village appeals to the Agriculture, Food, and Rural Affairs Appeal Tribunal under section 50(2) of the Drainage Act.13-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0195E 003-0196E Notice of Appeal to Court of RevisionEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that an owner or owners of land assessed for a drainage works, appeal to the Drainage Court of Revision under: Section 52 (1) for the construction or improvement of a drain; or Section 76 (4) 13-Feb17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0196E 003-0197E Notice of Adjournment of Court of RevisionEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that the sitting of the Court of Revision to hear appeals regarding assessments for a drainage works has been adjourned.13-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0197E 003-0198E Notice of Appeal to Tribunal from the Court of RevisionEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that the appellant(s) to the Court of Revision appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal.13-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0198E 003-0199E Notice to Remove Obstructions From Drainage WorksEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice to a property owner to remove obstructions from drainage works13-Feb5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0199E 003-0200E Notice of Abandonment of Drainage WorksEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice of Abandonment of Drainage Works 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0200E 003-0201E Notice that Report of Engineer is Required for the Proposed Abandonment of a DrainEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn response to a Notice of Abandonment of Drainage Works that a report of an engineer is to be made on the proposed amandonment.13-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0201E 003-0202E Notice of Request for Drain Maintenance and/or RepairEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that person affected by a drain requests that it be maintained and repaired in accordance with section 74 and 79(1) of the Drainage Act. 13-Feb21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0202E 003-0203E Notice of Request for Drain ImprovementEAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that owner(s) of land affected, request that a drain be improved in accordance with section 78(1) of the Drainage Act.13-Feb20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0203E 003-0300E Ontario Wildlife Damage Compensation Program Application FormEAgriculture, Food and Rural AffairsRural Programs BranchAgriculture and Rural Programs UnitThe application form allows livestock and poultry producers in Ontario to be reimbursed for predation caused by eligible predators17-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0300E 003-0302E Ontario Wildlife Damage Compensation Program Application Form - BeesEAgriculture, Food and Rural AffairsRural Programs BranchAgriculture and Rural Programs UnitThe application form allows Bee Keepers in Ontario to be reimbursed for damage to bee colonies and hives caused by eligible predators.17-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0302E 003-0314E Ontario Livestock ManifestEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionFood Safety and Traceability Programs BranchThe purpose of this form is to provide a standardized manifest for shipping animals in Ontario's livestock industry.13-Dec0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0314E 003-0316E Order to Destroy Noxious Weeds or Weed SeedsEAgriculture, Food and Rural AffairsAgriculture Development BranchHorticulture Technology UnitThis form is used by Municipal Weed Inspectors, Bylaw Officers, etc., to order the destruction of specified noxious weeds or weed seeds under the Weed Control Act. The form sets out the owner of the property, its location, the specific noxious weed speci14-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0316E 003-0346E Application for a licence to operate a meat plant under the Food Safety and Quality Act, 2001 and its RegulationsEAgriculture, Food and Rural AffairsFood Inspection BranchMeat Inspection OperationsThis 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, renew an existing licence facing expiry or to revise information on an exist18-Dec46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0346E 003-0350E Merchandising Materials/Resources OrderEAgriculture, Food and Rural AffairsBusiness Development BranchFoodland OntarioThis form is used to order Foodland Ontario merchandising materials (POS) and resources18-Feb28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0350E 003-049E Honeybee RegistrationEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionCrop TechnologySection 21 (1) of the Bees Act, R.S.O.1990, Chapter B.6 reads as follows: “No person shall be a beekeeper in Ontario without a certificate of registration issued by the Provincial Apiarist.” Beekeeper means a person who owns or is in possession of bees or11-Jan22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-049E 003-ATDIA-001E Application For a Machine Operator's LicenceEAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program12-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-001E 003-ATDIA-002E Application For a Machine LicenceEAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program09-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-002E 003-ATDIA-003E Notice of Transfer of a MachineEAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program09-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-003E 003-ATDIA-004E Application For a Business Licence - (Licence to Install Drainage Works)EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program09-Oct30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-004E 003-ATDIA-005E Application To Upgrade a Machine Operator's LicenceEAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program12-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-005E 003-NM-001 Farm Unit DeclarationEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo identify properties included as part of the farm unit for the purposes of the Nutrient Management Act.06-Feb35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-001 003-NM-002 Nutrient Management Strategy and/or Plan Sign-OffEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo provide a sign-off to the Nutrient Management Plan.06-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-002 003-NM-004E Engineer's Commitment CertificateEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo document the engagement of Professional Engineer(s) to provide design and site review of construction under the Nutrient Management Act 267/03, as amended.11-Dec14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-004E 003-NM-005 Nutrient Management Farm Registration FormEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo register your Farm Unit under the Nutrient Management Program.06-Feb26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-005 003-NM-006 Nutrient Mgmt Strategy ApplicationEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo be completed by eligible farms under the Nutrient Management Act.06-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-006 003-NM-007E Engineering Requirement FormEAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementThe Engineering Requirement Form indicates which components of a Nutrient Management Strategy will require engineering design and site review of construction. These components are reconciled with the Engineers Commitment Certificate at the building permi11-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-007E 004-0007E Removal of Crown Ward - Child and Family Services Review Board Application - Child and Family Services Act - Section 61EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardTo enable a foster parent to request a review of a CAS decision to remove a Crown ward who has lived with the foster parent for at least 2 years.12-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0007E 004-0008E Refusal of Adoption - Child and Family Services Review Board Application - Child and Family Services Act - Section 144EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardTo enable a person to request a review of a CAS or licensee decision to refuse an appl. to adopt or remove a child who has been placed for adoption.12-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0008E 004-0009E Request for Review of Children's Aid Society - Child and Family Services Review Board Application - Child and Family Services Act - Section 68EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardTo enable a person who has sought or received services from a CAS to make a complaint about certain services to the independent CFSRB.12-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0009E 004-0022E Application to Appeal School Board Expulsion DecisionEAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardThis form is for use by applicants to the CFSRB/CRB, an arms length government agency, for a review of a strudent expulsion from a school board pursuant to section 311.7 of the Education Act.12-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0022E 004-02043E Certificate of ServiceEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalCertificate of Service19-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-02043E 004-0222E Notice of Change of AddressEAttorney GeneralVictims and Vulnerable Persons DivisionCriminal Injuries Compensation BoardNotice of Change of Address16-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0222E 004-0236E Form 1 - Application to Replace the Public Guardian and Trustee as Statutory Guardian by a Person Authorized to Apply Under Subsection 17(1)EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeThis form must be used by a person listed in s. 17(1) of the Substitute Decisions Act, 1992 to apply to replace the Public Guardian and Trustee as an incapable person's statutory guardian of property. The person must also submit a Management Plan (Form 2)14-Nov239http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0236E 004-0237E Form 2 - Management PlanEAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA Management Plan must be submitted when a person applies under s. 17(1) of the Substitute Decisions Act, 1992 to replace the Public Guardian and Trustee as an incapable person's statutory guardian of property (using Form 1). The Management Plan is also r14-Nov325http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0237E 004-0242E Form 3 - Guardianship PlanEAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeThis form must be submitted by a person applying to court under the Substitute Decisions Act, 1992 to be appointed guardian of a person who is incapable of personal care.14-Nov200http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0242E 004-0243E Form 4 - Request for Assessment of Capacity under Section 16EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA person can use this form to request a designated capacity assessor to perform an assessment of another person's capacity or of the person's own capacity for the purpose of determining whether the Public Guardian and Trustee should become the person's st18-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0243E 004-0244E Form 5 - Statement of Grantor under Subsection 50 (1)EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeSubsection 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 the14-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0244E 004-0245E Form 6-Optional Statement to Appoint a Guardian of the Person under Subsection 71 (1)EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA person applying to court under the Substitute Decisions Act, 1992 to be appointed as a guardian of the person for a person who is incapable of personal care may submit this form with their application. The form contains a statement by a person who knows14-Nov19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0245E 004-0246E Form 7-Optional Statement to Terminate Guardianship of the Person under Subsection 71 (2)EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA person bringing a motion under the Substitute Decisions Act, 1992 to terminate a guardianship of the person may submit this form with their motion. The form contains a statement by a person who knows the person alleged to be incapable and who has been i14-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0246E 004-0247E Form 8 - Statement to Appoint a Guardian of Property by Summary Disposition under Section 72EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchA person applying to court under the Substitute Decisions Act, 1992 to be appointed as a guardian of the person for a person who is incapable of personal care may use this form if they want the application to be dealt with by summary disposition.14-Nov32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0247E 004-0248E Form 9 - Statement to Terminate Guardianship of Property by Summary Disposition under Section 73EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchA person bringing a motion under the Substitute Decisions Act, 1992 to terminate a guardianship of the person may use this form if they want the motion to be dealt with by summary disposition. Subsection 73(1) of the Substitute Decisions Act, 1992 require14-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0248E 004-0310E Applying for Compensation for an InjuryEAttorney GeneralVictims and Vulnerable Persons DivisionCriminal Injuries Compensation BoardWe may award compensation only if you were injured in the Province of Ontario as a result of a violent crime, or while making an arrest or assisting a peace officer with his/her law enforcement duties, or while trying to prevent a crime. 16-Dec37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0310E 004-0311E Applying for Compensation for DeathEAttorney GeneralVictims and Vulnerable Persons DivisionCriminal Injuries Compensation BoardWe may award compensation only if the deceased person died as a result of a violent crime in the Province of Ontario, or while making an arrest or assisting a peace officer with his/her law enforcement duties, or while trying to prevent a crime. Please se16-Dec24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0311E 004-0312E Commissioner for Taking Affidavits How to Renew or Change your AppointmentEAttorney GeneralCourt Services DivisionLegal AppointmentsThis 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).11-Aug27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0312E 004-0313E Commissioner for Taking Affidavits General ApplicationEAttorney GeneralCourt Services DivisionLegal AppointmentsThis form is used by applicants seeking to become commissioners for taking affidavits in Ontario. If you are a student-at-law (articling student), or a law student working for a lawyer, please use the form "Commissioner for Taking Affidavits - Student-at-11-Aug23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0313E 004-0314E Non-Lawyer Notary Public How to be Reappointed or Change your AppointmentEAttorney GeneralCourt Services DivisionLegal AppointmentsThis 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).11-Aug6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0314E 004-0315E Non-Lawyer Notary Public ApplicationEAttorney GeneralCourt Services DivisionLegal AppointmentsThis form is used by non-lawyers seeking to become notaries public in Ontario.11-Aug42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0315E 004-0316E Commissioner for Taking Affidavits Student-at-Law / Law Student ApplicationEAttorney GeneralCourt Services DivisionLegal AppointmentsThis form is used by students-at-law (articling students), and by law students working for a lawyer, who seek to become commissioners for taking affidavits. If you are not a student-at-law or a law student employed by a lawyer, please use the form "Commis11-Aug15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0316E 004-0318E Prescribed Form of Summons Under Subsection 33(4) of the ActEAttorney GeneralSocial Justice Programs and Policy DivisionSocial Justice Programs and Policy DivisionThe purpose of this form is for a Summons under s. 33(4) of the Public Inquiries Act, 2009.11-Apr15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0318E 004-0319E Vulnerable Victims and Family Fund RequestEAttorney GeneralOntario Victim ServicesVictims and Vulnerable Persons DivisionFor 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.11-Apr22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0319E 004-0326E Application for Financial Assistance for Families of Homicide VictimsEAttorney GeneralPolicy and Program Development BranchFinancial Assistance for Families of Homicide VictimsThis form and the accompanying guide are for potentially eligible parents and spouses of homicide victims who wish to apply for financial assistance available under the Financial Assistance for Families of Homicide Victims program.19-Sep21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0326E 004-0331E Have You Been a Victim of Crime?EAttorney GeneralVictims and Vulnerable Persons DivisionOffice for Victims of CrimeInformation and Resources For Victims of Crime in Ontario11-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0331E 004-0360E Living Beyond the Murder of a Loved OneEAttorney GeneralVictims and Vulnerable Persons DivisionOffice for Victims of CrimeInformation for Families and Others Affected by Homicide 12-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0360E 004-0406E Form 1 - SummonsEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThis form is used by a tribunal under the Statutory Powers Procedure Act to require a person to give or produce relevant evidence at a hearing.15-Aug31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0406E 004-0407E Form 2 – Warrant for Arrest (Defaulting Witness)EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThis form is used when a judge of the Superior Court of Justice issues a warrant under the Statutory Powers Procedure Act for the arrest of a person who was served with a summons and who failed to attend, remain in attendance, or participate in the hearin15-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0407E 004-0408E Form 1 – Application for Approval to Expropriate LandEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchAn expropriating authority uses this form to apply for approval to expropriate land under the Expropriations Act.15-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0408E 004-0409E Form 7 – Notice of ExpropriationEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, the expropriating authority must serve this form on registered owners (and may serve the form on owners as defined in s. 1(1) of the Expropriations Act) when a plan of expropriation has been filed in the land registry office 15-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0409E 004-0410E Form 8 – Notice of ElectionEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, the expropriating authority must provide this form to registered owners when it serves the Notice of Expropriation (Form 7). A registered owner may use this form to elect the date for compensation.15-Aug26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0410E 004-0411E Form 9 – Notice of PossessionEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, the expropriating authority uses this form to provide notice to a registered owner that it requires possession of expropriated land. Unless a judge orders otherwise, the date for possession must be at least three months after15-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0411E 004-0412E Form 2 – Notice of Application for Approval to Expropriate LandEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchAn expropriating authority uses this form to serve notice of its application for approval to expropriate upon each registered owner of the lands to be expropriated. The expropriating authority must also publish the notice in accordance with s. 6(1) of the15-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0412E 004-0413E Form 3 – Notice of HearingEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchAn inquiry officer uses this form to give notice of the time and place of a hearing to each party when an owner of lands has requested a hearing under s. 6(2) of the Expropriations Act.15-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0413E 004-0414E Form 4 – Notice of GroundsEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThe 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 befor15-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0414E 004-0415E Form 5 – Certificate of ApprovalEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThe approving authority uses this form to certify its approval of a proposed expropriation under s. 8(3) of the Expropriations Act. If the approval is endorsed on a plan of the land intended for registration under s. 9, Form 6 should be used.15-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0415E 004-0416E Form 6 – Certificate of Approval (on Expropriation Plan)EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThe approving authority uses this form to certify its approval of a proposed expropriation if the approval is endorsed on a plan of the land intended for registration under s. 9 of the Expropriations Act.15-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0416E 004-0417E Form 10 – Notice of LandEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, if, before compensation is paid in full, the expropriating authority determines that it does not require the land or part of the land, the expropriating authority must use this form to notify each owner of the land.15-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0417E 004-0418E Form 11 – Declaration of Abandonment (Land Registered under the Registry Act)EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder 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.15-Aug19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0418E 004-0419E Form 12 – Declaration of Abandonment (Land Registered under the Land Titles Act)EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, where land to be abandoned is registered under the Land Titles Act, the expropriating authority registers this form in the proper land registry office. The form is also served on each owner.15-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0419E 004-0420 Summons to a WitnessEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by a party before the Fire Safety Commission to request a summons be issued.19-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0420 004-0421 Notice of AppealEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by an appellant to initiate an appeal before the Fire Safety Commission.19-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0421 004-0422 Application for an AuthorizationEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by a fire service to request authorization to perform work on a subject property from the Fire Safety Comission Commission.19-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0422 004-0423 Application for an Extension of TimeEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by a potential appellant before the Fire Safety Commission to request an extension for filing an appeal outside the statutory period.18-Dec21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0423 004-0424 Summons to a WitnessEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by a party before the Animal Care Review Board to request a summons be issued.19-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0424 004-0425 Notice of WithdrawlEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by an appellant to withdraw their appeal before the Animal Care Review Board.19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0425 004-0426 Notice of AppealEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by an appellant to initiate an appeal before the Animal Care Review Board.19-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0426 004-0427 Declaration of RepresentativeEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by parties appearing before the Animal Care Review Board to identify their legal representative.19-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0427 004-0428 Adjournment RequestEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by parties appearing before the Animal Care Review Board to request an adjournment of a proceeding.19-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0428 004-0429 Adjournment RequestEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by parties appearing before the Fire Safety Commission to request an adjournment of a proceeding.19-Jul16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0429 004-0430 Declaration of RepresentativeEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by parties appearing before the Fire Safety Commission to identify their legal representative.19-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0430 004-0431 Notice of WithdrawlEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by an appellant to withdraw their appeal before the Fire Safety Commission.19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0431 004-0455E Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance ActEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceApplication by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act19-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0455E 004-0456E Response by an Insurance Company to an Injured Person's Application for Auto Insurance Dispute Resolution under the Insurance ActEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceResponse by an Insurance Company to an Injured Person's Application for Auto Insurance Dispute Resolution under the Insurance Act19-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0456E 004-0457E Application by an Injured Person for Auto Insurance Dispute Resolution under the Insurance ActEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalInjured Person for Auto Insurance Dispute Resolution under the Insurance Act19-Jun46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0457E 004-0458E Response by Injured Person regarding Insurance Company's Application for Auto Insurance Dispute Resolution under the Insurance ActEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalResponse by Injured Person regarding Insurance Company's Application for Auto Insurance Dispute Resolution under the Insurance Act19-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0458E 004-3039E Affidavit for Estate Administration Tax - Additional Payment/RefundEAttorney GeneralCourt Services DivisionProgram Management BranchAn affidavit regarding a revised total value of assets in an estate, resulting in a change in estate administration tax payable.16-Jun39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3039E 004-3040E Acknowledgement of Expert's DutyEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceIn the matter of an Application for Dispute Resolution pursuant to subsection 280(2) of the Insurance Act, RSO 1990, c. 1.8., in relation to statutory accident benefits.19-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3040E 004-3041E Certificate of ServiceEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceCertificate of Service19-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3041E 004-3049E Appellant Form (A1)EAttorney GeneralEnvironment and Land Tribunals OntarioLocal Planning Appeal TribunalThis form is used to make an appeal to the Local Planning Appeal Tribunal (LPAT) that, according to the act/legislation, is to be filed with the municipality or approval authority. The form is to be completed by the appellant or their representative. Ple19-Aug341http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3049E 004-3050E Municipal/Approval Authority SubmissionEAttorney GeneralEnvironment and Land Tribunals OntarioLocal Planning Appeal TribunalThis form is used by the municipality/approval authority when preparing an appeal referral package for appeals that, according to the act/legislation, are to be filed with the municipality or approval authority instead of directly with the Local Planning 19-Aug130http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3050E 004-3051E LPAT Appellant Form (A2)EAttorney GeneralEnvironment and Land Tribunals OntarioLocal Planning Appeal TribunalThis form is used to make an appeal to the Local Planning Appeal Tribunal (LPAT) that, according to the act/legislation, is to be filed directly with the LPAT. This form is to be completed by the appellant or their representative. Please use the A1 form19-Aug47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3051E 004-3052E Notice of WithdrawalEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3052E 004-3805E Request Form - Access to ExhibitsEAttorney GeneralCourt Services DivisionJudicial Library ServicesThis form will allow members of the public and media to request access to exhibits in criminal cases and exhibits entered into evidence during civil and family trials.19-Feb6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3805E 004-9972E Request to Authorize or Cancel a RepresentativeEAttorney GeneralCourt Services DivisionFamily Policy and ProgramsUsed to authorize a representative to act on behalf of the client for all matters, as it relates to their child support calculation application or to cancel a previous authorization.18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-9972E 004-9973E Request to Withdraw ConsentEAttorney GeneralCourt Services DivisionFamily Policy and ProgramsUsed to withdraw previously provided consent for CRA to share clients tax informtation, to calculate or recalculate child support.18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-9973E 004-CSD-009E Interpreter Request/CancellationEAttorney GeneralCourt Services DivisionToronto RegionInforms TCIU that an interpreter is required for a specified court action, or cancels an existing request. Contains information about the case, language requested, contact details of requestor and special instructions. Available in both internal and exte17-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-CSD-009E 004-VSP-005E Attorney General's Victim Services Awards of Distinction – Individual NominationEAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind16-Oct15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VSP-005E 004-VSP-006E Attorney General's Victim Services Awards of Distinction – Group NominationEAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind16-Oct18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VSP-006E 004-VVPD-008E Reference in Support of ApplicationEAttorney GeneralOntario Victim ServicesVictims and Vulnerable Persons DivisionReference in Support of Application (Application to Join the Independent Legal Advice for Survivors of Sexual Assault Pilot Program Referral List)16-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-008E 004-VVPD-009E Application to Join the Independent Legal Advice for Survivors of Sexual Assault Pilot Program Referral ListEAttorney GeneralOntario Victim ServicesVictims and Vulnerable Persons DivisionThis form must be completed by all lawyers wishing to participate in the Ministry of the Attorney General's Pilot Program to provide independent legal advice (ILA) to victims of sexual assault.16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-009E 004-VVPD-010E Independent Legal Advice Pilot Program Voucher Request FormEAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThis form must be completed by all persons wishing to receive legal advice through the Ministry of the Attorney General's Independent Legal Advice for Sexual Assault Survivor's Pilot Program.17-Feb73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-010E 005-0149E Employer Pre-screen Application - General and International Student CategoriesEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchEmployer completes application with personal information and company revenue/number of employees/incorporation details to apply to support the immigration of individuals through the Ontario Immigrant Nominee Program (OINP).15-Jul30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0149E 005-0152E Joint VerificationEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is intended for the Ontario employers trying to recruit foreign workers or international students through Opportunities Ontario: Provincial Nominee Program.15-Jul28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0152E 005-0157E Translator AffidavitEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchAsserts the truth of the enclosed translations.09-Feb38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0157E 005-0178E Pre-screen Application for Previously Approved EmployersEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is to be completed by employers that have previously submitted an employer category pre-screen application and received approval by Ontario Immigrant Nominee Program (OINP).15-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0178E 005-0179E Nominee ApplicationEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchIndividual completes application with personal information and employment/education history to apply to immigrate to Ontario through the PNP.15-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0179E 005-0190E Ontario Immigrant Nominee Program - Investment ReferralEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchOntario Ministries will use this form to officially endorse an investment to Opportunities Ontario. This form features a section for the Deputy Minister's signature, a check list for Ministries to consider before endorsing the investment and basic inform15-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0190E 005-0194E Stage 1 Application: Ontario Corporate StreamEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is to be completed and signed by an authorized signing officer of the investing company.15-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0194E 005-0196E Nominee Application for International PhD GraduatesEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchForm is foreseen for international PhD graduates applying to Ontario Immigrant Nominee Program (OINP)15-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0196E 005-0208E Champion of Diversity AwardETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards Secretariat16-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0208E 005-0209E Order of OntarioETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Order of Ontario is the province's highest official honour. It recognizes any current or former long-time resident of Ontario who has demonstrated a high level of individual excellence and achievement in any field benefiting the people of Ontario or a18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0209E 005-0210E Ontario Senior of the Year AwardETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe 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.17-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0210E 005-0211E Ontario Senior Achievement AwardETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize outstanding seniors who, after age 65, have made significant contributions to their communities.17-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0211E 005-0212E James Bartleman Indigenous Youth Creative Writing AwardsETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatRecognizes up to six (6) Indigenous students for their creative writing talent.17-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0212E 005-0213E Lincoln M. Alexander AwardETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize young people who have demonstrated exemplary leadership in eliminating racial discrimination. Each recipient will receive a $5,000 award and a framed certificate.17-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0213E 005-0214E Lieutenant Governor's Community Volunteer Award for StudentsETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Lieutenant Governor's Community Volunteer Award for Students pays tribute to students who not only complete the required number of volunteer hours to graduate, but who go above and beyond. Each year, an award is given to one graduating student at each17-Nov32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0214E 005-0215E Ontario Volunteer Service AwardETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize youth and adult volunteers for continuous years of commitment and dedicated service to an organization.18-Sep12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0215E 005-0216E Hilary M. Weston ScholarshipETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Hilary M. Weston Scholarship is granted each year to two students enrolled in a full-time, graduate-level social work program at an Ontario publicly funded university. Applicants must have a demonstrated interest in and commitment to mental health is17-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0216E 005-0217E June Callwood Outstanding Achievement AwardETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize individuals and groups for superlative volunteer contributions to their communities and to the province of Ontario. Up to 20 individuals and/or groups receive this award each year.18-Dec16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0217E 005-0218E Ontario Medal for Young VolunteersETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo honour outstanding contributions made by exceptional youth volunteers across the province. The Ontario Medal for Young Volunteers is the highest honour a young person can achieve for their voluntarism contributions to the province.17-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0218E 005-0219E Ontario Medal for Good CitizenshipETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize outstanding citizens for their exceptional long-term contributions to their communities and to the province.18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0219E 005-0224E Ontario Award for Paramedic BraveryETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Ontario Award for Paramedic Bravery was created to recognize individual acts of outstanding courage and bravery performed by members of Ontario's paramedic services. The recipients of this award are men and women whose actions exemplify such selfless15-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0224E 005-0225E David C. Onley Award for Leadership in AccessibilityETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo celebrate outstanding Ontarians who demonstrate exemplary leadership in the advocacy and promotion of awareness of accessibility and disability issues.15-Oct15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0225E 005-0236E Ontario Entrepreneur Stream - Expression of InterestEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis is not an application form to the Ontario Immigrant Nominee Program Entrepreneur Stream. This is an expression of your interest in applying to the Entrepreneur Stream. Prospective applicants will be invited to submit a complete application based on t16-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0236E 005-0237E Multicultural Community Capacity Grant ProgramECitizenship and ImmigrationProgram Management and Evaluation BranchMulticultural Community Capacity Grant ProgramThis form is used to apply for funding under the Multicultural Community Capacity Grants Program17-Oct53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0237E 005-0493E Seniors Community Grant Program Application Guide and Checklist 2019-2020 Stream 1ECitizenship and ImmigrationOntario Seniors' SecretariatPublic Education & Awareness UnitTo help seniors across Ontario and support projects that will encourage greater social involvement, volunteerism and community engagement for seniors across the province.19-May45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0493E 0051E Ontario Community Infrastructure Fund (OCIF) 2018 Top-Up Application ComponentEInfrastructureInter-governmental Policy BranchInter-governmental Infrastructure PolicyTo express interest in applying to the Ontario Community Infrastructure Fund.18-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0051E 006-0983E Application for Assistance under Ontario Works Act and Income Support under the Ontario Disability Support Program ActEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch14-Nov1526http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-0983E 006-0985E Consent to Disclose and Verify Personal InformationEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch18-Sep51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-0985E 006-1107E Rights and Responsibilities Ontario WorksEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchOutlines the rights and responsibilities for individuals on Ontario Works.19-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-1107E 006-1915E Application for Special Services at HomeEChildren, Community and Social ServicesService Delivery and Supports BranchProgram Management Unit (PMU)Application for Special Services at Home20-Feb1063http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-1915E 006-2764 Questionnaire (for Applicants or Recipients who are living with another adult)EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch10-Mar266http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2764 006-2865E Rights and Responsibilities Ontario Disability Support ProgramEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchOutlines the rights and responsibilities for individuals on ODSP.19-Nov812http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2865E 006-2878 Request for Internal ReviewEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep746http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2878 006-2879 Request for Withdrawal of Internal ReviewEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2879 006-2882E Application for Employment SupportsEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchEmployment Support15-Apr1518http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2882E 006-2884 Verification of Disability/ImpairmentEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch10-Jan815http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2884 006-2950E Employment/Training Income ReportEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchForm to be completed by ODSP recipients on a monthly basis. First section of the form requires recipients to report their changes in Employment/Training and any changes in living expenses, shelter costs, family size, income or assets.18-Sep1566http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2950E 006-2999E Consent to Disclose and Verify Information (Canada Revenue Agency)EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch18-Oct30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2999E 006-3006E Confirmation of AssignmentEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchAny person commencing a court proceeding to change the terms of their support order must complete a Confirmation of Assignment form to obtain information about whether their support order is assigned. The ministry will only provide information to the supp19-Dec700http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3006E 006-3089E Birth Family Member's Application to Request a Severe Medical SearchEChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo 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 illness08-Jun85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3089E 006-3090E Adopted Person's and Descendant of Adopted Person's Application to Request a Severe Medical SearchEChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons, and their family members, to request a search for an adopted person's birth relative or birth relative's family member, in instances of a severe mental or physical illness08-Jun141http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3090E 006-3091E Application to Request Non-Identifying Information Relating to an AdoptionEChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons and certain birth family members to request a copy of the adoption file information with information that would reveal the identify of any person other than the requestor removed08-Jun360http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3091E 006-3092E Application to Update Information or Remove Name from the Adoption Disclosure RegisterEChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons and eligible birth relatives to remove their name or update the contact information they wish to share with a matched party on the Adoption Disclosure Register. Also to allow adopted persons to change the list of relatives they wi08-Jun134http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3092E 006-3093E Application to be Named on the Adoption Disclosure RegisterEChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons and eligible birth relatives to request to be named on the Adoption Disclosure Register08-Jun509http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3093E 006-3095E Application for a Copy of an Adoption OrderEChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons of at least 18 years old of age and adoptive parents to request a copy of the adopted person's adoption order with any information which identify a birth parent removed.08-Jun316http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3095E 006-3168E Request for Withdrawal of Regional Dispute Resolution ReviewEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3168E 006-3169E Request for Regional Dispute Resolution ReviewEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3169E 006-3183E Vision Care Benefit (Exceptional Circumstances)EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchThe 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-au14-Nov181http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3183E 006-3188E Welcome to ODSP Employment SupportsEChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchIntroduction to the ODSP Employment Supports14-Feb635http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3188E 006-3203E ODSP Hearing Aid Benefit (Exceptional Circumstances)EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch16-Jun75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3203E 006-3216E Direct Bank Deposit (Electronic Funds Transfer) Enrolment / Change of Information Third Party PayeesEChildren, Community and Social ServicesSocial Assistance Central Services BranchFinancial Services UnitTo support direct bank deposit enrolment and information management for third party vendor records in Social Assistance Programs18-Jun739http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3216E 006-3222E Temporary Care AgreementEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society (CAS) uses this form to enter into a temporary care agreement with a person who is temporarily unable to adequately care for a child in his or her custody and agrees to voluntarily place the child in the temporary care and custody18-Mar34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3222E 006-3223E Extension or Variation AgreementEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to extend and/or vary a temporary care agreement.18-Mar30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3223E 006-3224E Warrant to Bring to a Place of Safety and Return a Child in CareEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form authorizes the apprehension of a child that has left or has been removed from a children's aid society's lawful care and custody. Also provides authorization for entry by force and to search a named premise. Form must be signed by a Justice of18-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3224E 006-3225E Information in Support of a Warrant to Bring to a Place of Safety and Return a Child in CareEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is used by peace officers and child protection workers to provide a sworn statement that they have reasonable and probable grounds to believe a child has left or been removed from the lawful care of a children's aid society (CAS) without that CA18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3225E 006-3226E Warrant to Apprehend and Return a Child who has withdrawn from a Parent's ControlEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form authorizes the apprehension of a child that has withdrawn from the care and control of a parent of the child, authorized officer of an approved agency that has custody of the child, or a person who has care and control of the child. Also provide18-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3226E 006-3227E Information in Support of a Warrant to Bring to a Place of Safety and Return a Child Who has Withdrawn From a Person's Care and ControlEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form authorizes the apprehension of a child that has left or has been removed from a children's aid society's lawful care and custody. Also provides authorization for entry by force and to search a named premise. Form must be signed by a Justice of t18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3227E 006-3228E Application for Emergency Admission to Secure Treatment ProgramEChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesEmergency admission of a child to a secure treatment program.18-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3228E 006-3229E Emergency Admission to Secure Treatment ProgramEChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesThis form is completed by the person in charge of the secure treatment program once the criteria are met for the child's emergency admission to a secure treatment program.18-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3229E 006-3230E Application for Review of Emergency Admission to Secure Treatment ProgramEChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesThis form is completed by a child or applicant on behalf of the child in order to ask for an order under Part VII of the Child, Youth and Family Services Act, 2017 releasing the child from the secure treatment program. Used for a hearing before an adminis18-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3230E 006-3231E Review of Emergency Admission to Secure Treatment ProgramEChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesThis form is an order completed by the Chair of the Child and Family Services Review Board either releasing the child from the secure treatment program or denying the application.18-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3231E 006-3232E Warrant to Apprehend and Return a Child Who has Been Admitted to a Secure Treatment ProgramEChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesCourt Proceeding and to apprehend a child who has been admitted to a secure treatment program.18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3232E 006-3233E Information in Support of a Warrant to Apprehend and Return a Child Who has Been Admitted to a Secure Treatment ProgramEChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesCourt proceeding and the Information to support a warrant to apprehend and return a child who has been admitted to a secure treatment program.18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3233E 006-3234E Application for Approval of a Secure De-escalation RoomEChildren, Community and Social ServicesPlanning and Program Development BranchResidential ServicesThis form is completed by an applicant on behalf of the residence/service in order to obtain approval of locked room for use of the de-escalation of situations and behavior involving children or young persons or for the renewal of an approval of a locked 18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3234E 006-3235E Approval or Renewal of Approval of a Secure De-escalation RoomEChildren, Community and Social ServicesPlanning and Program Development BranchResidential ServicesThis form is completed by the Director for the purposes under the Child and Family Services Act (this person is generally the ministry licensing and compliance manager of the Regional Office where the applicable facility is located). The form is used for 18-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3235E 006-3236E Refusal or Withdrawal of an Approval of a Secure De-escalation RoomEChildren, Community and Social ServicesPlanning and Program Development BranchResidential ServicesThis form is completed by the Director for the purposes under the Child, Youth and Family Services Act, 2017 (this person is generally the ministry licensing and compliance manager of the Regional Office where the applicable facility is located). The form18-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3236E 006-3237E Notice to a Director of Proposed PlacementEChildren, Community and Social ServicesClient Services BranchLicensing of Private AdoptionThis form is completed by a licensee who proposes to place a child with an applicant with a view to adoption.18-Mar36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3237E 006-3238E Registration of Placement of a Child for AdoptionEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society or a licensee uses this form to register the placement of a child for adoption under subsection 183(7) of the Child, Youth and Family Services Act, 2017.18-Mar26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3238E 006-3239E Director's Registration of Placement of Child for AdoptionEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA 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, 201718-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3239E 006-3240E Acknowledgment of Adoption PlacementEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is signed by prospective adoptive parents when a child is placed with them.18-Mar31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3240E 006-3241E Statement by PhysicianEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is completed by a physician who is of the opinion that the disclosure of the record of a mental disorder of a person is likely to result in harm to their treatment, injury to the mental condition of another person, or bodily harm to another pers18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3241E 006-3242E Application for a Licence or Renewal of a Licence to Place Children for AdoptionEChildren, Community and Social ServicesClient Services BranchLicensing of Private AdoptionThis is the application for a licence or renewal of a licence to place children for adoption issued by a Director under the Child, Youth and Family Services Act, 2017 (this person is generally the Coordinator of the ministry's Private and International Ad18-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3242E 006-3243E Warrant for Access to Record(s)EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to gain access to records that are relevant to the investigation of an allegation that a child is or may be in need of protection. Form must be signed by a Justice of the Peace.18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3243E 006-3244E Information in Support of a Warrant for Access to a RecordEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to provide information in support of obtaining a warrant for access to a record relevant to the investigation of a child who is or may be in need of protection.18-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3244E 006-3245E Warrant (Telewarrant) for Access to Record(s)EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to provide information in support of obtaining a warrant for access to a record relevant to the investigation of a child who is or may be in need of protection when it would be impracticable to appear personally bef18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3245E 006-3246E Information in Support of a Warrant (Telewarrant) for Access to a RecordEChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to provide information in support of obtaining a warrant for access to a record relevant to the investigation of a child who is or may be in need of protection, when it would be impracticable to appear personally be18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3246E 006-3247E Form 1: Report to Child Abuse RegisterEChildren, Community and Social ServicesChild Welfare Operations BranchChild WelfareThis form is completed by a children's aid society to report child abuse that has been verified by the society.18-Mar35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3247E 006-3248E Form 2: Follow-up Report to Child Abuse RegisterEChildren, Community and Social ServicesChild Welfare Operations BranchChild WelfareThis form is completed by a children's aid society to provide additional information regarding child abuse that has been verified by the society.18-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3248E 006-3249E Formal Complaint To A Society's Internal Complaints Review Panel (ICRP)EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is for use by persons making a complaint to a children's aid society's Internal Complaints Review Panel (ICRP) about a service sought or received from a society.19-Apr112http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3249E 006-3250E Request to Director for Review of Proposed PlacementEChildren, Community and Social ServicesClient Services BranchLicensing of Private AdoptionThis form is completed by a licensee who proposes to place a child from outside of Canada with an applicant in Ontario for the purpose of adoption in Ontario.18-Apr23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3250E 006-3251E Youth Services Officer Employment ApplicationEChildren, Community and Social ServicesOperational Support and Program Effectiveness BranchStaff Training and DevelopmentApplication form for the Youth Services Officer position with the Youth Justice Services Division, Ministry of Children and Youth Services.19-Apr2669http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3251E 006-3256E Ontario Autism Program Childhood Budget FormEChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form will allow families of children and youth with autism to apply for Ontario Autism Program Childhood Budget funding.19-Jun5807http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3256E 006-3261E Invoice for Completing a Disability Determination Package, Medical Review Package or Providing Additional Medical InformationEChildren, Community and Social ServicesSocial Assistance Central Services BranchFinancial Services UnitFor health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.19-Sep530http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3261E 006-FORM-A Support Application/Support Variation Application.EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar231http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-A 006-FORM-A-GUIDE FormSupport Form A Support Application / Support Variation ApplicationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-A-GUIDE 006-FORM-B Identification InformationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar115http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-B 006-FORM-B-GUIDE FormSupport Form B Identification InformationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-B-GUIDE 006-FORM-C Evidence of ParentageEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar107http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-C 006-FORM-C-GUIDE FormSupport Form C Evidence of ParentageEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-C-GUIDE 006-FORM-D Statements to Support a Declaration of Biological ParentageEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-D 006-FORM-D-GUIDE FormSuppor Form D Statements to Support a Declaration of Biological ParentageEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-D-GUIDE 006-FORM-E Child Support ClaimEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar186http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-E 006-FORM-E-GUIDE FormSupport Form E Child Support ClaimEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-E-GUIDE 006-FORM-F Request For Support Order - If Respondent Does Not Provide Financial Information -EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar105http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-F 006-FORM-F-GUIDE FormSupport Form F Request for Support Order (if Respondent does not provide financial information)EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-F-GUIDE 006-FORM-G Request For A Child Support Order - Different Than Child Support Guidelines Table Amount -EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-G 006-FORM-G-GUIDE FormSupport Form G Request for a Child Support Order, Different than Child Support Guidelines Table AmountEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-G-GUIDE 006-FORM-H Special Expense ClaimEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar190http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-H 006-FORM-H-GUIDE FormSupport Form H Special Expense ClaimEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar77http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-H-GUIDE 006-FORM-I Request To Pay Child Support - Different Than Child Support Guidelines Table Amount -EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar67http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-I 006-FORM-I-GUIDE FormSupport Form I Request to Pay Child Support, Different than the Child Support Guidelines Table AmountEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-I-GUIDE 006-FORM-INTRO-GUIDE FormSupport Guide Introduction and General InformationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office17-Jul73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-INTRO-GUIDE 006-FORM-J Support for Claimant / ApplicantEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-J 006-FORM-J-GUIDE FormSupport Form J Support for Claimant / ApplicantEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-J-GUIDE 006-FORM-K Financial Statement ofEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar151http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-K 006-FORM-K-GUIDE FormSupport Form K Financial StatementEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-K-GUIDE 006-FORM-L Child Status and Financial Statement forEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-L 006-FORM-L-GUIDE FormSupport Form L Child Status and Financial StatementEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-L-GUIDE 006-FORM-M Evidence to Support Variation of a Support OrderEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar125http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-M 006-FORM-M-GUIDE FormSupport Form M Evidence to Support Variation of a Support OrderEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-M-GUIDE 006-FORM-N Respondent's Answer to ApplicationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar116http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-N 006-FORM-N-GUIDE FormSupport Form N Respondent's Answer to ApplicationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar76http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-N-GUIDE 006-FORM-O Request for EnforcementEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar184http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-O 006-FORM-ON-GUIDE Making a Support or Support Variation Application Outside Ontario - Choosing Which Forms to Use -EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office08-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-ON-GUIDE 006-FRO-001E Personal Pre-Authorized Debit (PAD) ApplicationEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Preauthorized Payment Application for Payors authorizes the Family Responsibility Office to automatically deduct support payments from the support payor's bank account. This method of payment is only available to payors who do not have a regular sourc09-Dec350http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-001E 006-FRO-002E Confirmation of Identity Letter RequestEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeConfirmation of Identity Letter is prepared by the Family Responsibility Office (FRO) confirming that an individual is not one and the same as the support payor against whom the FRO has taken enforcement action. Most commonly, these letters are prepared i16-Feb183http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-002E 006-FRO-003E Request for Director's Statement of Arrears (Statement of Account)EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Request for Director's Statement of Arrears is another term for statement of account. If a client wants to obtain a statement of their account, they must contact the Family Responsibility Office.The first statement of account will be free while any su16-Feb269http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-003E 006-FRO-004E Voluntary Arrears Payment Schedule (VAPS) ProposalEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office18-Feb694http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-004E 006-FRO-005E Registration PackageEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office12-Sep1965http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-005E 006-FRO-006E Notice of WithdrawalEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office05-Jul1103http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-006E 006-FRO-007E Statement of ArrearsEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office12-Sep1473http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-007E 006-FRO-009E Registration for Direct DepositEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office15-Dec1965http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-009E 006-FRO-010E FINANCIAL STATEMENTEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeSupport payors may be requested to complete a Family Responsibility Office Financial Statement to support a Voluntary Arrears Payment Schedule, or because a payor is in default of his/her support obligations and the FRO has begun a default hearing. Docume05-Jun607http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-010E 006-FRO-013E Affidavit for a Lost ChequeEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office09-Aug343http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-013E 006-FRO-014E Third Party Authorization FormEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Third Party Authorization form authorizes a person other than the payor or recipient to act on the payor's or recipient's behalf. A Family Responsibility Office (FRO) support payor or support recipient may designate this person to request and receive 04-May435http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-014E 006-FRO-015E Cancellation of Third Party Authorization FormEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Cancellation of Third Party Authorization form stops all third party access to a client's case. Once the third party access is cancelled, only the payor or recipient will be able to receive information about their case.04-Jul83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-015E 006-FRO-016E Notice of Re-FilingEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office16-Feb496http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-016E 006-FRO-018E NOTICE TO FAMILY RESPONSIBILITY OFFICE BY INCOME SOURCEEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThis notice is used by income sources (usually employers) to communicate with the FRO. This form can be used by an employer or other income source to let the FRO know that payments will be interrupted or stopped. This form can also be used to clarify that05-Jun124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-018E 006-FRO-021E SUPPORT DEDUCTION ORDER INFORMATION FORMEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe 2 forms are used together when a court makes a support order. The support deduction order allows the FRO to collect support by sending notice to a support payer's employer or other income source, requiring support to be deducted from the payer's incom05-Jun416http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-021E 006-FRO-030E Notice by Support Recipient of Unilateral WithdrawalEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office16-Jan479http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-030E 006-FRO-031E Application to Discontinue Enforcement of Ongoing SupportEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office19-May2936http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-031E 006-FRO-032E Panel Lawyer Application – Current Panel LawyerEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office15-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-032E 006-FRO-033E Panel Lawyer Application – New ApplicantEChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office15-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-033E 007-02052E Notice of MotionEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalTo request that the Tribunal issue an order.19-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-02052E 007-06019E Application for Registration or AppointmentEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario08-Nov96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-06019E 007-06019EINFO Registration or Appointment Requirements for New, Renewal and Reinstatement ApplicationsEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario10-Feb73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-06019EINFO 007-07064E Appointment of Agent for Service/Revised Appointment of Agent for Service - Form 2 - Extra-Provincial Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchForeign business corporations incorporated outside of Canada who wish to do business in Ontario must appoint an Agent for Service in Ontario. An Agent for Service must be an individual, 18 years of age or older, who is resident in Ontario or a corporation19-Aug204http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07064E 007-07067E Application for Termination of Extra-Provincial Licence - Form 4 - Extra-Provincial Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchWhen a foreign business corporation has stopped doing business in Ontario, a Form 4 must be completed and filed in duplicate with Companies and Personal Property Security Branch.11-Jun60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07067E 007-07249E Request for Corporation InformationEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchThis form is completed to process a request for a corporate search product.18-Oct362http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07249E 007-07546E Acknowledge Receipt of ApplicationEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo acknowledge the receipt of mail-in applications for Companies registration, corporate filing, amendments and search services. Only applicable to forms where there are no electronic service delivery options. 11-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07546E 007-11018E Marriage Licence Application-Marriage Act-Form 3EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General18-Feb1327http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11018E 007-11022E Statement of Live Birth Form 2EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used for registering the birth of a child who has one or two parents. Parent(s) can use this form and choose to be identified as ‘mother', ‘father' or ‘parent'.18-Jan489http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11022E 007-11025E Statement Of Sole Responsibility- Marriage ActEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General17-Nov459http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11025E 007-11031E Requirements Respecting Marriage in OntarioEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General09-Jul18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11031E 007-11075E Request for Death CertificateEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General18-Jan2375http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11075E 007-11076E Request for Birth CertificateEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used for requesting a birth certificate18-Apr5892http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11076E 007-11078E Request for Marriage CertificateEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General18-Jan3364http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11078E 007-11155E Application to Change an Adult's NameEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used to apply to legally change the name of an adult in Ontario.19-Sep7148http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11155E 007-11156E Application to Change a Child's NameEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used to apply to legally change the name of a child in Ontario.19-Sep2501http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11156E 007-11313E Adoption Information Disclosure Application to Register or Withdraw a No Contact NoticeEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a No Contact Notice under the Adoption Information Disclosure Act, 2005.08-Aug89http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11313E 007-11314E Adoption Information Disclosure Application to Register or Withdraw a Notice of Contact PreferenceEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a Notice of Contact Preference under the Adoption Information Disclosure Act, 2005.08-Aug113http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11314E 007-11318E Adoption Information Disclosure Application to Register or Withdraw a Disclosure VetoEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo 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.08-Aug93http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11318E 007-11320E Request for Non-Publication in The Ontario GazetteEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General19-Sep179http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11320E 007-11324E Statutory Declaration for a Change of Sex Designation on a Birth Registration of an AdultEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General19-Aug264http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11324E 007-11325E Application for a Change of Sex Designation on a Birth Registration of an AdultEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General19-May454http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11325E 007-11333E Statutory Declaration – By Intended ParentsEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis Statutory Declaration is to be completed by Intended Parent(s) when certifying a birth using a surrogate.17-Jan69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11333E 007-11334E Statutory Declaration – By SurrogateEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis Statutory Declaration by Surrogate is to be completed by the surrogate when the intended parent(s) are certifying a birth using a surrogate.17-Jan57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11334E 007-11335E Statement of Live Birth Form 2 (With Three or Four Parents)EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis version of the Statement of Live Birth form is available for three or four parents. Parent(s) can use this form and choose to be identified as ‘mother', ‘father' or ‘parent'.18-Jan37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11335E 007-11341E Application to Waive ServiceOntario Fees for a Name Change and Related CertificatesEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralFor Residential School Survivors and their family members reclaiming a name; and for Indigenous persons changing their name to a single name. In order to apply to waive ServiceOntario fees, submit this application with an application change an adult's and17-Jan129http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11341E 007-11342E Request for a Name Change to a Single NameEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralUse this request to change a name for a person to a single name that is determined in accordance with the person's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the application to chan17-Jan167http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11342E 007-11343E Request for a Birth Registration with a Single NameEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralUse this request to register a birth with a single name that is determined in accordance with a parent's or the child's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the Statement of L17-Jan199http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11343E 007-11377E Articles of Incorporation of a Co-operative with Share Capital, Form 1, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo incorporate a co-operative corporation with share capital in Ontario.18-Oct31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11377E 007-11378E Articles of Incorporation of a Co-operative without Share Capital, Form 2, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo incorporate a co-operative corporation without share capital in Ontario.18-Oct32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11378E 007-11379E Consent to Act as a First Director, Form 3, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchThis form must be submitted along with the Articles of Incorporation when a co-operative corporation has a director that is not an incorporator.18-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11379E 007-11380E Articles of Amendment, Form 7, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo amend, add, change or remove provisions set out in the Articles of Incorporation or change the corporate name for the co-operative corporation.18-Oct41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11380E 007-11381E Affidavit of Solvency (Amendment), Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchAn affidavit regarding the solvency of a co-operative corporation that is making amendments to its Articles of Incorporation. This form must be submitted along with the Articles of Amendment when there is a name change or if there is a decrease in authori18-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11381E 007-11382E Articles of Amalgamation, Form 10, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo amalgamate two or more active Ontario co-operative corporations who wish to form one new Ontario co-operative corporation.18-Oct21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11382E 007-11383E Affidavit of Solvency (Amalgamation), Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchAn affidavit regarding the solvency of each of the amalgamating co-operative corporations. This form must be submitted along with the Articles of Amalgamation.18-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11383E 007-11384E Articles of Dissolution, Form 11, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo voluntarily dissolve an active Ontario co-operative corporation that has commenced business, issued shares, received membership loans or fees or it has been two years or more since the date of incorporation.18-Oct56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11384E 007-11385E Articles of Dissolution, Form 12, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo voluntarily dissolve an active Ontario co-operative corporation that has not commenced business, has not issued any of its shares, has not received any membership loans or fees and it has been less than two years since the date of incorporation.18-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11385E 007-11386E Articles of Continuance as a Co-operative without Share Capital, Form 15, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo continue an Ontario business or not-for-profit corporation, or a corporation from another jurisdiction into Ontario, as a co-operative corporation without share capital.18-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11386E 007-11387E Articles of Continuance as a Co-operative with Share Capital, Form 14, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo continue an Ontario business or not-for-profit corporation, or a corporation from another jurisdiction into Ontario, as a co-operative corporation with share capital.18-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11387E 007-11388E Restated Articles of Incorporation without Share Capital, Form 9, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo restate the Articles of Incorporation of a co-operative corporation without share capital as amended. Restated Articles of Incorporation supersede the original Articles of Incorporation and all amendments thereto.18-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11388E 007-11389E Restated Articles of Incorporation with Share Capital, Form 8, Co-operative Corporations ActEGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo restate the Articles of Incorporation of a co-operative corporation with share capital as amended. Restated Articles of Incorporation supersede the original Articles of Incorporation and all amendments thereto.18-Oct4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11389E 007-11392E Notice of Collection of Personal Information - Applicants for Payment under Section 4EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund11-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11392E 007-11393E Notice of Collection of Personal Information - Applicants for Restoration of Driver's LicenceEGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund18-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11393E 007-11394E Notice of Collection of Personal Information Applicants for Statutory Accident BenefitsEGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund18-Aug48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11394E 007-11395E Affidavit in Support of Application for SettlementEGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11395E 007-11396E Application for Payment under Section 4EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund18-Nov24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11396E 007-11397E Motor Vehicle Accident Claims Fund - Application for Payment under Section 7 Form 1EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11397E 007-11399E Motor Vehicle Accident Claims Fund Application For Statutory Accident Benefits Form 3EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11399E 007-11400E Motor Vehicle Accident Claims Fund Application For Payment out of the Fund of Court Ordered Costs Form 4EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11400E 007-11401E Motor Vehicle Accident Claims Fund Notice of DefaultEGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11401E 008-0105E Notification of Duty to Register (Sex Offender Registry)ESolicitor GeneralOntario Sex Offender RegistryOntario Sex Offender RegistryThis form is the first step in ensuring the legislative requirement for police and provincial correctional staff to make reasonable efforts to give sex offenders written notice of their obligation to report if they are charged or convicted of a sex offenc08-Nov28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0105E 008-0122 Warrant for Post Mortem ExaminationESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner14-May46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0122 008-0125E Warrant to Bury the Body of a Deceased Person or Still-bornESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner14-May69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0125E 008-0137E Application for Part II (Standard Procedure) AppointmentESolicitor GeneralExternal RelationsOperations UnitTo be used by an extra-provincial commander to apply for the appointment of an extra-provincial police officer as a police officer under Part II of the Interprovincial Policing Act, 2009.10-May19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0137E 008-0138E Approval for Part II (Standard Appointment Procedure) ApplicationESolicitor GeneralExternal RelationsOperations UnitTo be used by an appointing official to make an appointment under Part II of the Interprovincial Policing Act, 2009 or to advise that a request for an appointment be denied.10-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0138E 008-0139E Approval of Part III (Appointment Procedure in Urgent Circumstances) ApplicationESolicitor GeneralExternal RelationsOperations UnitTo be used by a local commander to make or renew an appointment under Part III of the Interprovincial Policing Act, 2009 or to advise that a requested appointment be denied.10-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0139E 008-0140E Termination of a Part II or Part III AppointmentESolicitor GeneralExternal RelationsOperations UnitTo be used by an appointing official to terminate an appointment pursuant to sections 23 and 24 of the Interprovincial Policing Act, 2009.10-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0140E 008-0146E Application for Part III (Appointment Procedure in Urgent Circumstances) AppointmentESolicitor GeneralExternal RelationsOperations UnitTo be used by extra-provincial commander to apply, under urgent circumstances, for the appointment of an extra-provincial police officer as a police officer under Part II of the Interprovincial Policing Act, 2009.10-May19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0146E 008-0147E Training Entity Identification Form - Basic Security Guard & Private Investigator TrainingESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchTraining entities must identify themselves to the ministry by completing the Training Entity Identification Form10-Mar32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0147E 008-0148E Consent and Release of Liability Form Regarding TrainingESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchStudents registered in a training program under the Training and Testing Regulation of the Private Security and Investigative Services Act, 2005 must complete this form. This allows the training entity, the ministry, and the test delivery provider Serco, 14-Apr46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0148E 008-0149E Invoice for Transportation of Dead BodyESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor costs incurred in transporting a body under a coroner's warrant. To be used by body transportation service providers in invoicing the Office of the Chief Coroner.19-Jul154http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0149E 008-0150E Invoice For Use of Facilities For Post Mortem ExaminationESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor costs incurred by a hospital in performing an autopsy under a coroner's warrant. To be used by hospitals in invoicing the Office of the Chief Coroner.18-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0150E 008-0151E Case Selection Data FormESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor use by investigating coroners.10-Sep40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0151E 008-0152E Case Selection InvoiceESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor use by investigating coroners.10-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0152E 008-0153E Institutional Patient Death RecordESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerAs required by the Coroners Act, upon the death of any resident of a facility regulated under the Long Term Care Homes Act 2007, this form is completed in order to notify the Coroner. This form is intended for use by a facility regulated under the Long Te14-May1600http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0153E 008-0168E Request for Retention of SpecimensESolicitor GeneralOffice of the Chief CoronerForensic Pathology UnitForm to be used by coroners and pathologists in seeking approval to retain a specimen(s) collected at autopsy for a longer or shorter period than prescribed in Regulation 180 under the Coroners Act.12-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0168E 008-0230E Post Mortem Examination InvoiceESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner18-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0230E 008-0231E Interpreter's InvoiceESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner19-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0231E 008-0232E Special Witness AccountESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0232E 008-0233E Order for Payment of Court ReporterESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner19-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0233E 008-0270E Use of Force ReportESolicitor GeneralExternal RelationsPolicing Standards SectionTo be used by a member of a police force when the member uses force in specified circumstances pursuant to subsection 14.5 (1) of the Equipment and Use of Force Regulation (R.R.O. 1990, Reg. 926).19-Oct23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0270E 008-06-003E Notice of a New/Change in Branch Office (Corporation/Sole Proprietorship/Partnership Businesses)ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services Branch19-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-003E 008-06-004E Application to Replace a Security Guard and/or Private Investigator Agency LicenceESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication to Replace a Security Guard and/or Private Investigator Agency Licence19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-004E 008-06-005E Security guard and/or private investigator licence application package - Online guide to applying for a: Security guard and/or private investigator licenceESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Licence 17-Jan2123http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-005E 008-06-007E Security Guard and/or Private Investigator Licence Replacement ApplicationESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchSecurity Guard and/or Private Investigator Licence Replacement Application19-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-007E 008-06-008E Registration Form for Employers of Security Guards and/or Private InvestigatorsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchRegistration Form for Employers of Security Guards and/or Private Investigators19-Dec42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-008E 008-06-009AE Agency - Request for Hearing FormESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit19-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-009AE 008-06-009E Individual - Request for Hearing FormESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-009E 008-06-010AE Change of Business Information for Licensed Security Guard and/or Private Investigator Agencies and Registered EmployersESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchChange of Business Information for Licensed Security Guard and/or Private Investigator Agencies and Registered Employers19-Dec24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-010AE 008-06-010E Change of Information Form for a Security Guard and/or Private Investigator LicenceESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchChange of Information Form for a Security Guard and/or Private Investigator Licence19-Dec22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-010E 008-06-011E Public Complaint FormESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit09-Sep47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-011E 008-06-012E Use of Force ReportESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit09-Sep76http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-012E 008-11-001E Form 1 - Physician Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy BranchTo support implementation of the Mandatory Blood Testing Act, 200611-Jan42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-001E 008-11-002E Form 2 - Applicant Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy BranchTo support implementation of the Mandatory Blood Testing Act, 200618-Jul49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-002E 008-11-003E Form 3 - Respondent Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy BranchTo support implementation of the Mandatory Blood Testing Act, 200618-Jul34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-003E 008-11-004E Laboratory Requisition - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch10-Dec0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-004E 009-0002E Eastern Ontario Development Fund - Business Stream Application and GuideEEconomic Development, Job Creation and TradeCommunity in TransitCommunities in Transition09-Jul55http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0002E 009-0003E Eastern Ontario Development Fund - Regional/Sectoral Stream Application and GuideEEconomic Development, Job Creation and TradeCommunity in TransitCommunities in Transition09-Jul44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0003E 009-0020E Investment Ready: Certified Site Program - Application FormEEconomic Development, Job Creation and TradeOntario Investment Office - Investors Services BranchSite Planning and Coordination UnitComplete this application form to prepare for a pre-application consultation and to formally apply to the Investment Ready Program. Forms will only be accepted during a application intake windows and when a consultation meeting has been completed.19-Nov42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0020E 009-0021E Summer Company Business Plan TemplateEEconomic Development, Job Creation and TradeEntrepreneurship BranchEntrepreneurship and Youth PartnershipsThe form is a business plan template, for Summer Company, a program of the Government of Ontario which provides mentoring and awards of up to $3000 to enterprising students between the ages of 15 and 29 years. All applicants must complete the business pla19-Apr603http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0021E 009-0022E Notice of Intent: Large InfrastructureEEconomic Development, Job Creation and TradeResearch BranchResearch ProgramThe Ontario Research Fund – Research Infrastructure - provides research institutions with funding to help support infrastructure needs such as modern facilities and equipment.16-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0022E 009-00236E Accessibility Compliance Reporting Form – 2019 (Designated Public Sector and Government organizations only)ESeniors and AccessibilityAccessibility for Ontarians with Disabilities DivisionAODA Compliance and Enforcement BranchOrganizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form.19-Apr524http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-00236E 009-00237E Accessibility Compliance Reporting Form – 2020 (Business or Non-profit and Government organizations only)ESeniors and AccessibilityAccessibility for Ontarians with Disabilities DivisionAODA Compliance and Enforcement BranchOrganizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form.20-Jan783http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-00237E 009-0023E Large Infrastructure ApplicationEEconomic Development, Job Creation and TradeResearch BranchResearch ProgramThe Ontario Research Fund – Research Infrastructure - provides research institutions with funding to help support infrastructure needs such as modern facilities and equipment.19-Oct413http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0023E 009-0025E Feedback on the Proposed Revised Customer Service StandardEEconomic Development, Job Creation and TradeAccessibility Directorate of OntarioStandards Policy and Compliance Branch / Accessibility Policy UnitThe Accessibility Standards Advisory Council/Standard Development Committee (ASAC/SDC) was appointed by the Ontario government in 2013 with a mandate to review the Customer Service Standard. The membership of the ASAC/SDC is comprised of a majority of peo14-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0025E 009-0026E Early Researcher Awards Round 15 ApplicationEEconomic Development, Job Creation and TradeResearch BranchResearch Talent and AwardsThe Early Researcher Award is a discretionary, non-entitlement program that gives funding to new researchers at publicly funded Ontario research institutions to build a research team. Through the completion of this form and supplementary requirements the 19-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0026E 009-0032E Social Impact Bond Idea Program RegistrationEEconomic Development, Job Creation and TradeOpen for BusinessOffice of Scocial EnterpriseOntario is launching a call for proposals for Social Impact Bond ideas.14-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0032E 009-0034E Youth Skills Connections Industry Stream Phase I ApplicationEEconomic Development, Job Creation and TradeEntrepreneurship BranchEntrepreneurship PartnershipsSupport applications to the Youth Skills Connections programs14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0034E 009-0035E Youth Skills Connections Community Stream Phase I ApplicationEEconomic Development, Job Creation and TradeEntrepreneurship BranchEntrepreneurship PartnershipsSupport applications to the Youth Skills Connections programs14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0035E 009-0036E Submission Template for High School Entrepreneurship Outreach programEEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth PartnershipsThe form is a proposal submission template for the High School Entrepreneurship Outreach program, which aims to bring exposure and awareness of entrepreneurship to high school students across Ontario.14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0036E 009-0039E Expression of InterestEEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseThe Accessibility Innovation Showcase (AIS) is hosted by the Ontario government to demonstrate advances in market-ready assistive technologies and devices, stimulate investment and growth in the industry, and raise the profile of accessibility. The Expres17-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0039E 009-0041E Accessibility Innovation Showcase – Volunteer ApplicationEEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseApplications for Volunteers to complete for volunteering at the Accessibility Innovation Showcase (September 21, 2017, September 24 - 27, 2017). Deadline to volunteer is August 18, 2017. If you need an alternate format or other accommodation to access thi17-Aug17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0041E 009-0047E Sample Return to Work Process and PlanEEconomic Development, Job Creation and TradeAccessibility Directorate of OntarioOutreach & Strategic InitiativesThis document was adapted from the Conference Board's Employers' Toolkit: Making Ontario Workplaces Accessible to People with Disabilities, 2nd Edition, is provided for informational purposes only, and should not be construed as legal advice or an opinion16-Jan90http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0047E 009-0048E Sample Accommodation Process and PlanEEconomic Development, Job Creation and TradeAccessibility Directorate of OntarioOutreach & Strategic InitiativesThis document was adapted from the Conference Board's Employers' Toolkit: Making Ontario Workplaces Accessible to People with Disabilities, 2nd Edition, is provided for informational purposes only, and should not be construed as legal advice or an opinion16-Jan226http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0048E 009-0049E Youth Skills Connections Industry Partnerships - Eligibility ChecklistEEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth Skills Connections Fund: Industry PartnershipsThis checklist is a tool for the Ministry of Economic Development and Growth to make an initial assessment of proposed projects for Youth Skills Connections Industry Partnerships. Consideration of an eligibility checklist does not guarantee acceptance to 16-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0049E 009-0051E Appendix "A" Ontario Investment and Trade Centre (OITC) WiFi access registration formEEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseTerms of use of Ontario Investment and Trade Centre (OITC) wireless network.16-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0051E 009-0053E Appendix “B” Ontario Investment and Trade Centre Fire and Emergency Evacuation ProceduresEEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseEmergency Procedures (Provided with reservation confirmation)16-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0053E 009-0055E Entrepreneurship Learning Stream Eligibility ChecklistEEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth PartnershipsThis checklist is a tool for the Ministry to make an initial assessment of a project's eligibility for funding under the Entrepreneurship Learning Stream (ELS).16-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0055E 009-0058E Social Enterprise Demonstration Fund Program Guidelines and Call for ProposalsEEconomic Development, Job Creation and TradeSocial Enterprise BranchSocial Enterprise Demonstration FundProgram Guidelines and Call for Proposals (for the SEDF)17-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0058E 009-0059E Ontario Network of Entrepreneurs (ONE) Social Enterprise PartnershipEEconomic Development, Job Creation and TradeSocial Enterprise BranchONE Social Enterprise PartnershipsProgram Guidelines and Call for Expressions of Interest16-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0059E 009-0060E Entrepreneurship Learning Stream (ELS) ApplicationEEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth PartnershipsEntrepreneurship Learning Stream (ELS) Application Form17-Nov82http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0060E 009-0063E Organization Profile Update Form (All Organizations)ESeniors and AccessibilityAccessibility for Ontarians with Disabilities DivisionAODA Compliance and Enforcement BranchOrganizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 should complete and submit this form to update the organizational profile and contact information the government uses to track AODA18-Nov124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0063E 009-0064E Social Enterprise Procurement And Investment Readiness FundEEconomic Development, Job Creation and TradeEntrepreneurship and Start-up Services BranchSocial Enterprise UnitTo provide the relevant information regarding the Program Guidelines, application instructions and application to the public to apply to the Procurement and Investment Readiness Fund call for proposals.17-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0064E 009-0104-11-01 Doing Business Immigration Seminar Registration FormEEconomic Development, Job Creation and TradeOntario Investment Office - Investors Services BranchBusiness Immigration Section01-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0104-11-01 009-0153E Appointing or Cancelling a RepresentativeEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchApplicant or employer uses this form to appoint a representative for the application or to remove a representative from an application.18-Dec72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0153E 009-0161E Change of Personal InformationEEconomic Development, Job Creation and TradeProgram Management and Business Services BranchProgram Development UnitApplicant uses this form to inform of changes in personal info, i.e. address change, name change, family change, etc.18-Jul198http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0161E 009-0233E Ontario Immigrant Nominee Program Employer Job Offer Streams Employer FormEEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is to be completed by Ontario employers who are supporting an application to the Ontario Immigrant Nominee Program under one of the Employer Job Offer streams. This form must must be given to the applicant to include in their application.19-Jun5976http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0233E 010-3003E Private School Inspection ReportEEducationField Services BranchPrivate School and International EducationThe purpose of the Private Schools Inspection Report is to provide private schools with a report following a school visit and inspection by the Private School Inspectors. The report identifies issues of non-compliance and provides the school with recommen18-Oct36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3003E 010-3041E Statement of Medical ExemptionEEducationEarly Years & Child Care Policy BranchEarly Years Policy UnitTo allow individuals to apply for medical exemptions for immunizations16-May322http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3041E 010-3042E Statement of Conscience or Religious BeliefEEducationEarly Years & Child Care Policy BranchEarly Years Policy UnitTo allow individuals to apply for religious/conscience exemptions for immunizations16-May827http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3042E 010-3043E Notice of Administrative Penalty - Application for ReviewEEducationChild Care Quality Assurance and Licensing BranchEnforcement UnitUnder 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 o16-Apr12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3043E 010-3064E Reciprocal Education Approach Written Notice for Eligible Students to Attend an Eligible First Nation SchoolEEducationIndigenous Education OfficeStrategic Policy & Intergovernmental RelationsTo provide written notice to school boards for students wishing to attend a First Nation school under REA19-Aug29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3064E 010-3065E Reciprocal Education Approach Written Notice for Eligible Students to Attend a School of a School BoardEEducationIndigenous Education OfficeStrategic Policy & Intergovernmental RelationsTo provide written notice to school boards for students wishing to attend a school of a school board under REA19-Aug23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3065E 010-37-0355E Premier's Awards for Teaching Excellence Nomination FormsEEducationCommunications BranchCommunications Branch10-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-0355E 010-37-0373E Premier's Awards for Accepting Schools – Nomination Form EEducationSafe and Healthy Schools BranchSafe Schools UnitTo allow anyone to nominate a safe and accepting schools team for the Premier's Awards for Accepting Schools using a form that is easy to complete and includes mandatory fields that will improve the administrative process for those receiving the forms.17-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-0373E 010-37-3022E Premier's Awards for Accepting Schools – Letter of Support TemplateEEducationSafe and Healthy Schools BranchSafe Schools UnitTo provide clear instruction for each person completing the template and ensure a signature is provided since they are not being considered for the Premier's Awards for Accepting Schools.17-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-3022E 010-52-0147E Notice of Intention to Operate a Private School (NOI)EEducationField Services BranchPrivate School and International EducationRequirement under section 16 of the Education Act for private schools to submit a notice of intention to operate annually to the Ministry of Education by September 1. Submission of the form triggers registration for all private schools and inspection for19-Apr122http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-52-0147E 010-52-0997E School Year CalendarEEducationField Services BranchField Services Branch (FSB)indicates instructional school days10-Oct0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-52-0997E 010-63-0112E Annual Education Plan Grades 7 to 12EEducationStudent Success Policy BranchStudent Success Policy BranchApr-990http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-63-0112E 010-63-1970E Work Education AgreementEEducationStudent Success Policy BranchStudent Success Policy BranchThe Ministry of Education provides Workplace Safety and Insurance Board (WSIB) coverage for students who are registered as participants in a work education program administered by a school board. This form must be completed and signed by all parties prior16-Jul71http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-63-1970E 011-0001 Application For Electricity Distribution LicenseEEnergy, Northern Development and MinesOntario Energy BoardPlanning and Business ServicesThe purpose of this form is to collect information to determine whether the Applicant will be granted a licence to distribute electricity.05-Jul11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0001 011-0006E Ontario Small Waterworks Assistance Program Part 3EEnergy, Northern Development and MinesInfrastructure Policy BranchInfrastructure Policy Branch10-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0006E 011-0022 Application for Ontario's Home Energy Audit Grant (Program)EEnergy, Northern Development and MinesRenewables and Energy EfficiencyEnergy Efficiency and Innovative TechnologyApplication Form for entry into the Ontario Home Energy Audit Program. Homeowners are required to complete this form with a licensed Energy Advisor during their home energy audit to be eligible for an audit grant. Please visit the program website at www.o11-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0022 011-0027 Application for Ontario's Home Energy Audit Grant (Program)EEnergy, Northern Development and MinesRenewables and Energy EfficiencyEnergy Efficiency and Innovative TechnologyApplication Form for entry into the Ontario Home Energy Audit Program for Corporate Owned Residential Properties. Homeowners are required to complete this form with a licensed Energy Advisor during their home energy audit to be eligible for an audit grant11-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0027 011-0031E Smart Grid Fund ApplicationEEnergy, Northern Development and MinesTransmission and Distribution Policy BranchSmart Grid FundSubmit application forms to sgf@ontario.ca - The Smart Grid Fund (SGF) will help accelerate the growth of Ontario's smart grid industry through targeted financial support for projects that advance the development of the smart grid in Ontario and provide e18-Feb32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0031E 011-0036E Municipal Energy Plan Program ("MEP Program") Application FormEEnergy, Northern Development and MinesEnergy Efficiency and Innovative TechnologyMunicipal Energy Plan ProgramThe Municipal Energy Plan Program Application Form must be completed in order to apply to the Program. Please read the Program Guidelines before completing this application form. All application forms must be mailed into the Program Office in order to be14-Apr47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0036E 011-0037E Municipal Energy Plan Program Application Form Energy Plan Related Initiatives FundingEEnergy, Northern Development and MinesEnergy Efficiency and Innovative TechnologyMunicipal Energy Plan ProgramThe Municipal Energy Plan Program Application Form must be completed in order to apply to the Program. Please read the Program Guidelines before completing this application form. All application forms must be mailed into the Program Office in order to be14-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0037E 011-0044E Smart Grid Fund Application – Demonstration ProjectsEEnergy, Northern Development and MinesDistribution and Agency Policy BranchSmart Grid FundThe Smart Grid Fund (SGF) will focus on encouraging a culture of innovation within the electricity sector that explores new solutions for integrating many technologies, tests new business models, and generates new ideas for advancing grid modernization. T18-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0044E 011-0045E Smart Grid Fund Application - Modernization PlansEEnergy, Northern Development and MinesDistribution and Agency Policy BranchSmart Grid FundThe Smart Grid Fund (SGF) will focus on encouraging a culture of innovation within the electricity sector that explores new solutions for integrating many technologies, tests new business models, and generates new ideas for advancing grid modernization. T18-May22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0045E 012-0031E Director Letter Confirming Exemption from Licence and Permit Requirements for a Water ExterminationEEnvironment, Conservation and ParksOperations DivisionsOperations DivisionPursuant to subsection 98 (2) paragraph 5 of Ontario Regulation 63/09 under the Pesticides Act, a vendor may sell a pesticide to any person who presents a letter signed by the Director under the Pesticides Act confirming that the person meets the requirem12-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-0031E 012-1147E Request for Approval Under S. 35( I) of Local Air Quality Regulation for a Site-Specific StandardEEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is for a company to request approval under subsection 35( I) of Local Air Quality Regualtion (O.Reg.419/05) for a Site Specific Standard for a contaminant and a facility.16-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1147E 012-1328 Waste Audit Summary-ICI EstablishmentsEEnvironment, Conservation and ParksWaste Management Policy BranchDivisional Administration and Finance SectionTool to assist industry with compliance02-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1328 012-1328A Waste Audit Summary-Construction & Demolition ProjectsEEnvironment, Conservation and ParksWaste Management Policy BranchDivisional Administration and Finance SectionTool to assist industry with compliance02-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1328A 012-1806 Well Record Request Individual Well Record – Form AEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis search request form is required to obtain copies of individual water well records i.e. a copy of the actual Well Record as submitted by the Well Contractor at the time of construction.19-Aug98http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1806 012-1840E Risk Assessment Pre-submissionEEnvironment, Conservation and ParksStandards Development BranchEcological StandardsPreparing and submitting the Risk Assessment Pre-submission form (PSF) is a mandatory part of the risk assessment review process. The PSF is an opportunity for the property owner and their Qualified Person to provide a thorough description of the property19-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1840E 012-1868E Out-of-Province Permission Letter for List of Out-of-Province Eligible LaboratoriesEEnvironment, Conservation and ParksLaboratory Services BranchLaboratory Services BranchFor Labs outside Ontario to apply to test Drinking Water in Ontario10-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1868E 012-1876E Invoice for Fees - Drinking Water Testing LicenceEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchInvoice for Fees Drinking Water Testing Licence. Safe Drinking Water Act, 2002 Drinking Water Testing Services Regulation (O.Reg. 248/03) Minister's Order for Drinking Water Testing Licence Fees 16-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1876E 012-1881E Application for Director's Permission to Use Alternate Analytical MethodsEEnvironment, Conservation and ParksSafe Drinking Water BranchLaboratory Licensing and Compliance UnitApplication for Director's Permission to Use Alternate Analytical Methods16-Nov25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1881E 012-1987 Well Contractor Licence Application - Form 1 - Ontario Water Resources ActEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for individuals/businesses interested in applying for a new Well Contractor Licence, which is required by anyone engaging in the business of well construction, and expires on March 31 each year following the year of issue. Ontario Regulation 19-Aug111http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1987 012-1988 Well Contractor Licence Renewal Application - Form 3 - Ontario Water Resources ActEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for Well Contractors Licence holders who wish to renew their licence; which expires on March 31 following the year of issue; and is required by anyone engaging in the business of well construction. Ontario Regulation 903 under the Ontario W19-Aug216http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1988 012-1989 Well Technician Licence Renewal Application - Form 6 - Ontario Water Resources ActEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for Well Technician Licence holders who wish to renew their licence, which expires on March 31 following the year of issue. A Well Technician Licence of the proper prescribed class(es) is required to work at the construction of wells. Ontari19-Aug196http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1989 012-1990 Application for an Appointment to Take an Examination - Form 7 - Ontario Water Resources ActEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for all new applicants for a Well Contractor or a Well Technician Licence. Ontario Regulation 903 under the Ontario Water Resources Act prescribes the licensing requirements and outlines the roles and responsibilities for individuals/business19-Aug49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1990 012-1993 Well Technician Licence Application - Form 4 - Ontario Water Resources ActEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis 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 19-Aug150http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1993 012-1995 Application for Assistant Well Technician Identification Card - Form 8 - Ontario Water Resources ActEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis 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 3619-Aug85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1995 012-2001E Registration and Laboratory Services NotificationEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchRegistration and Laboratory Services Notification form is to gather registration information about schools, private schools and days cares and laboratory information that does lead testing for them. All schools, private schools and days cares in Ontario 11-Apr15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2001E 012-2002E Notice of Lead Exceedance Test Results in Plumbing - Municipal Residential and Non-Municipal Year Round Residential Drinking Water Systems (O. Reg 170/03 Schedule 15.1) EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsIn accordance with the Drinking Water Systems Regulation (O. Reg 170/03), Schedule 15.1, the following drinking water systems are required to take plumbing and distribution samples and to have the samples tested for Lead by a licensed laboratory: • Large 16-Aug21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2002E 012-2015E Applications Respecting: Drinking Water Works Permits and Municipal Drinking Water LicencesEEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionDrinking Water Works Permits and Municipal Drinking Water Licences16-Apr72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2015E 012-2016E Application for Fragmentation or Relief from Regulatory Requirements Drinking Water SystemsEEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionApplication for Fragmentation or Relief from Regulatory Requirements17-Jul20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2016E 012-2062 Municipal Utility Monitoring Program (MUMP) - Mechanical Plants - R1 and R2EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchBusiness Services SectionAll owners of the "mechanical plants" should make R1 submissions. A "mechanical plant" maybe subject to a discharge limit or objective that goes beyond the 'conventional' parameters listed on the R1 form. In that case, the information would be entered on 11-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2062 012-2063 Municipal Utility Monitoring Program (MUMP) - Lagoons - S1 and S2EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchBusiness Services SectionAll owners of "lagoons" should make S1 submissions. A "lagoon" maybe subject to a discharge limit or objective that goes beyond the "conventional' parameters listed on the S1 form. In that case, the information would be entered on the S2 form.11-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2063 012-2074E Renewable Energy Approval ApplicationEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services17-Dec26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2074E 012-2089E Environmental Activity and Sector Registry (EASR) Solar Facility Notification FormEEnvironment, Conservation and ParksClient Services and Permissions BranchCustomer ServicesApproved by Director (MOECC) for the purposes of section 5 (1) of O. Reg. 350/12.18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2089E 012-2095E Renewable Energy Approval - Municipal / Local Authority ConsultationEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services14-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2095E 012-2099E Terms of Reference Summary for the Environmental Assessment WebsiteEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the director of the Environmental Assessment and Permissions Branch. It provides information about the proponent and its proposed undertaking, which is used to create a posting for the Environmental A17-Nov32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2099E 012-2102E Environmental Assessment Summary for the Environmental Assessment WebsiteEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the director of the Environmental Approvals Branch. It provides information about the proponent and its proposed undertaking, which is used to create a posting for the Environmental Assessment page on15-Apr38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2102E 012-2103E Statement of Completion – Waste Management ProjectsEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environment Approvals Branch to formalize the completion of the Environmental Screening Process.17-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2103E 012-2104E Statement of Completion – Electricity ProjectsEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environment Approvals Branch to formalize the completion of the Environmental Screening Process.17-Dec18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2104E 012-2105E Statement of Completion – Transit ProjectsEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environmental Approvals Branch and the Regional Director to formalize the completion of the Transit Project Assessment Process.15-Apr13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2105E 012-2106E Statement of Completion – Transit Projects – Additional Proponent InformationEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environmental Approvals Branch and the Regional Director to formalize the completion of the Transit Project Assessment Process.15-Apr9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2106E 012-2107E Toxics Living List NominationEEnvironment, Conservation and ParksProgram Management BranchToxics Reduction ProgramThis Nomination Form allows the public (including an organization and interested stakeholders) to submit a nomination to add, delete or change a substance prescribed under the Act.15-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2107E 012-2112E Ontario Community Environment Fund (OCEF)EEnvironment, Conservation and ParksOperations Integration BranchOperational Services UnitThe purpose of Ontario Community Environment Fund is to channel money collected through environmental penalties into projects located in the tertiary watershed in which the violation(s) occurred. Eligible projects include environmental remediation, resear14-Oct18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2112E 012-2115E Generator Registration ReportEEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchHazardous Waste Information UnitForm used to register for the generation of waste by a company.19-Oct96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2115E 012-2120E Inspection of Soil - Pest Assessment ReportEEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo purchase Class 12 pesticide following the completion of an inspection of soil16-Feb22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2120E 012-2121E List of Class 12 Pesticides SubmissionEEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo submit name and information of each Class 12 pesticide that vendor intends to offer for sale or transfer15-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2121E 012-2122E Integrated Pest Management (IPM) Written DeclarationEEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo complete and submit a written declaration if the purchaser is not a licensed treated seed vendor.15-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2122E 012-2123E Sales and Transfer Report - Treated Seed VendorEEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo monitor the sale and transfer of Class 12 pesticides in the province of Ontario.18-Sep24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2123E 012-2124E Custom Seed Treater - Record of Seed Treating ServiceEEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo monitor the frequency of seed treating services in the province of Ontario.16-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2124E 012-2125E Minister's Award for Environmental ExcellenceEEnvironment, Conservation and ParksEnvironmental Innovations BranchEnvironmental Innovations BranchThe award recognizes and encourages environmental excellence, fosters innovation and raises awareness about the importance of protecting the environment. Eligible applicants are asked to submit an application form to be considered for an award.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2125E 012-2126E Inspection of a Crop - Pest Assessment ReportEEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionNecessary for the purchase of Class 12 pesticides. Indicates whether crops have sustained sufficient pest damage to warrant the purchase and use of Class 12 pesticides.15-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2126E 012-2128E Request for a Copy of an Environmental Compliance ApprovalEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesInformation requested in this form will be used to assist the Environmental Approval Access and Service Integration Branch in processing requests for copies of Environmental Compliance Approval.17-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2128E 012-2130E Examination RegistrationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to register for any water or wastewater certification examination. If applying for an Operator-in-Training (OIT) exam, you may also request to have your OIT certificate(s)/licence(s) issued using this form.17-Jun2195http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2130E 012-2131E Change of Address NotificationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to notify the Program Administrator of the Ontario Water Wastewater Operator Certification Program of your change of address.16-Jan25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2131E 012-2132E Operator-in-Training Certificate and Licence IssuanceEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the issuance of drinking water and wastewater operator-in-training (OIT) certificate(s)/licence(s), including water treatment, water distribution/distribution and supply, wastewater treatment and wastewater collection.17-Jun273http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2132E 012-2133E Water Wastewater Operator Certification System User Access RequestEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to gain access to the Water Wastewater Operator Certification System (WWOCS).16-Jan22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2133E 012-2134E Municipal Residential Drinking Water Subsystem and Wastewater Facility ClassificationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete 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.16-Jan29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2134E 012-2135E Drinking Water Certificate and Wastewater Licence Renewal ApplicationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the renewal of a drinking water operator, water quality analyst or wastewater operator certificate/licence.17-Jun700http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2135E 012-2136E Drinking Water Certificate and Wastewater Licence ApplicationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence.17-Jun478http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2136E 012-2138E Identity Verification and AttestationsEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by individuals registering to be recognized as an account agent, which is referred to as “User Registration” in the Compliance Instrument Tracking System Service (CITSS).17-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2138E 012-2139E Business Relationship DisclosureEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by a person registering as a Participant under the Climate Change Mitigation and Low Carbon Economy Act, 2016 to submit certain information pertaining to their business relationship(s) to the Director as set out in O.Reg. 144/16: T17-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2139E 012-2140E Request to Add a New Facility or Change Facility InformationEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by the primary or alternate account representative (PAR or AAR) of a participant registered under the Climate Change Mitigation and Low Carbon Economy Act, 2016 in order to request approval for the following actions taken in the Co17-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2140E 012-2141E Request to Change or Add Account Representatives/Account Viewing AgentsEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by the primary or alternate account representative (PAR or AAR) of a participant registered under the Climate Change Mitigation and Low Carbon Economy Act, 2016 to request Director approval for the following actions taken in the Co17-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2141E 012-2142E Change of OwnershipEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by the primary or alternate account representative (PAR or AAR) of a participant registered under the Climate Change Mitigation and Low Carbon Economy Act, 2016 to notify the Director of any changes in company or facility ownership17-Nov25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2142E 012-2144E Registration as a Voluntary Participant in the Cap and Trade ProgramEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by persons who are eligible to apply and who wish to apply for registration as a voluntary participant in the cap and trade program pursuant to Part IV of O.Reg 144/16 The Cap and Trade Program Regulation made under the Climate Cha18-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2144E 012-2145E Freedom of Information Request PaymentEEnvironment, Conservation and ParksInformation Management and Access BranchFreedom of Information OfficeTo facilitate credit card payment for FOI requests16-May106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2145E 012-2146E Freedom of Information RequestEEnvironment, Conservation and ParksInformation Management and Access BranchFreedom of Information OfficeTo facilitate FOI requests16-Nov260http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2146E 012-2147E Notification Form for Drinking Water Testing Research And Method DevelopmentEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchThe Ministry considers research to include any activity that is: 1. A systematic, intensive study directed toward greater knowledge or understanding of the subject studied;16-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2147E 012-2148E Laboratory Services NotificationEEnvironment, Conservation and ParksLaboratory Services BranchQuality ManagementFilled out by all regulated DWS, this form sets up the agreement between the DWS and an accredited lab to undertake all regulated testing. Form must be completed and submitted before any water samples are ever submitted to the lab.16-Feb36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2148E 012-2149E Drinking Water System Profile InformationEEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsThe Drinking Water Systems Profile Information form is used to register and maintain up to date information for Drinking Water Systems subject to Ontario Regulation 170/03.17-Feb161http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2149E 012-2151E Declaration of Licensed Engineering Practitioner and Notice of CompletionEEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsDeclaration of Licensed Engineering Practitioner and Notice of Completion20-Jan30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2151E 012-2152E Drinking Water Laboratory Testing LicenceEEnvironment, Conservation and ParksSafe Drinking Water BranchLaboratory Licensing and Compliance UnitDrinking Water Testing License16-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2152E 012-2153E Schedule C – Director's Directions for Operational Plans (Subject System Description Form)EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionThis form is part of the Director's Directions for Operational Plans. These directions provide instructions respecting the preparation and content of operational plans prepared by owners of municipal residential drinking water systems pursuant to subsect16-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2153E 012-2154E General Application form to Register to the Technical Standards RegistryEEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a form that is to be submitted by a company requesting to be registered on the Technical Standards Registry - Air Pollution.16-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2154E 012-2155E Foundries- Industry Standard Supplemental Application FormEEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a supplemental form, that is to be submitted by a company in the foundries sector along with the General Application Form to Register to the Technical Standard Registry.16-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2155E 012-2156E Forest Products- Industry Standard Supplemental Application FormEEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a supplemental form, that is to be submitted by a company in the forest products sector along with the General Application Form to Register to the Technical Standards Registry.16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2156E 012-2157E Pulp and Paper- Industry Standard Supplemental Application FormEEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a supplemental form, that is to be submitted by a company in the pulp and paper sector along with the General Application Form to Register to the Technical Standards Registry.16-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2157E 012-2158E Great Lakes Protection Act, 2015 – Public Request to MinisterEEnvironment, Conservation and ParksLand and Water Policy BranchGreat LakesUnder Section 30 of the Great Lakes Protection Act, 2015, anyone can request that the Minister set a Great Lakes target, or launch the process of creating a “geographically-focused initiative” to direct action on a priority area and issue. This form provi16-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2158E 012-2160E Director Approved Continuing Education Reassessment and Instructor Assessment ApplicationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the reassessment and re-approval of Director approved continuing education training or to add/remove an instructor from a course16-Oct23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2160E 012-2164E Notice of the Storage of Subject WasteEEnvironment, Conservation and ParksOperations DivisionsProgram Services UnitThis form has been prepared to assist waste generation facilities to meet the notice and record keeping requirements of Section 17.2 of Regulation 347.16-Oct113http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2164E 012-2165E Primary Noise Screening MethodEEnvironment, Conservation and ParksEnvironmental Approvals BranchBusiness Services18-Jul78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2165E 012-2166E Secondary Noise Screening MethodEEnvironment, Conservation and ParksEnvironmental Approvals BranchBusiness Services18-Jul35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2166E 012-2167E Application for Permit to Take WaterEEnvironment, Conservation and ParksOperations DivisionsProgram Services UnitForm to apply for a Permit to Take Water17-May347http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2167E 012-2168E Odour Screening ReportEEnvironment, Conservation and ParksStandards Development BranchTechnologies Standards SectionTo determine if, and what, complementary odour documentation is required by a proponent registering on the Air Emissions EASR.17-Mar48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2168E 012-2171E Toxic Substance Reduction Planner ApplicationEEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request Toxic Substance Reduction Planner training, examination, licensing, or licence renewal.17-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2171E 012-2193E Well Record - Regulation 903EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchWater Well Business Unit20-Jan5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2193E 012-2194E Compromised Impartiality AssessmentEEnvironment, Conservation and ParksProgram Planning and Implementation BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by all accredited verification bodies (AVBs) prior to completing the verification of a GHG report under O. Reg. 143/16 to assess the potential for compromised impartiality.18-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2194E 012-2195E Verification Statement for Specified GHG Activities and Production ParametersEEnvironment, Conservation and ParksProgram Planning and Implementation BranchGreenhouse Gas Emissions Reduction ProjectThis form is required to be used by accredited verification bodies (AVBs) to provide a written declaration that attests to whether or not there is a reasonable level of assurance that: 1) a GHG report contains no material discrepancy; and, 2) the report w18-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2195E 012-2196E Verification Statement for Electricity Importation, Natural Gas Distribution or Petroleum Products SupplyEEnvironment, Conservation and ParksProgram Planning and Implementation BranchGreenhouse Gas Emissions Reduction ProjectThis form is required to be used by accredited verification bodies (AVBs) to provide a written declaration that attests to whether or not there is a reasonable level of assurance that: 1) a GHG report contains no material discrepancy; and, 2) the report18-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2196E 012-2198E Capped Participant Attestation Under Sections 12(2) and (6) of Ontario Regulation 143/16EEnvironment, Conservation and ParksCap and Trade BranchRegistration and Emissions Reporting ServicesThis attestation form is to be used by a person who is a capped participant that receives petroleum products at the capped facilities in Ontario or persons who supply petroleum products to capped facilities of capped participants in Ontario.18-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2198E 012-2202E Record of Watermains Authorized as a Future Alteration – Form 1EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing Section18-Aug78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2202E 012-2203E Record of Minor Modifications or Replacements to the Drinking Water System – Form 2EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing Section18-Aug45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2203E 012-2204E Record of Addition, Modification or Replacement of Equipment Discharging a Contaminant of Concern to the Atmosphere – Form 3EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing Section18-Aug20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2204E 012-2205E Offset Initiative Registration Application in the Cap and Trade Program Under Ontario Regulation 539/17 Ontario Offset CreditsEEnvironment, Conservation and ParksClimate Change Programs BranchClimate Change Program DeliveryThe Offset Initiative Registration Application is to be used by sponsors, such as individuals or entities, who wish to register or re-register a single offset initiative pursuant to Ontario Regulation 539/17, Ontario Offset Credits. It is used to provide 18-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2205E 012-2206E Part II Order RequestEEnvironment, Conservation and ParksEnvironment Assessment & Approval BranchEnvironment Assessment & Approval BranchForm provides upfront clarity on the minimum information the ministry needs to commence a review of a Part II Order request for anyone with outstanding environmental issues that have not been addressed through the class environmental assessment process.18-Nov144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2206E 012-2210E Mining Sites - Industry Standard Supplemental ApplicationEEnvironment, Conservation and ParksClient Services and Permissions BranchBusiness ServicesPurpose of the form is to collect information for Registration to a Technical Standard under Section 39 of Ontario Regulation 419/05: Air Pollution - Local Air Quality.18-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2210E 012-2213E Ontario Greenhouse Gas Emissions Performance Standards (EPS) Program – Facility Registration FormEEnvironment, Conservation and ParksFinancial Instruments BranchRegistration and Emissions Reporting ServicesTo facilitate the registration of facilities into the Ontario Greenhouse Gas Emissions Performance Standards program or to provide updated registration information of facilities registered in the Ontario Greenhouse Gas Emissions Performance Standards prog19-Sep7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2213E 012-2214E Ontario Emissions Performance Standards (EPS) Program – Facility Re-Registration FormEEnvironment, Conservation and ParksFinancial Instruments BranchRegistration and Emissions Reporting ServicesTo facilitate the re-registration of a facility into the Ontario Greenhouse Gas Emissions Peformance Standards program.19-Dec2http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2214E 012-4021E Statement of Completion - Environmental Assessment Requirements for Electricity ProjectsEEnvironment, Conservation and ParksEnvironment Assessment & Approval BranchEnvironment Assessment & Approval BranchProponents of electricity projects must complete the Statement of Completion form once they have satisfied the requirements of the Screening Stage or the Environmental Review Stage of the process, and no requests for the project to be elevated to an indiv11-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-4021E 012-4444E Notice of Adverse Test Results and Issue Resolution (Schedule 16)EEnvironment, Conservation and ParksSafe Drinking Water BranchDirector’s OfficeFilled out by all regulated DWS, this form communicates adverse test results and issue resolution to the ministry for all drinking water parameters.18-Aug203http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-4444E 012-5385E Drinking Water System Categorization QuestionnaireEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchThrough a series of question this form helps the user to determine if indeed the Drinking Water System (DWS) at hand is one of the 8 regulated types of DWS's that are subject to the regulations and if so which type.06-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5385E 012-5386E Drinking Water System Profile InformationEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchUpon completion of the DWS Categorization Questionnaire this form must be filled out by all regulated systems. This form captures all the working details of the DWS such as owner, operator information, treatment processes, populations served ect.06-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5386E 012-5387E Laboratory Services NotificationEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchFilled out by all regulated DWS, this form sets up the agreement between the DWS and an accredited lab to undertake all regulated testing. Form must be completed and submitted before any test results are ever submitted to the lab.06-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5387E 012-5388E Notice of Completion of an Engineering Evaluation Report for Existing SystemEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchTo be filled out by all categories of DWS other then the Large Municipal Residential and Small Municipal Residential. This form is used to show the ministry that the conditions of Schedule 21 of O.Reg170/03 have been met. Must be accompanied by the Declar06-Jan26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5388E 012-5389E Notice of Completion of an Engineering Evaluation Report for New or Altered SystemEEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchTo be filled out after any major alteration has been completed on the DWS. This form is used to show the ministry that the conditions of Schedule 21 of O.Reg170/03 have been met. Must be accompanied by the Declaration of Professional Engineer form.06-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5389E 012-5391E Notice of Exemption from Treatment EquipmentEEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business Solutions1) This notice applies to a Non-Municipal Year Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraph 4 or 5 of subsection 2(2) of O. Reg. 170/03, to obtain water from a raw water supply that i16-Aug14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5391E 012-5392E Well Technican's NoticeEEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsThis Notice only applies to a Non-Municipal Year-Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraphs 4 or 5 of Section 2(12), section 2 of O. Reg. 170/03, to obtain water from a raw water su16-Aug5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5392E 012-5393E Advice to the Director of Posting (Warning) Notice(s)EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchThis Notice applies to a Drinking Water System only if the system does not use electricity and does not serve any building or other structure that uses electricity.16-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5393E 012-5560E Notice of Point of Entry Disclosure for Your Drinking Water UsersEEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsThe requirement to submit a Notice of Point of Entry Disclosure for Your Drinking Water Users applies to every Drinking Water System that uses Point of Entry Treatment in accordance with Schedule 3 of O. Reg. 170/03 and belongs to one of the following cat16-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5560E 012-6272E Notice of Lead Exceedance Test Results Schools, Private Schools and Day Nurseries (O. Reg. 243/07)EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchTo report drinking water exceedances and corrective actions as required under O. Reg. 243/0718-Jan25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-6272E 012-6609E Request for Regulatory Relief From Lead Sampling RequirementsEEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionThis forms part of the expedited process for existing municipal and non-municipal drinking water systems applying for regulatory relief in accordance with s. 38 and s.60 of the Safe Drinking Water Act (SDWA), from strict sampling requirements for lead and16-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-6609E 012-7976E Emergency Generator Checklist Supplement to Application for Approval EPA, s.9EEnvironment, Conservation and ParksEnvironment Assessment & Approval BranchEnvironment Assessment & Approval BranchThe Emergency Generator Checklist has been developed to ensure that all applicants for an EPA s.9 (Air) approval are aware of the information required to be submitted with their application.10-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-7976E 012-8199E Written Summary Form for Basic Comprehensive Certificates of Approval (Air & Noise) and Environmental Compliance Approvals (Air & Noise)EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesBasic Comprehensive Certificate of Approval (Air & Noise) and the Environmental Compliance Approval (Air & Noise) both include the requirement that the Approval holder submit a Written Summary each year. The purpose of the Written Summary is to allow the 17-Dec58http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-8199E 012-8551E Environmental Compliance Approval ApplicationEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services19-May693http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-8551E 012-9166E Director Notification Alterations to a Drinking Water SystemEEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionThis form should be used IF Director notification is required by a condition of the drinking water works permit within thirty (30) days of the placing into service or completion of any addition, modification, replacement or extension of the drinking water16-Nov38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-9166E 013-0009 Authorizing or Cancelling a RepresentativeEFinanceAdvisory, Objections, Appeals and Services BranchClient Services BranchUsed to authorize a representative to deal with the Ministry of Finance on behalf of the taxpayer or to cancel a previously issued authorization.18-Sep1473http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0009 013-0052E Schedule 1 – Multiple AccountsEFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)A Multiple Account Employer must complete and submit this schedule with the Annual Return of the employer's designated account.13-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0052E 013-0108E Guide - International Fuel Tax Agreement (IFTA) Application for IFTA RegistrationEFinanceAdvisory, Objections, Appeals and Services BranchInternational Fuel Tax Agreement15-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0108E 013-0146E Waiver of Time Limit for Issuing Reassessments - Corporations Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxOnline version 146K (2006/09) - For use by corporations to waive the time limit within which the Minister may assess, reassess, or make additional assessments under the Corporations Tax Act.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0146E 013-0166E Application for International Fuel Tax Agreement (IFTA) RegistrationEFinanceAdvisory, Objections, Appeals and Services BranchInternational Fuel Tax AgreementFor client to apply for registration as an interjurisdictional carrier under the International Fuel Tax Agreement18-Mar148http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0166E 013-0169E Addendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and ShareholderEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxAddendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and Shareholder16-Jul56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0169E 013-0198E Annual Return Guide Gross Revenue Charge (GRC)EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe purpose of this Guide is to provide assistance to hydro-electric generating station owners and water power leaseholders in completing their GRC Annual Return.16-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0198E 013-0231Q 2001 CT8 Corporations Tax Return / GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for every insurer carrying on a business in Ontario through a permanent establishment. Please note that the Update Form for the CT8 and CT23 tax returns is a required supplement for the 2001 CT8 for taxati14-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231Q 013-0231R 2002 CT8 Corporations Tax Return / GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.19-Jan29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231R 013-0231S 2003 CT8 Corporations Tax Return / GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.14-May18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231S 013-0231T 2004/2005 CT8 Corporations Tax Return / GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.19-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231T 013-0231U 2006 CT8 Corporations Tax Return / GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.19-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231U 013-0234 Guide for Completing the IFTA Quarterly Tax ReturnEFinanceAdvisory, Objections, Appeals and Services BranchInternational Fuel Tax Agreement15-Mar106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0234 013-0241R 2000 CT23 Corporations Tax and Annual Return / Guide # 1000 (2000)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.14-May45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241R 013-0241S 2001 CT23 Corporations Tax and Annual Return / Guide # 1000 (2001)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241S 013-0241T 2002 CT23 Corporations Tax and Annual Return / Guide # 1000 (2002)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241T 013-0241U 2003 CT23 Corporations Tax and Annual Return / Guide # 1000 (2003)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241U 013-0241V 2004/2005 CT23 Corporations Tax and Annual Return / Guide # 1000 (2004/2005)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241V 013-0241W 2006 CT23 Corporations Tax and Annual Return / Guide # 1000 (2006)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241W 013-0241X 2007 CT23 Corporations Tax and Annual Return / Guide # 1000 (2007)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241X 013-0248E Application for Rebate of the Ontario Portion of the Harmonized Sales Tax (HST) for First NationsEFinanceAdvisory, Objections, Appeals and Services BranchHarmonized Sales Tax Refund19-Dec1235http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0248E 013-0252E Application for Registered Charities Tax RebateEFinanceAudit BranchLand TaxesTo apply for a Registered Charities Tax Rebate on Land Taxes.13-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0252E 013-0253E Application for Tax CertificateEFinanceAudit BranchLand TaxesTo apply for a statement of account that sets out all amounts owing for taxes in respect of the owner's land as of the day the statement is issued.13-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0253E 013-0254E Application for Tax AdjustmentEFinanceAudit BranchLand TaxesTo apply for a Tax Adjustment.13-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0254E 013-0255E Application for RefundEFinanceAudit BranchLand TaxesTo apply for a Tax Refund.13-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0255E 013-0256E Authorization for Pre-Authorized Debit Plan (PAD)EFinanceAudit BranchLand TaxesTo enroll in the Pre-Authorized Debit Plan, tax payments will be deducted from your bank account on the instalment due dates each year. You will continue to receive your tax bill.13-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0256E 013-0257E Application for a Deferral of PropertyTaxes for Low-Income Seniors or Low-Income Persons with DisabilitiesEFinanceAudit BranchLand TaxesTo apply for a Deferral of PropertyTaxes for Low-Income Seniors or Low-Income Persons with Disabilities13-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0257E 013-0258E Application for Tax Rebate Vacancies in Commercial and Industrial BuildingsEFinanceAudit BranchLand TaxesTo apply for Tax Rebate Vacancies in Commercial and Industrial Buildings15-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0258E 013-0265 Application for Certificate of Exemption for First Nations IndividualsEFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxTo be completed by an Indian, as defined in the Indian Act (Canada), to obtain a Certificate of Exemption (gas card) enabling the purchase of gasoline on a reserve exempt of tax for their exclusive use.12-Feb41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0265 013-0276E Application and Declaration for the Exemption of Land Transfer Tax Pursuant to Ontario Regulation 70/91EFinanceAudit BranchLand Taxes08-Nov51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0276E 013-0300E Ontario Land Transfer Tax Refund Affidavit for First-Time Purchasers of Eligible HomesEFinanceAudit BranchLand TaxesAllows taxpayers to manually claim the Ontario Land Transfer Tax first-time home buyers refund with respect to resale and newly-constructed homes.18-Jul752http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0300E 013-0316E Notice of Revocation of Waiver - Corporations Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxOnline version 0316F (2006/09) - For use by corporations to revoke, under clause 80(12) (a) of the Corporations Tax Act, a waiver previously filed under subclause 80(11) (a) (iv), in respect of the time limit for issuing reassessments.14-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0316E 013-0329 Ontario Innovation Tax Credit (OITC) Claim Form and GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThe OITC is available to all public and private corporations.Corporations are eligible to claim the full OITC where their Ontario taxable paid-up capital and federal taxable income in the preceding taxation year do not exceed the amount specified.Nov-008http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329 013-0329E Ontario Innovation Tax Credit (OITC) Claim Form and GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThe OITC is available to all public and private corporations.Corporations are eligible to claim the full OITC where their Ontario taxable paid-up capital and federal taxable income in the preceding taxation year do not exceed the amount specified.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329E 013-0329F Ontario Innovation Tax Credit (OITC) ClaimEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be used when claiming an Ontario innovation tax credit (OITC), if your corporation's taxation year ends after December 31, 2004.14-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329F 013-0393E Ontario CT Schedule 24EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule must be filed by corporations for the first year of filing after incorporation, amalgamation, or by parent corporations filing for the first time after winding-up a subsidiary corporation(s) under section 88 of the Income Tax Act during the 14-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0393E 013-0449E Land Transfer Tax AffidavitEFinanceAudit BranchLand TaxesMandatory for all registrations of transfers (conveyances)registered in land registry offices which are not part of the electronic land registry system. The financial information set out on the affidavit is required in order to determine the purchasers La18-Apr312http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0449E 013-0460E Claim Form for Capital Tax Elimination for Manufacturing and Resource ActivitiesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis notice provides specific additional information and guidance for taxpayers on the measure related to the retroactive elimination of the capital tax effective January 1, 2007, for Ontario companies primarily engaged in manufacturing and resource activ14-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0460E 013-0477E Ontario CT Schedule 44EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxWhere all or substantially all (90 per cent or more) of the assets of a non-arm's length corporation have been received in the taxation year, and subsection 85(1) or (2) of the federal Income Tax Act applied in respect of the disposition of any of the pro14-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0477E 013-0504E Application to Register for Manufacturer, Wholesaler, Dyer, Importer, Exporter and Interjurisdictional Transporter - Gasoline Tax Act and/or Fuel Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0504E 013-0505E Application to Register for Importer, Exporter and Interjurisdictional Transporter - Gasoline Tax Act and/or Fuel Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0505E 013-0507E Application to Register for a Fuel Acquisition Permit - Fuel Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax18-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0507E 013-0517E Application to Register as a Railway Transporter- Fuel Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0517E 013-05181 The Motor Vehicle Accident Claims FundEFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionSep-935http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-05181 013-0518E Application to Register as a Propane Retailer - Gasoline Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Jul21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0518E 013-0519E Application to Register for Fuel Distributor - Fuel Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0519E 013-0526E Application to Register Raw Leaf TobaccoEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0526E 013-0546E Application for Refund Tax Exempt Usage (TEU)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax17-Apr120http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0546E 013-0547E Application for Refund Tax Exempt Sales (TES)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax18-Aug49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0547E 013-0548E Application for Refund Bad Debt (BDT)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax18-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0548E 013-0549E Application for Refund Auxiliary Power Take Off (PTO) Equipment (PTO activity prior to July 1, 2017)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0549E 013-0550E Application for Refund Loss of Product (PRL) / Overpayment of TaxEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax18-May23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0550E 013-0609E GUIDE Mining Tax Return GuideEFinanceAudit BranchMining Tax07-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0609E GUIDE 013-0644E Application for Refund of Gasoline Tax Through a Collector - GT257NEFinanceAdvisory, Objections, Appeals and Services BranchClient Services BranchThis form is only to be used to claim refund of tax paid on gasoline sold tax-exempt to status First Nations on a Reserve.18-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0644E 013-0679E Investor/Lender Disclosure Statement For Brokered TransactionsEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers09-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0679E 013-0693E Guide to the Requirements to Evidence NIL Value of Consideration for Conveyances Involving Trusts - LT 106EFinanceAudit BranchLand Taxes08-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0693E 013-0741E Application and Undertaking for the Deferral of Land Transfer TaxEFinanceAudit BranchLand Taxes13-Jan45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0741E 013-0775E Return on The Acquisition of a Beneficial Interest in LandEFinanceAudit BranchLand TaxesMandatory for dispositions of land which must be reported to the Ministry of Finance under section 3 of the Land Transfer Tax Act. The information set out in the form is used to determine provincial Land Transfer Tax liability on the disposition.18-Apr219http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0775E 013-0792E Declaration and Allocation for the Mining Tax Exemption for Remote MinesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxFor use by Operators electing under section 3.2 of the Mining Tax Act to exclude from taxation the profit from a remote mine in Ontario that qualifies for the mining tax exemption as a new remote mine as defined under this section.14-May5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0792E 013-0793 Declaration and Allocation for the Mining Tax Exemption for Non Remote MinesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxFor use by Operators electing under section 3.1 of the Mining Tax Act to exclude from taxation the profit from a mine in Ontario that qualifies for the mining tax exemption as a new mine or a major expansion of an existing mine as defined under the Mining14-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0793 013-0794 Calculation of Profit Eligible for the Mining Tax Exemption for New Mine or Major Expansion of Existing MineEFinanceAudit BranchMining Tax12-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0794 013-0798E Calculation of Profit Eligible for the Mining Tax Exemption for New Remote Mine and Profit from a Remote MineEFinanceAudit BranchMining Tax12-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0798E 013-0799E Renewal Form - Investor/Lender Disclosure Statement for Brokered Mortgage on RenewalEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers09-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0799E 013-0929 Importation of Cigarettes and Other Tobacco Products Schedule - 8SEFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxFor client to report imports of tobacco products08-May6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0929 013-0940E Ontario Book Publishig Tax Credit (OBPTC) ClaimEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be used when claiming an Ontario book publishing tax credit.14-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0940E 013-10016E Return on Dispositions of a Beneficial Interest in Land by Partners or Beneficiaries Holding an Interest in a Qualifying Entity (Ontario Regulation 343/18) Land Transfer Tax ActEFinanceAudit BranchLand TaxesTo allow qualifying entities to report and remit land transfer tax liability pursuant to O. Reg 343/18.18-May31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10016E 013-10028E Pre-Authorized Debit (PAD) Payor AgreementEFinanceAccount Management and Collections BranchCollections OperationsMaking the PAD Agreement form available to the public will allow clients access to a form that is accessible anywhere, anytime and one that can be completed online or offline. PAD will be an additional form of payment for those AMCB clients wanting to set19-Aug23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10028E 013-10056PE Form 1, Summons to a WitnessEFinanceOntario Securities CommissionOntario Securities CommissionEvery summons to a witness to appear before a person appointed to make an investigation under section 11 or 13 of the Securities Act is required to be in Form 1, Summons to the Witness.16-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10056PE 013-10057PE Form 2, Affidavit of ServiceEFinanceOntario Securities CommissionOntario Securities CommissionThe service of a summons on a witness, the payment or tender of fees and allowances to the witness and the service of a notice on a witness in respect of investigations conducted under the Securities Act may be proved by an affidavit in Form 2, Affidavit 16-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10057PE 013-10063PE Form 8, Summons to a Witness Before a Person Designated Under Section 31 of the ActEFinanceOntario Securities CommissionOntario Securities CommissionForm 8, Summons to a Witness Before a Person Designated under Section 31 of the Act is prescribed by Regulation 1015 made under the Securities Act to summon a witness to give evidence on oath or produce documents in respect of certain examinations.16-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10063PE 013-10090PE Form 37, Report by a Registered Owner of Securities Beneficially Owned by an InsiderEFinanceOntario Securities CommissionOntario Securities CommissionForm 37, Report by a Registered Owner of Securities Beneficially Owned by an Insider is prescribed by Regulation 1015 made under the Securities Act for the purpose of section 109 of the Act.16-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10090PE 013-10091PE Form 38, Report Under Section 117 of the ActEFinanceOntario Securities CommissionOntario Securities CommissionEvery report required to filed under section 117 of the Securities Act is required by Regulation 1015 made under the Securities Act to be prepared in accordance with Form 38, Report Under Section 117 of the Act.16-Nov20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10091PE 013-10092PE Form 39, Endorsement of WarrantEFinanceOntario Securities CommissionOntario Securities CommissionForm 39, Endorsement of Warrant is prescribed in Regulation 1015 made under the Securities Act for the purpose of section 125 of the Securities Act.16-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10092PE 013-107-MV-000-61 Application for Payment out of the Fund of Court Ordered CostsEFinanceFinancial Services Commission of OntarioAutomobile Insurance Division02-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-107-MV-000-61 013-1155E Sworn Statement for the Transfer of a Used Motor Vehicle in the Province of OntarioEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxTransfer of a Used Motor Vehicle in ON14-Jun315http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1155E 013-1157E Sworn Statement for a Family Gift of a Used Motor Vehicle in the Province of OntarioEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxFamily Gift for a Used Motor Vehicle14-Apr7392http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1157E 013-1159E Motor Vehicle Appraisal Record - Used Vehicle Information ProgramEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxUsed for Appraising a Vehicle19-May343http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1159E 013-1181E Application for Refund of Ontario Retail Sales Tax for Motor Vehicles Purchased PrivatelyEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxApplication for Refund of Ontario Retail Sales Tax for Motor Vehicles Purchased Privately19-Apr292http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1181E 013-1204E Initial Family Business Affidavit - LT100EFinanceAudit BranchLand Taxes18-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1204E 013-1205E Affidavit, regarding the Exemption for the Conveyance or Disposition of Farmed LandEFinanceAudit BranchLand Taxes18-Jul31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1205E 013-1206E Affidavit Re Conveyance to Family Business Corporation - LT101EFinanceAudit BranchLand Taxes18-Jul58http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1206E 013-1246E Notice of Appeal - Various ActsEFinanceObjections and Appeals BranchObjections and AppealsTo file an appeal16-Sep50http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1246E 013-1330E Surtax on Canadian-Controlled Private CorporationsEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is a supplemental schedule to the surtax calculation which should be completed by corporations that are associated with a Canadian or foreign corporation, if there is insufficient space on the CT23 Corporations Tax and Annual Return.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1330E 013-1332E Instructions and Working Copy for the Retail Sales Tax Triple ReturnEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxA worksheet to assist in completing the RST triple Return. To be kept by the taxpayer.08-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1332E 013-1336E Paid-Up Capital: Loans and AdvancesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides a breakdown of the total loans and advances included in paid-up capital.14-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1336E 013-1337E Share of Total Assets- Partnerships/Joint VenturesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides the calculation of a corporation's share of partnership / joint venture total assets.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1337E 013-1349E Eligible Investments - Partnerships/Joint VenturesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides the calculation of a corporation's share of partnership / joint venture eligible investments for the investment allowance.14-May25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1349E 013-1351E Paid-Up Capital- Partnerships/Joint VenturesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides the calculation of a corporation's share of partnership / joint venture paid- up capital.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1351E 013-1352E Corporate Minimum Tax- Associated CorporationsEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is a supplemental schedule to the corporate minimum tax which should be completed by corporations that are associated with a Canadian or foreign corporation, if there is insufficient space on the CT23 Corporations Tax and Annual Return.14-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1352E 013-1399 2000 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401 (2000)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399 013-1399B 2001 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401A (2001)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399B 013-1399C 2002 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401B (2002)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399C 013-1399D 2003 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401C (2003)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399D 013-1399E 2004/2005 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401D (2004/2005)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399E 013-1399F 2006 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401E (2006)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399F 013-1473E Ontario Current Cost Adjustment (OCCA)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxTo be completed when claiming the Ontario current cost adjustment for pollution control equipment.06-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1473E 013-1477E Total Assets - Other AdjustmentsEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule itemizes other adjustments in calculating total assets for capital tax purposes.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1477E 013-1478E Total of Other Items Not Allowed by Ontario but Allowed FederallyEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule itemizes other deductions not allowed by Ontario but allowed federally in calculating net income / loss for Ontario purposes.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1478E 013-1480E Taxable Capital of Associated Corporations (Schedule CT22)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule for capital tax should be completed by corporations that are associated with a Canadian or foreign corporation, if there is insufficient space on the CT23 Corporations Tax and Annual Return.14-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1480E 013-1487E Total of Other Deductions Allowed by OntarioEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule itemizes other deductions allowed by Ontario not previously deducted in calculating net income/loss for Ontario purposes.14-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1487E 013-1488E Paid-Up Capital - Other ReservesEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule itemizes reserves not allowed as a deduction for income tax which must be included in the calculation of paid-up capital.14-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1488E 013-1490E Ontario Charitable Donations and Gifts Schedule 2EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed when claiming a deduction for charitable donations and gifts for Ontario purposes.14-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1490E 013-1498E Ontario Political Election Contributions - Schedule 2AEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed when claiming a deduction for Ontario political election contributions and is applicable for political contributions to registered Ontario candidates, constituency associations, or political parties.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1498E 013-1499E Ontario Summary of Dispositions of Capital Property Schedule 6EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be completed by corporations that have disposed of capital property or claimed an allowable business investment loss, or both in a taxation year.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1499E 013-1502E Ontario Capital Cost Allowance Schedule 8EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed to calculate Ontario capital cost allowance.14-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1502E 013-1508E Ontario Cumulative Eligible Capital Deduction Schdeule 10EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed to calculate the deduction for Ontario cumulative eligible capital.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1508E 013-1510E Ontario Continuity of Reserves Schedule 13EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed to provide a continuity of all reserves claimed which are allowed for tax purposes.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1510E 013-1511E Ontario Manufacturing and Processing Profits Credit Schedule 27EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be completed by corporations that are claiming the Ontario manufacturing and processing profits credit and whose active business income is greater than $250,000.14-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1511E 013-1512E Ontario Research and Developement Super Allowance Schedule 160EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxTo be completed when claiming the Ontario research and development super allowance.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1512E 013-1513E General Allocation Schedule 5EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed by corporations that have permanent establishments in more than one jurisdiction.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1513E 013-1532E Ontario Foreign Tax CreditEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed when claiming an Ontario foreign tax credit on investment income from jurisdictions outside Canada.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1532E 013-1534E Ontario Capital Gains Refund Schedule18EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxTo be completed when claiming an Ontario capital gains refund by a corporation that has been an investment corporation or a mutual fund corporation throughout the taxation year.14-May24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1534E 013-1537E Ontario Exploration Expenses Schedule 12EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxSchedule 12 covers the following resource related deductions; continuity of earned depletion base, cumulative Canadian exploration expense (CCEE), cumulative Canadian development expenses (CCDE), Ontario CCDE, Cumulative Canadian oil and gas property expe14-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1537E 013-1539E Taxable Capital of Associated Corporations Schedule CT21EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule must be completed in determining the aggregate taxable capital of an associated group and/or partnership that has a permanent establishment in Canada.14-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1539E 013-1546E Application to a Financial Institution to Withdraw or Transfer Money form an Ontario Locked-in Account - Form 5EFinanceFinancial Services Commission of OntarioPension Division09-Jan19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1546E 013-1572 2000 MCCR Annual Return and GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis return contains non-tax information collected under the authority of the Corporations Information Act for the purpose of maintaining a public database of corporate information.14-May173http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1572 013-1626E Application to the Superintendent of Financial Services for Consent to Withdraw Money from an Ontario Locked-in Retirement Account, Life Income Fund or Locked-in Retirement Income Fund Based on Financial Hardship - Form 6EFinanceFinancial Services Commission of OntarioPension Division09-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1626E 013-1780E Actuarial Information SummaryEFinanceFinancial Services Commission of OntarioPension DivisionAug-9912http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1780E 013-1794E Instructions for completing a Summary of Contributions / Revised Summary of Contributions (Form 7)EFinanceFinancial Services Commission of OntarioPension DivisionJun-008http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1794E 013-1795E Summary of Contributions/ Revised Summary of Contributions-Form 7EFinanceFinancial Services Commission of OntarioPension DivisionJun-0036http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1795E 013-1821E Debt Retirement Charge (DRC) ReturnEFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program12-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1821E 013-1822E Debt Retirement Charge (DRC) Program - RegistrationEFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program13-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1822E 013-1823E Debt Retirement Charge (DRC) - Exemption CertificateEFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program13-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1823E 013-1833E Request for RegistrationEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxUse this registration form to request an account with the Ministry of Finance.14-May29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1833E 013-1848E Response to Appeal (Form J)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1848E 013-1848E (INSTRUCTIONS) Instructions for Response to Appeal (Form J)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1848E (INSTRUCTIONS) 013-1849E Response to an Application for Mediation Form BEFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1849E 013-1850E Application for Arbitration Form CEFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1850E 013-1851E Response by Insurer to an Application for Arbitration Form EEFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1851E 013-1852E Response to Application for Variation/Revocation (Form M)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1852E 013-1855E Statement of Service (Form F)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1855E 013-1856E Summons to Witness (Form N)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1856E 013-1858E Affidavit of Service for Summons to Witness (Form O)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1858E 013-1864E Life Insurance Agent ApplicationEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & Adjusters01-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1864E 013-1872 Annual Return and EFF Declaration and GuideEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAn EFF Declaration Form is required to be filed within six months of the taxation year end for every taxation year in which the EFF criteria are met (listed on page 2 of form). An Annual Return is required to be filed for every corporation which is incorp14-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1872 013-1909E Waiver of Time Limit for Issuing ReassessmentsEFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)Waive time limits for assessments and reassessments under Employer Health Tax13-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1909E 013-1910E Notice of Revocation of WaiverEFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)Used by a taxpayer to revoke a waiver of time limit for issuing assessments or reassessments previously issued, under the Employer Health Tax.13-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1910E 013-1926E Notice Of Objection - Ontario Guaranteed Annual Income ActEFinanceObjections and Appeals BranchObjections and AppealsTo file an objection16-Sep26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1926E 013-1957E Application for Vendor Permit-Insurance and Benefits PlansEFinanceAdvisory, Objections, Appeals and Services BranchBusiness Operation ServicesRegistering a Business for purposes of Retail Sales Tax on the Insurance and Benefits Plans15-Feb135http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1957E 013-1963E Application for Tobacco Retail Dealer's PermitEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesEffective 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 retai18-May114http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1963E 013-1970 2001 CT23 Corporations Tax and Annual Return and CT8 Corporations Tax Return - 2001/2002 Update FormEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is an interim form and is to be used as a supplement to the 2001 version of the CT23 or CT8 tax return for taxation years ending after September 30, 2001. Once the 2002 versions of the CT23 or CT8 tax returns have been released this Update Form will 14-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1970 013-1974E Application for Mediation Form AEFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1974E 013-1975E Reply by the Applicant for Arbitration (Form G)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1975E 013-1976E Notice of Appeal (Form I)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1976E 013-1976E (INSTRUCTIONS) Instructions for Notice of Appeal (Form I)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1976E (INSTRUCTIONS) 013-1977E Application for Variation/Revocation Form LEFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1977E 013-1977E (INSTRUCTION) Instruction for Application for Variation/Revocation (Form L)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1977E (INSTRUCTION) 013-2001E Change of AddressEFinanceAdvisory, Objections, Appeals and Services BranchImaging and Revenue ProcessingUsed by Ministry of Finance clients to notify the ministry of a change of address.15-Sep483http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2001E 013-2009E 2001 CT 23 Short-Form Corporations Tax and Annual Return - 2001/2002 Update FormEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is an interim form and is to be used as a supplement to the 2001 version of the CT23 Short-Form tax return for taxation years ending after September 30, 2001. Once the 2002 version of the Short-Form tax return has been released this Update Form will 14-May24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2009E 013-2083E Ontario Scientific Research and Experimental Development Expenditures CT23 Schedule 161EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is used to calculate Ontario Scientific Research and Experimental Development Expenditures (SR & ED).08-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2083E 013-2093E Guide for Gross Revenue Charge (GRC) Instalment InstructionsEFinanceAdvisory, Objections, Appeals and Services BranchGross Revenue Charge (GRC)17-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2093E 013-2260E Schedule 2 Associated Employers Exemption AllocationEFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)All eligible employers in an associated group must enter into an agreement and complete the schedule below allocating the tax exemption for the year.12-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2260E 013-2262E Associated Employers Exemption AllocationEFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)For 2010 and subsequent years. All eligible employers in an associated group must enter into an agreement to allocate the tax exemption for the year. One of the employers in the group must complete this form allocating the tax exemption and submit it to t18-Dec304http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2262E 013-2272E How to complete your Employer Health Tax (EHT) ReturnEFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)18-Dec1001http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2272E 013-2274 Guide for Completing the Tobacco Tax Non - Collector Wholesaler Return – TT101AEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2274 013-2276 Guide for Completing the Tobacco Tax Return – TT101SEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax17-Jun22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2276 013-2279 Guide Tobacco Tax Interjurisdictional Transporter Return - TT103EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax17-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2279 013-2286E Adjustment Schedule TT15EFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxFor clients to report any adjustments to their tax liability08-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2286E 013-2290E Guide for Completing the Application for Refund Summary and Schedule 22 TEU - Vehicle Testing or Export Out Of Ontario in Fuel Tanks of VehiclesEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2290E 013-2408E Application for Refund of the Debt Retirement Charge (DRC)EFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program13-Jan25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2408E 013-2413E 2003 Capital Tax Election of Associated Group Agreement for Allocation of $5,000,000 ExemptionEFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's $5,000,000 taxable capital exemption based on the previous calender year's total assets.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E 013-2413E-2004 2004 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2004 calendar ye14-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2004 013-2413E-2005 2005 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2005 calendar ye14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2005 013-2413E-2006 2006 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2006 calendar ye14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2006 013-2413E-2007 2007 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2007 calendar ye14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2007 013-2413E-2008 2008 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2008 calendar ye14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2008 013-2448E Fuel and Gasoline Manufacturer ReturnEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline TaxIf you are registered as a Manufacturer under the FTA and/or the GTA, you must complete the Fuel and Gasoline Tax Manufacturer Return for the reporting period. You are required to complete a Return even if you did not have any activity during the reportin11-Aug14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2448E 013-2494E Cooperative Education Tax Credit (CETC) - CT Schedule 113EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThe Co-operative Education Tax Credit CETC is a refundable tax credit available to taxpayers hiring eligible university or college students enrolled in a recognized post-secondary education program.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2494E 013-2495E Apprenticeship Training Tax Credit (ATTC) - CT Schedule 114EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxComplete this form if salaries and wages are paid after May 18, 2004 and before January 1, 2011 to eligible apprentices during the first 36 months of an apprenticeship.14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2495E 013-2496E Corporate Minimum Tax (CMT)EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is used if your Total Assets exceeds $5,000,000 or Total Revenue exceeds $10,000,000. These amounts include the aggregate of the total assets and total revenue of any associated corporation, and the corporation's and/or any associated corpor14-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2496E 013-2506 Affidavit in Support of Application for SettlementEFinanceFinancial Services Commission of OntarioAutomobile Insurance Division02-Feb16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2506 013-2526 Application for Insurance Corporation/Partnership Insurance Adjuster Corporation/Partnership Agent's (Other Than Life) Corporation/PartnershipEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & AdjustersDec-009http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2526 013-2549E Application for Registration of a Pension Plan Form 1EFinanceFinancial Services Commission of OntarioPension Division05-Jun40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2549E 013-2551E Application for Registration of a Pension Plan Amendment (Form1.1)EFinanceFinancial Services Commission of OntarioPension DivisionJun-0042http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2551E 013-2555E Waiver of Joint and Survivor Pension Form 3EFinanceFinancial Services Commission of OntarioPension Division05-Jun37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2555E 013-2556E Waiver of Pre-Retirement Death Benefit Form 4EFinanceFinancial Services Commission of OntarioPension Division05-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2556E 013-2557E Instructions for Completing the Standardized Wind up Report for Defined Contribution Pension PlansEFinanceFinancial Services Commission of OntarioPension Division02-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2557E 013-2592E Request for Hearing Financial Hardship Proceeding( Before the Financial Services Tribunal) - Instructions and Form 1.1EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2592E 013-2606E Form D Agreement to Neutral Evaluation at the Commission (Fax-back Form)EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2606E 013-2654E Audit Exemption Resolution Form for Co-ops with Between 16 and 50 MembersEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers02-Feb0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2654E 013-2655 Superintendent of Financial Services - Summons to a Witness Before the Superintendent - Form 1(b)EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal01-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2655 013-2656 Superintendent of Financial Services-Summons to a Witness Before the Superintendent - Form 1(a)EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal01-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2656 013-2672 Superintendent's Response Financial Hardship Proceeding (Before the Financial Services Tribunal) (Form 1.2)EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2672 013-2673E Joint Statement for Neutral Evaluation at the Commission (Fax-Back Form) - Form HEFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2673E 013-2684E Offering Statement Template for Start Up Share Capital CooperativeEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers01-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2684E 013-2687E Offering Stetement Template for Loan Capital CooperativeEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers01-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2687E 013-2688E Offering Statement Template for Share Capital CooperativesEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers01-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2688E 013-2702 Form 3(b) - Summons to a Witness Before the Financial Services TribunalEFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2702 013-2705 Form 3(a) - Summons to a Witness Before the Financial Services TribunalEFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2705 013-2707E Financial Services Commission of Ontario - Reporting Form (Revised) Monthly Report - United Nations Suppression of Terrorism RegulationsEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division - Deposit Institution07-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2707E 013-2709E Wind up Report for Defined Contribution Pension PlansEFinanceFinancial Services Commission of OntarioPension Division02-Jan27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2709E 013-2710E Liability for Damage to Non-owned Automobiles and Drive Other Automobiles - Named Persons Endorsement (O.E.F. 82)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2710E 013-2720E Open Lot Theft Endorsement – Customers' Automobiles (O.E.F. 75)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2720E 013-2721E Open Lot Theft Endorsement – Owned Automobiles (O.E.F. 74)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2721E 013-2722E Requesting for Hearing (for hearings before the Financial Services Tribunal) (Form 1)EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2722E 013-2723E O.E.F. 73 ? Excluding Financed Automobile Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-9010http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2723E 013-2727E O.E.F. 71 - Excluding Owned Automobiles Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-9010http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2727E 013-2732E O.E.F. 72 ? Multiple Alteration Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-907http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2732E 013-2743E Ontario Application for Automobile Insurance Garage Form (O.A.F. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun2http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2743E 013-2745E Form 2 - Notice of AppealEFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2745E 013-2748E Form 4 - Application for Party Status (for hearings before the Financial Services Tribunal)EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2748E 013-2750E Applicant's Reply - Financial Hardship Proceeding (Before the Financial Services Tribunal) Form 1.3EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2750E 013-3200 Guide for completing the Application for Refund Summary and Debtor Listing - Bad Debt (BDT) - Gasoline Tax Act, Fuel Tax Act and Tobacco Tax ActEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3200 013-3202 Guide for Completing the Application for Refund Summary and Schedule - Auxiliary Power Take Off Equipment (PTO activity prior to July 1, 2017)EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3202 013-3206 Guide for Completing the Application for Refund Summary and Schedule 1-PRL - Loss of Product/Overpayment of Tax - Gasoline, Propane and Aviation FuelEFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3206 013-3207 Guide for Completing the Application for Refund Summary and Clear Fuel Schedule 2 PRL - Loss of Product/Overpayment of TaxEFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3207 013-3208 Guide for Completing the Application for Refund Summary and Schedule 3 PRL - Loss of Product/Overpayment of TaxEFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3208 013-3214 Guide for Completing the Application for Refund Summary and Schedule 1 TES - Tax Exempt Sales to First Nations Individuals and Bands on a Reserve for their Exclusive UseEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3214 013-3215 Guide for Completing the Application for Refund Summary and Schedule 2 TES - Tax Exempt Deliveries, in Bulk, to First Nations Individuals and Bands on a Reserve for their Exclusive UseEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3215 013-3216 Guide for Completing the Application for Refund Summary and Schedule 3 TES - Tax Exempt Sales – Export to QuebecEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3216 013-3217 Guide for Completing the Application for Refund Summary and Schedule 4 TES - Tax Exempt Sales – Export to QuebecEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3217 013-3218 Guide for Completing the Application for Refund Summary and Schedule 5 TES - Tax Exempt Sales – Export Out of Ontario (Excluding Quebec)EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3218 013-3219 Guide for Completing the Application for Refund Summary and Schedule 6 TES - Tax Exempt Sales – Export Out of Ontario (Excluding Quebec)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3219 013-3220 Guide for Completing the Application for Refund Summary and Schedule 7 TES - Tax Exempt Sales to ConsumersEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3220 013-3221 Guide for Completing the Application for Refund Summary and Schedule 8 TES - Tax Exempt Sales to Registered Consumers Holding a Fuel Acquisition PermitEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3221 013-3222 Guide for Completing the Application for Refund Summary and Schedule 9 TES - Tax Exempt Sales – Export Out of OntarioEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3222 013-3223 Guide for Completing the Application for Refund Summary and Schedule 10 TES - Tax Exempt Sales – Export Out of OntarioEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3223 013-3224 Guide for completing the Application for Refund Summary and Schedule 11 TES - Tax Exempt Sales to Registered Consumers Holding a Fuel Acquisition Permit - 1-K KeroseneEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3224 013-3225 Guide for Completing the Application for Refund Summary and Schedule 12 TES - Tax Exempt Sales – Export Out of OntarioEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3225 013-3226 Guide for Completing the Application for Refund Summary and Schedule 13 TES - Tax Exempt Sales to Visiting Armed ForcesEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3226 013-3227 Guide for Completing the Application for Refund Summary and Schedule 14 TES - Tax Exempt Sales to Visiting Armed ForcesEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3227 013-3228 Guide for Completing the Application for Refund Summary and Schedule 15 TES - Tax Exempt Sales to Visiting Armed ForcesEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3228 013-3230 Guide for Completing the Application for Refund Summary and Schedule 1 TEU - Allowance to Retailers - GasolineEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3230 013-3231 Guide for Completing the Application for Refund Summary and Schedule 2 TEU - Ambient SalesEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3231 013-3232 Guide for Completing the Application for Refund Summary and Schedule 3 TEU - Ambient SalesEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax10-Mar4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3232 013-3233 Guide for Completing the Application for Refund Summary and Schedule 4 TEU - Ambient Temperature Allowance - GasolineEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3233 013-3234 Guide for Completing the Application for Refund Summary and Schedule 5 TEU - Ambient Temperature AllowanceEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3234 013-3235 Guide for Completing the Application for Refund Summary and Schedule 6 TEU - Unlicenced EquipmentEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3235 013-3236 Guide for Completing the Application for Refund Summary and Schedule 7 TEU - Boat RentalsEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3236 013-3237 Guide for Completing the Application for Refund Summary and Schedule 8 TEU - Vehicle Testing or Export Out Of Ontario in the Fuel Tanks of VehiclesEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3237 013-3238 Guide for Completing the Application for Refund Summary and Schedule 9 TEU - AircraftEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3238 013-3239 Guide for Completing the Application for Refund Summary and Schedule 10 TEU - Railway LocomotivesEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3239 013-3240 Guide for Completing the Application for Refund Summary and Schedule 11 TEU - Boats Used In Business OperationsEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3240 013-3241 Guide for Completing the Application for Refund Summary and Schedule 12 TEU - Rental or Sale of Unlicenced EquipmentEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3241 013-3242 Guide for Completing the Application for Refund Summary and Schedule 13 TEU - Unlicensed EquipmentEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3242 013-3243 Guide for Completing the Application for Refund Summary and Schedule 14 TEU - Tax Paid Purchases Delivered On A ReserveEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3243 013-3244 Guide for Completing the Application for Refund Summary and Schedule 15 TEU - Firefighter TrainingEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3244 013-3245E Foreign Diplomat - Gasoline Schedule 16 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleEFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxThe information in this guide will help you complete the Application for Refund Summary Tax Exempt Sales (TES) and supporting Schedule(s). It also provides information about supporting documents, records retention, time limit for applying for a refund, di11-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3245E 013-3246E Foreign Diplomat - Propane Schedule 17 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleEFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxThe information in this guide will help you complete the Foreign Diplomat Propane Schedule 17 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank dep11-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3246E 013-3247E Foreign Diplomat - Clear Fuel Schedule 18 - TEU, Fuel Tax Act - Guide for Completing the Application for Refund Summary and ScheduleEFinanceAdvisory, Objections, Appeals and Services BranchFuel TaxThe information in this guide will help you complete the Foreign Diplomat Clear Fuel Schedule 18 - TEU, Fuel Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank depo11-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3247E 013-3248E Foreign Diplomat - Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and ScheduleEFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxThe information in this guide will help you complete the Foreign Diplomat Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct ba11-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3248E 013-3249 Guide for Completing the Application for Refund Summary and Schedule 20 TEU - Emergency Stopover In Ottawa - Aviation FuelEFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3249 013-3432 Guide for Completing the Fuel Acquisition Permit Holder Return FT814EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3432 013-3435 Guide for Completing the Fuel Tax Interjurisdictional Transporter Return FT819EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3435 013-3436 Guide for Completing the Fuel Tax Railway Return FT826EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3436 013-3437E Tobacco Products Inventory ReportEFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxThis form is used whenever tobacco tax rates are changed as a result of a budget amendment.17-Apr13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3437E 013-3445E Application for Refund - Bad Debt (BDT)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco TaxUsed by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was sold to a purchaser but for which payment has not been received and the sale has become uncolle19-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3445E 013-3446E Application for Refund - Summary Loss of Product (PRL)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco TaxUsed by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was stolen, destroyed (e.g., by fire), or lost (e.g., vehicle accident) prior to the sale of the b19-Jan121http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3446E 013-3448 Guide for Completing the Application for Refund - Loss of Product (PRL) Summary and ScheduleEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax19-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3448 013-3465E Beer Return GuideEFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine Taxes19-Jun44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3465E 013-3466E Wine and Wine Cooler Return GuideEFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine TaxesThis guide will help wine tax collectors that do not operate a wine boutique located inside the shopping area of an authorized agent grocery store complete the Wine and Wine Cooler Return.19-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3466E 013-3468E Application for Refund of Retail Sales Tax on Insurance or Benefit Plan PremiumEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales Tax18-Mar106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3468E 013-3479E Ontario Retail Sales Tax Purchase Exemption CertificateEFinanceTax Advisory Services BranchTax Advisory ServicesThis form may be used by people who are qualified to claim an exemption from Retail Sales Tax on contracts of insurance or benefits plans.14-Jan66http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3479E 013-3480 Application for Small Beer Manufacturers' Tax CreditEFinanceAccount Management and Collections BranchSpecialty Accounting Unit18-Feb0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3480 013-3483E Wine and Wine Cooler Return - B - Guide (Wineries that have a Wine Boutique)EFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine TaxesThis guide will help wine tax collectors that operate a wine boutique located inside the shopping area of an authorized agent grocery store complete the Wine and Wine Cooler Return - B and Schedules.19-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3483E 013-3490E Spirits and Spirits Cooler Return GuideEFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine TaxesThe information in this guide will help spirits tax collectors complete the Spirits and Spirits Cooler Return and Schedule.19-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3490E 013-3500 Guide for Completing the Application for Refund - Bad Debt (BDT) Summary and ScheduleEFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax19-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3500 013-67452E Ontario Garage Automoblie Policy (O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67452E 013-67454E Certificate of Insurance - Ontario Garage Automobile Policy (O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67454E 013-67460E O.E.F. 70 Named Chauffeur Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67460E 013-67474E Liability for Comprehensive Damage to a Customer's Automobile Endorsement (Including Open Lot Theft) (O.E.F. 77)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67474E 013-67476E O.E.F. 78 Reduction of Coverage for Named Persons Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-909http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67476E 013-67477E O.E.F. 78A Excluded Driver Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division05-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67477E 013-67478E Owned Automoblie- Fire and Theft Deductible Endorsement (O.E.F. 79)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67478E 013-67480E O.E.F 80 Specified Owned Automobile Physical Damage Coverage (for Ontario Garage Automobile Policy O.A.P.4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67480E 013-67481E O.E.F. 81 Garage Family Protection Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67481E 013-67486E Owned Automobiles- Agreed Limit for Automobile Electronic Accessories and Equipment (O.E.F. 84)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67486E 013-67488E Customers' Automobiles - Fire & Theft Deductible Endorsement (O.E.F. 86)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67488E 013-9950E Affidavit re transfer between registered charitiesEFinanceAudit BranchLand TaxesThe Affidavit re transfer between registered charities sets out information that taxpayers must provide in order to claim the exemption from land transfer tax set out in Ontario Regulation 386/10 (Exemption – Charity Reorganization) upon a paper registrat18-Jul28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9950E 013-9967E Retail Sales Tax and Harmonized Sales Tax Information for the Transfer of Motor Vehicles Between Related Corporations or Corporations/ShareholdersEFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxThis publication outlines the Retail Sales Tax and Harmonized Sales Tax exemption (8% Ontario portion only) and required supporting documents for vehicle transfers between related corporations, and corporations and shareholders.19-Jan57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9967E 013-9980E Direct Deposit RequestEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesUsed to obtain direct deposit bank account information for refunds and rebates for certain AMCB programs.18-Aug590http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9980E 013-9983E Notice of ObjectionEFinanceObjections and Appeals BranchObjections and AppealsTo file an objection17-Jul355http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9983E 013-9986E Prescribed Information for Purposes of Section 5.0.1 Land Transfer Tax ActEFinanceAudit BranchLand TaxesEffective April 24, 2017, persons who purchase or acquire at least one and not more than six single family residences, and persons who purchase or acquire agricultural land, are required to provide additional prescribed information, as set out in O.Reg 1217-Apr500http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9986E 013-9987E Guide for Completing the Application for Refund Summary and Schedule - Auxiliary Power Take Off Equipment (PTO activity on or after July 1, 2017)EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Feb85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9987E 013-9988E Application for Refund Auxiliary Power Take Off (PTO) Equipment (PTO activity on or after July 1, 2017)EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar249http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9988E 013-9990E IRREVOCABLE STANDBY LETTER OF CREDIT - TOBACCO TAX ACTEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9990E 013-9991E Irrevocable Standby Letter Of Credit - Fuel and Gas Tax ActsEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9991E 013-9992E IRREVOCABLE STANDBY LETTER OF CREDIT - LAND TRANSFER TAXEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Land Transfer Tax Act allows the Minister to accept security for the payment of taxes in any form that the Minister considers satisfactory (being a letter of credit or cash). A Letter of Credit must be drawn on an Ontario-based financial institution.18-Nov45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9992E 013-9993E Surety Bond - Fuel and Gas Tax ActsEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9993E 013-9994E SURETY BOND - TOBACCO TAX ACT, R.S.O. 1990 c. T.10, as amendedEFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9994E 013-FSCO-AA2 Reporting Forms Regarding Life AgentsEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & AdjustersJan-986http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-FSCO-AA2 013-FSCO-AA3 Notice of Termination of Agent SponsorshipEFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & AdjustersJan-984http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-FSCO-AA3 013-OCF-10/59 Election of Income Replacement, Non-Earner of Caregiver Benefit (OCF-10/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-10/59 013-OCF-11A Designated Assessment Referral (OCF-11A)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionAug-999http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-11A 013-OCF-11B Summary Report (OCF-11B)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionAug-998http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-11B 013-OCF-12 Activities of Normal Life (OCF-12)EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionAug-9918http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-12 013-OCF-13 Declaration of Post-Accident Income and Benefits (OCF-13)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-13 013-OCF-14 Permission to Disclose Health Information to the Designated Assessment Centre (OCF-14)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-14 013-OCF-17/59 Notice of Stoppage of Weekly Benefits and Request for Assessment (OCF-17/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-17/59 013-OCF-18/59 Treatment Plan (OCF-18/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division08-Jan5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-18/59 013-OCF-19/59 Application for Determination of Catastrophic Impairment (OCF-19/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-19/59 013-OCF-2/59 Employer's Confirmation of Income (OCF-2/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-2/59 013-OCF-20/59 Catastrophic Impairment Determination and Request for Assessment (OCF-20/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-20/59 013-OCF-3/59 Disability Certificate (OCF-3/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Nov25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-3/59 013-OCF-4 Death and Funeral Benefits Application (OCF-4)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-4 013-OCF-5 Permission to Disclose Health Information (OCF-5)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-5 013-OCF-6 Application for Expenses (OCF-6)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-6 013-OCF-9/59 Explanation of Benefits Payable by Insurance Company (OCF-9/59)EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-9/59 013-PI1509 Annual Information Return (Form 2) (AFP Form)EFinanceFinancial Services Commission of OntarioPension Division04-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-PI1509 013-PI1513 Pension Benefits Guarantee Fund Assessment Certificate (Form 2.1) (AFP Form)EFinanceFinancial Services Commission of OntarioPension Division04-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-PI1513 014-0005-54E Certificate of DeathEHealth and Long-Term CareHospitals BranchHospitals BranchCertificate of Death – Form 1 to be completed by an attending physician or registered nurse in the extended class pursuant to s. 17(2)(a) of Reg. 965 – Hospital Management made under the Public Hospitals Act.17-Apr118http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0005-54E 014-0350-93 Forms Order RequestEHealth and Long-Term CareSupply Chain and Facilities BranchSupply Chain and Facilities BranchUsed by Ministry clients to order forms from OSS Distribution.17-Jun436http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0350-93 014-0403-67E Application for Authorizer StatusEHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication for Authorizer Status16-Sep209http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0403-67E 014-0406-67E Authorizer Agreement with the Assistive Devices ProgramEHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the indi14-Jul243http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0406-67E 014-06-5040E Long-Term Care Home Inspection Report RequestEHealth and Long-Term CareHealth Data BranchHealth Data UnitAll Long-Term Care Home (LTCH) Inspection reports are posted on the Long-Term Care Homes public website (http://publicreporting.ltchomes.net/en-ca/default.aspx), in English. To request an accessible version or a French version of an Inspection report for 16-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-06-5040E 014-0918-84 Remittance Advice InquiryEHealth and Long-Term CareClaim Services BranchClaims ServicesForm used by physicians to make inquiries regarding payment details on Remittance Advice15-Oct531http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0918-84 014-1065-41E Form 25 - Application to the Board to Review the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(1) of the ActEHealth and Long-Term CareMental HealthMental Health16-Feb27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1065-41E 014-1066-41E Form 26 - Notice to the Board of the Need to Schedule a Mandatory Review of the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(2) of the ActEHealth and Long-Term CareMental HealthMental Health16-Feb24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1066-41E 014-1088-41 Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741EHealth and Long-Term CareMental HealthMental Health04-Nov192http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1088-41 014-1353-45 Time CardEHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchEmergency Health Services Land/AirTo record staff working hours.12-Jan0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1353-45 014-1429-67E Application for Funding for Insulin Syringes for SeniorsEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.18-Aug1302http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1429-67E 014-1565-95E Assistive Devices Program Confirmation of Payment InstructionsEHealth and Long-Term CareFinancial ManagementMinistry Support & TransactionThe form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.15-May25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1565-95E 014-1605-41E Form 30 - Notice to Patient under Subsection 38(1) of the ActEHealth and Long-Term CareMental HealthMental Health16-Feb339http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1605-41E 014-1612-53E Form 2 - Application for Approval of X-ray LocationEHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection ServiceApplication for Approval of X-ray Location18-Aug81http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1612-53E 014-1782-53E Form 1 - X-ray Equipment RegistrationEHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection ServiceX-ray Equipment Registration18-Aug144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1782-53E 014-1787-41 Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the ActEHealth and Long-Term CareMental HealthMental HealthDec-0097http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1787-41 014-1819-67E Application for Equipment Listing Wheelchairs, Positioning and Ambulation AidsEHealth and Long-Term CareAssistive DevicesAssistive 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 de15-Jul132http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1819-67E 014-1903-67E Statement of Support for Device Listing Wheelchairs, Positioning and Ambulation AidsEHealth and Long-Term CareAssistive DevicesAssistive 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 de16-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1903-67E 014-1945-67E Application for Funding Ostomy GrantEHealth and Long-Term CareAssistive DevicesAssistive DevicesThe information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.19-Aug1074http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1945-67E 014-1948-95E Application for Direct Bank Payment - ADPEHealth and Long-Term CareFinancial ManagementMinistry Support & TransactionUsed by clients/vendors to receive remuneration by direct deposit versus cheque.11-Jun222http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1948-95E 014-1972-41 Form 5 - Change to Informal or Voluntary Status Subsection 20(7) of the ActEHealth and Long-Term CareMental HealthMental Health15-Dec275http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1972-41 014-1977-41 Form 7 - Confirmation by Attending Physician of Continued Involuntary Status under Subsection 48(12) of the ActEHealth and Long-Term CareMental HealthMental Health15-Dec16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1977-41 014-2196-67E Application for Funding Mobility DevicesEHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication for Funding Mobility Devices19-Nov2863http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2196-67E 014-2203-64E Toronto Clients Requisition for Biological Supplies (for use in M postal code areas only)EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by Toronto Clients to order Biological Supplies from Ontario Government Pharmaceutical and Medical Supply Service. 18-Nov389http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2203-64E 014-2352-88E Application for Rehabilitation Incentive GrantEHealth and Long-Term CareNorthern Health ProgramsNorthern Health ProgramsApplication form completed by rehabilitation professionals applying to Underserviced Area Program for financial incentives, in return for filling full-time vacancies in MOHLTC fully-funded positions in Northern Ontario. 15-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2352-88E 014-2451-67E First Time Application for Funding Home Oxygen TherapyEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by first-time applicants to apply for funding for home oxygen therapy.19-Aug339http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2451-67E 014-2772-87E Special Authorization (Allergen)EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchUsed for obtaining authorization for allergen exact as an ODB benefit19-Jun166http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2772-87E 014-2784-87E Drug Benefit Claim Submission FormEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchUsed by pharmacies for submitting claims19-Jun75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2784-87E 014-2860-69E Application for Reimbursement by The ProvinceEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionApplication used by Homemaker and Nurses to request reimbursement from the Province for services provided.09-Jan32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2860-69E 014-2973-04E Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov126http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2973-04E 014-2975-04E Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov91http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2975-04E 014-2976-04E Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board17-Sep144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2976-04E 014-2977-04E Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act.EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2977-04E 014-2978-04E Form E - Application to the Board for Permission to Depart from Wishes under Subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2978-04E 014-2980-04E Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act.EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2980-04E 014-2981-04E Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act.EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov109http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2981-04E 014-3060-97E Requisition for ODB Approved Non-Prescription DrugsEHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUsed by Long-Term Care Homes in Ontario to requisition approved non-prescription drugs from OGPMSS.18-Sep190http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3060-97E 014-3143-04 New Accused Information SheetEHealth and Long-Term CarePublic Health AgenciesOntario Review Board05-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3143-04 014-3183-67E Application for Funding Limb ProsthesesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.19-Nov97http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3183-67E 014-3224-67E Application for Funding Hearing DevicesEHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication used to determine eligibility for funding by ADP for Hearing Devices.19-Nov576http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3224-67E 014-3232-04E Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3232-04E 014-3234-04 Form 18 - Application to the Board for a Review of a Finding of Incapacity to Manage Property under Subsection 20.2 (1) of the Substitute Decisions ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity BoardMar-9965http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3234-04 014-3237-04 Consent and Capacity Board Information SheetsEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board05-Dec20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3237-04 014-3264-54E Hospital Chronic Care Co-payment FormEHealth and Long-Term CareHospitals BranchHospitals BranchCalculation of Chronic Care Co-Payments for use by hospital staff, patients, and families.18-Dec129http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3264-54E 014-3266-54E Application for Reduction of Assessed Co-payment FeesEHealth and Long-Term CareAcute Services DivisionAcute ServicesThis form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.08-Jun50http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3266-54E 014-3296-64E Non-Reusable Vaccine(spoiled or expired) Return Record - Toronto ClientsEHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by Toronto clients to return non-reusable vaccines (spoiled or expired)to the Ontario Government Pharmaceutical and Medical Supply Service19-May79http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3296-64E 014-3324E-53 Appointment of Radiation Protection OfficerEHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection Service18-Aug80http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3324E-53 014-3437-67E Application for Funding of Changes/Modifications/New Options to ADP Approved DevicesEHealth and Long-Term CareAssistive DevicesAssistive 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 de16-May57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3437-67E 014-3693-87E Application for Trillium Drug Program (TDP)EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchFor ODB recipients to apply Trillium Drug Program19-Dec14866http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3693-87E 014-3715-82E Seasonal Agricultural Workers Registration for Ontario Health CoverageEHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisForm used to register specific migrant farm workers for OHIP number13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3715-82E 014-3750-84 Organ and Tissue Donor RegistrationEHealth and Long-Term CareClaim Services BranchClaims ServicesForm completed by clients to record their wishes for organ/tissue donation16-Aug154http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3750-84 014-3760-41 Form 45 - Community Treatment OrderEHealth and Long-Term CareMental HealthMental HealthDec-0078http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3760-41 014-3761-41 Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the ActEHealth and Long-Term CareMental HealthMental HealthDec-0065http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3761-41 014-3764-41 Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))EHealth and Long-Term CareMental HealthMental HealthDec-0062http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3764-41 014-3766-41 Form 50 - Confirmation of Rights AdviceEHealth and Long-Term CareMental HealthMental Health19-Apr102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3766-41 014-3777-41E Form 16 - Application to the Board to Review a Patient's Involuntary Status under Subsection 39(1) of the ActEHealth and Long-Term CareMental HealthMental Health16-Feb115http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3777-41E 014-3780-41 Community Treatment Order (CTO) Information RecordEHealth and Long-Term CareMental HealthMental HealthDec-0051http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3780-41 014-3829-41E Homes for Special Care (HSC) Licence Inspection ReportEHealth and Long-Term CareMental HealthMental Health12-Aug42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3829-41E 014-3889-22E Clinician Aid A - Patient Request for Medical Assistance in DyingEHealth and Long-Term CareStrategic Policy BranchStrategic Policy – Medical Assistance in DyingThe use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse prac19-Jun1151http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3889-22E 014-3889-84E Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit RequestEHealth and Long-Term CareClaim Services BranchClaims ServicesPhysicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.19-Oct545http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3889-84E 014-3890-22E Clinician Aid B - (Primary) “Medical Practitioner” or “Nurse Practitioner” Medical Assistance in Dying AidEHealth and Long-Term CareStrategic Policy BranchStrategic Policy – Medical Assistance in DyingThe use of this aid is voluntary. It is being provided to assist you in maintaining records of requests for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting medical as19-Jun220http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3890-22E 014-3891-22E Clinician Aid C - (Secondary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying AidEHealth and Long-Term CareStrategic Policy BranchStrategic Policy – Medical Assistance in DyingComplete this voluntary aid (Clinician Aid C) if you have been asked by a “Medical Practitioner” or “Nurse Practitioner” to provide a written opinion confirming that the Patient meets the eligibility criteria to receive medical assistance in dying. You sh19-Jun210http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3891-22E 014-4282-64E Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2019/2020 Universal Influenza Immunization Program (UIIP)EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServicePrequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.19-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4282-64E 014-4298-82 Health Card Complex RenewalEHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisTo be used for OHIP health card renewals by customers who have limited eligibility (i.e. where the expiry of the card is matched to the expiry of a Canadian immigration document). For questions about this form contact: Ken Whyte, Card Management Office 6116-Nov0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4298-82 014-4323-04 Notice of WithdrawalEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board04-Jul38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4323-04 014-4344-64E Influenza Vaccine Order Form for the Universal Influenza Immunization ProgramEHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceEligibility Criteria for Trivalent Inactivated Influenza Vaccine.19-Aug148http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4344-64E 014-4351-04E Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4351-04E 014-4352-04E Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4352-04E 014-4353-04E Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4353-04E 014-4354-04E Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4354-04E 014-4372-64E Universal Influenza Immunization Program Reimbursement FormEHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceVaccine utilization invoice form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.20-Jan85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4372-64E 014-4385-87 Blocking Access to Your Drug and Pharmacy Service InformationEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch16-Nov24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4385-87 014-4387-87 Unblocking Access to Your Drug and Pharmacy Service InformationEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch16-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4387-87 014-4392-67E Application for Funding Breast Prosthesis GrantEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by clients to apply for funding for a silicone breast prosthesis(es)19-Aug217http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4392-67E 014-4420-84 Health ClaimEHealth and Long-Term CareClaim Services BranchClaims Services06-Feb216http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4420-84 014-4421-84 Reciprocal ClaimEHealth and Long-Term CareClaim Services BranchClaims ServicesClaim card used by physicians to receive reimbursement for reciprocal claims06-Feb41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4421-84 014-4422-84 Laboratory Requisition - Requisitioning Physician / PractitionerEHealth and Long-Term CareLaboratories and Genetics BranchLaboratories and Genetics19-Jan1665http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4422-84 014-4423-87 Notification for Change of Information for Trillium Drug ProgramEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchPre-renewal notice to TDP Clients18-May159http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4423-87 014-4446-67E Application for Funding Insulin Pumps and Supplies for ChildrenEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by clients to request funding assistance for Insulin Pumps and Supplies for Children19-Aug64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4446-67E 014-4455-64E Universal Influenza Immunization Program Pharmacy FormEHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceVaccine utilization report form for influenza immunization clinics through the Universal Influenza Immunization Program.20-Jan329http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4455-64E 014-4462-97E Pharmacy Return Authorization for Resalable Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs)EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUse this form if you are an eligible pharmacy associated with LTCHs and wish to return resalable ODB Approved Non-Prescription Drugs (ANDPs) to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs that meet the criteria listed o13-Nov20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4462-97E 014-4463-97E Pharmacy Requisition for Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs)EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUse this form if you are an eligible pharmacy associated with LTCHs and need to order Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs) from OGPMSS. You are required to complete the form in its entirety for your orders to be processed.18-Sep82http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4463-97E 014-4471-44E Restricting Access to Patient Records In theOntario Laboratories Information SystemEHealth and Long-Term CareLaboratory ServicesOntario Laboratory Information System (OLIS)Complete this form if you wish to have the Ministry of Health and Long-Term Care restrict access to your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed. 13-Aug37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4471-44E 014-4473E-67 Prior Testing Disclosure - Manual WheelchairEHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.17-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4473E-67 014-4474E-67 Prior Testing Disclosure - Powered Mobility DevicesEHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by Manufacturers to report testing of Powered Mobility Devices19-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4474E-67 014-4475E-67 Prior Testing Disclosure - Ambulation AidsEHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids19-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4475E-67 014-4478-84 AdjustmentEHealth and Long-Term CareClaim Services BranchClaims Servicesonline form to be available to providers and to Regional Operations staff on a permanent basis on the internet07-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4478-84 014-4495-97E OGPMSS Requisition for Medical SuppliesEHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUse this form if you are an eligible OGPMSS client and wish to order medical supplies from OGPMSS. You are required to complete the form in its entirety for your orders to be processed.17-Oct131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4495-97E 014-4508-67E Insulin Pump Product EvaluationEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to evaluate Insulin pumps15-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4508-67E 014-4509-67E Application for Equipment Listing Insulin PumpsEHealth and Long-Term CareAssistive DevicesAssistive DevicesUse by vendor/manufacturer to apply for equipment listing insulin pumps.12-Oct31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4509-67E 014-4537-67E Application for Funding Insulin Pumps and Supplies for AdultsEHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication used to determine elegibility for funding by ADP for insulin pumps and supplies19-Aug456http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4537-67E 014-4551-87E Application and Consent for the Inherited Metabolic Diseases (IMD) ProgramEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchFor physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.19-Sep62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4551-87E 014-4564-85E Application for Consent to Transfer a LicenceEHealth and Long-Term CareHealth Service BranchIndependent Health FacilitiesTransfer of ownership of independent health facilities (IHF) licence.14-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4564-85E 014-4574-64E Vaccine Cold Chain Maintenance Inspection ReportEHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by public health units when conducting cold chain maintenance inspections in premises that store publicly funded vaccines.19-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4574-64E 014-4575-64E Vaccine Cold Chain Incident Exposure/Wastage ReportEHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by public health units to report vaccine cold chain incidents and wasted or exposed vaccine.19-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4575-64E 014-4578-64E Laboratory Services Notification (LSN)EHealth and Long-Term CarePublic HealthFood Safety And Safe Water UnitThe Laboratory Services Notification (LSN) form is to be used by small drinking water system owners/operators to notify the local public health unit in writing as to which licensed laboratories will test drinking water samples for their small drinking wat17-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4578-64E 014-4579-64E Notice to Operate or Reopen a Small Drinking Water SystemEHealth and Long-Term CarePublic HealthFood Safety And Safe Water UnitThe Small Drinking Water System Identification form is to be used by owners of small drinking water systems to notify in writing the medical officer of health in the health unit where their system is located before supplying drinking water to users of the17-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4579-64E 014-4580-64E Notice of Adverse Test Results and Issue ResolutionEHealth and Long-Term CarePublic HealthFood Safety And Safe Water UnitThe 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 qual17-Aug79http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4580-64E 014-4589-64E Response to Adverse Drinking Water Quality Incidents - IssueEHealth and Long-Term CarePublic HealthPublic HealthThis form is completed by Public Health Boards when MOH site is down.17-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4589-64E 014-4590-64E Response to Adverse Drinking Water Quality Incidents - ResolveEHealth and Long-Term CarePublic HealthPublic HealthThis form is completed by Public Health Boards when MOH site is down.17-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4590-64E 014-4598-67 PAP Device Evaluation FormEHealth and Long-Term CareAssistive DevicesAssistive Devices15-Nov71http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4598-67 014-4603-82E Change your home addressEHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisChange your address for your driver's licence, vehicle registration, health card and Outdoors Card quickly and easily in one secure, simple transaction. You can choose to notify one or more of three ministries of your address change – Ministry of Transpo09-Sep45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4603-82E 014-4618-67E Application for Equipment Listing - Pressure Modification DevicesEHealth and Long-Term CareAssistive DevicesAssistive Devices12-Aug36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4618-67E 014-4619-67E Statement of Support for Device Listing - Pressure Modification DevicesEHealth and Long-Term CareAssistive DevicesAssistive Devices12-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4619-67E 014-4620-67E Manufacturer Checklist - Request for ADP Listing of Pressure Modification DevicesEHealth and Long-Term CareAssistive DevicesAssistive Devices12-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4620-67E 014-4637-67E Application for Rehabilitation Assessor/Fitter/Dispenser StatusEHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication for Rehabilitation Assessor/Fitter/Dispenser Status 11-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4637-67E 014-4638-67E Authorizer Application - Attachment BEHealth and Long-Term CareAssistive DevicesAssistive DevicesAuthorizer Application - Attachment B16-Sep113http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4638-67E 014-4645-87E Respiratory Syncytial Virus (RSV) Prophylaxis for High Risk Infants Program EnrolmentEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo provide healthcare practitioners a standard form to enroll their patients in this program based on listed clinical criteria.19-Sep36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4645-87E 014-4652-87E Request for Myozyme®EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch17-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4652-87E 014-4658-67E Application for Funding Ocular ProsthesesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Ocular Prostheses19-Nov103http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4658-67E 014-4717-87E Submission of Patient EvidenceEHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyTo provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.10-Apr20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4717-87E 014-4723-87E Submission of Patient Evidence Patient Advocacy Groups - Registration FormEHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyTo 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.10-Apr21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4723-87E 014-4727-88E Application for Northern and Rural Recruitment and Retention InitiativeEHealth and Long-Term CareNorthern Health ProgramsNorthern Health ProgramsApplication for physicians to apply for HFO Northern and Rural Recruitment & Retention Program15-Oct71http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4727-88E 014-4767-69E-LHIN Application for Determination of Eligibility for Long-Term Care Home Admission (LHIN)EHealth and Long-Term CareLicensing and PolicyAging and Long-Term Care UnitTo be filled out by LTC home applicants as part of the process for determination of eligibility for admission to a LTC home. This form is for use effective the date when LHINs become designated as the placement co-ordinators for long-term care homes by th17-May306http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4767-69E-LHIN 014-4768-69E-LHIN Health Assessment - Local Health Integration Network (LHIN)EHealth and Long-Term CareLicensing and PolicyAging and Long-Term Care UnitTo be used for completion of the assessment required under the Long-Term Care Homes Act, 2007 when a person applies for a determination of eligibility for long-term care home admission. This form is for use effective the date when LHINs become designated 17-May656http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4768-69E-LHIN 014-4777-87E Request for Zavesca® - Niemann Pick Type C (NPC)EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).17-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4777-87E 014-4791-67E Application for Funding Enteral Feeding Pump and SuppliesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Enteral Feeding Pump and Supplies19-Aug582http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4791-67E 014-4792-67E Application for Funding Ventilator Equipment and SuppliesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Ventilator Equipment and Supplies19-Aug131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4792-67E 014-4793-67E Application for Funding - Respiratory Equipment & SuppliesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Respiratory Equipment & Supplies19-Aug820http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4793-67E 014-4803-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Resident with a Notice of Assessment and Transitioning to new Government Benefit(s)EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.19-May70http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4803-69E 014-4804-69E Application for Reduction in Long-Term Care Home Basic Accommodation Resident Receiving ODSP FormEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.16-May124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4804-69E 014-4805-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule A: Spouse DependantEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if they would like to reque16-May62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4805-69E 014-4806-69E Long-Term Care Home Application for Rate Reduction - Schedule B: Child DependantEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if they would like to reque19-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4806-69E 014-4807-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule C: Continuation of Previous Dependant DeductionEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if their LTC home has notif16-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4807-69E 014-4808-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Resident With a Notice of Assessment (NOA)EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who have a Notice of Assessment.19-May238http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4808-69E 014-4809-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Resident Without Notice of Assessment (NOA)EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who do not have a Notice of Assessment. 19-May49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4809-69E 014-4810-99E 2020/2021 Re-Entry Program InformationEHealth and Long-Term CareHealth Workforce Planning BranchHealth Workforce Planning and Programs UnitInstruction sheet is to provide information about the purpose of the program, its eligibility requirement, application procedure and return of service requirement.19-Oct184http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4810-99E 014-4811-99E Application to Re-enter Postgraduate Medical Training - Specialty of Interest and Location of TrainingEHealth and Long-Term CareHealth Workforce Planning BranchHealth Workforce Planning and Programs UnitThe Specialty of Interest and Location of Training selection form is for applicants to enter the specialty of training and the preferred location of training.19-Oct87http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4811-99E 014-4812-99E Application to Re-enter Postgraduate Medical TrainingEHealth and Long-Term CareHealth Workforce Planning BranchHealth Workforce Planning and Programs UnitThe Application Form collects information from applicants regarding their contact information, medical practice and education history.19-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4812-99E 014-4815-69E Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident EligiblyEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo 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 d10-Dec25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4815-69E 014-4816-69E Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident without NOAEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo 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 d10-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4816-69E 014-4817-69E 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)EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo 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 d11-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4817-69E 014-4818-69E Long-Term Care Home Support Document List - Resident Receiving ODSPEHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo 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 d10-Dec38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4818-69E 014-4819-67E Application for Funding Orthotic DevicesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses19-Nov500http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4819-67E 014-4820-67E Application for Funding Maxillofacial Intraoral ProsthesesEHealth and Long-Term CareAssistive DevicesAssistive DevicesFor Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.19-Nov96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4820-67E 014-4821-67E Application for Funding Maxillofacial Extraoral ProsthesesEHealth and Long-Term CareAssistive DevicesAssistive DevicesFor Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.19-Aug78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4821-67E 014-4823-67E Application for Funding Pressure Modification DevicesEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Pressure Modification Devices19-Nov307http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4823-67E 014-4824-67E Application for Funding Visual AidsEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Visual Aids19-Nov216http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4824-67E 014-4825-67E Application for Funding Communication AidsEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Communication Aids19-Nov236http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4825-67E 014-4846-87E Request for Aldurazyme®EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease16-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4846-87E 014-4853-44E Reinstating Access to Information in the Ontario Laboratories Information System (OLIS)EHealth and Long-Term CareLaboratory ServicesOntario Laboratory Information System (OLIS)Complete this form if you wish to have the Ministry of Health and Long-Term Care reinstate your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed. 14-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4853-44E 014-4858-87E Request for Ilaris® (canakinumab)EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchApplication for drug funding17-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4858-87E 014-4871-64E User Agreement for Pharmacies with a Licensed Injection-Trained Pharmacist Requesting Publicly Funded Influenza Vaccines for the 2019/2020 Universal Influenza Immunization Program (UIIP)EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUser Agreement for Pharmacies Requesting Publicly Funded Influenza Vaccine in accordance with the UIIP Prequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.19-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4871-64E 014-4872-88E Application for Northern Physician Retention InitiativeEHealth and Long-Term CareNorthern Health ProgramsNorthern Health ProgramsApplication form completed by physicians to apply to Northern Physician Retention Initiative for financial incentives.19-Dec1693http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4872-88E 014-4874-77E PPLBP Application, Income Declaration, Income Confirmation, Notification of Birth/Adoption Statement/ StillbirthEHealth and Long-Term CareNegotiationsPregnancy and Parental Leave Benefit ProgramPPLBP forms gather necessary information to help determine the applicant eligibility for the program.19-Dec604http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4874-77E 014-4882-83E Oral and Maxillofacial Rehabilitation Program (OMRP) ApplicationEHealth and Long-Term CareProfiles Analysis ServicesProfiles Analysis ServicesForm allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.14-Aug22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4882-83E 014-4885-84E Change of Address for Health Care ProfessionalsEHealth and Long-Term CareClaim Services BranchClaims Services13-Nov467http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4885-84E 014-4890-84E Request for Access to Personal Claims History (PCH) Information by Individual or Individual's Substitute Decision MakerEHealth and Long-Term CareClaim Services BranchClaims ServicesReceive information required to process Personal Claims History information requests from individuals or individual's substitute decision makers.19-Nov1527http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4890-84E 014-4891-84E Third Party Request for Personal Claims History InformationEHealth and Long-Term CareClaim Services BranchClaims ServicesForm authorizes the ministry to disclose an individual's personal claims history information directly to a third party.14-Feb96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4891-84E 014-4895-64E Statement of Medical Exemption – Immunization of School Pupils ActEHealth and Long-Term CarePublic HealthPublic HealthA physician or nurse practitioner must complete a Statement of Medical Exemption for children who require a medical exemption from vaccine requirements under the Immunization of School Pupils Act.13-Aug870http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4895-64E 014-4896-64E Notice of Transfer from a School - Immunization of School Pupils ActEHealth and Long-Term CarePublic HealthPublic HealthNotice of Transfer from a School - Immunization of School Pupils Act13-Aug12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4896-64E 014-4897-64E Statement of Conscience or Religious Belief – Immunization of School Pupils ActEHealth and Long-Term CarePublic HealthPublic HealthA parent must complete a Statement of Conscience or Religious Belief and have it witnessed by a commissioner for taking affidavits if they wish to obtain a non-medical exemption for their child from vaccine requirements under the Immunization of School Pu17-Jul2285http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4897-64E 014-4900-85E Physician Independent Health Facility (IHF) Affiliation AuthorizationEHealth and Long-Term CareIndependent Health FacilitiesIndependent Health Facilities14-Aug65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4900-85E 014-4901-97E Requisition for NaloxoneEHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementRequisition for Naloxone18-Oct22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4901-97E 014-4906-87E Fabry Disease Enzyme Replacement Therapy (Agalsidase) AssessmentEHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyApplication form for drug therapy for Fabry disease15-Jul11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4906-87E 014-4907-87E Fabry Disease Enzyme Replacement Therapy (Agalsidase) RenewalEHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyRenewal form dor drug therapy for Fabry disease15-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4907-87E 014-4908-87E Initial Request for Compassionate Review PolicyEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo help physicians to submit requests for drug funding for their ODB-eligible patients under the Compassionate Review Policy.15-May134http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4908-87E 014-4917-67E Vendor Registration ApplicationEHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of assistive devices who is requesting registration with the Assistive Devices Program.15-May92http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4917-67E 014-4918-57E Request for Rights Advice Mental Health InpatientEHealth and Long-Term CarePsychiatric Patient Advocate OfficePsychiatric Patient Advocate OfficeUsed by Mental Health Inpatient Unit staff to request Rights Advice. Form is completed when a physician issues a Mental Health Act form that requires the provision of Rights Advice. Fax form to the PPAO and Rights Adviser will be assigned16-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4918-57E 014-4919-57E Request for Rights Advice Community Treatment Order (CTO)EHealth and Long-Term CarePsychiatric Patient Advocate OfficePsychiatric Patient Advocate OfficeUsed by Mental Health Professional to request Rights Advice for both patient and SDM (if indicated). Form completed when Community Treatment Plan (CTP) and Form 49 are issued by physician. Form, CTP and Form 49 faxed to PPAO.14-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4919-57E 014-4929-87E Trillium Drug Program Application Signature RequestEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe "Trillium Drug Program Application Signature Request" form supports the collection of missing signatures that were not provided with the original submitted Trillium Drug Program (TDP) application. For enrolment in the TDP, all household members 16 yea18-Jun438http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4929-87E 014-4930-87E Request to Remove a Household Member(s) from the Trillium Drug ProgramEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch18-Jun167http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4930-87E 014-4931-87E Annual Deductible Re-Assessment RequestEHealth and Long-Term CareDrug Programs Delivery BranchOntario Drug BenefitMOHLTC form for Trillium Drug Program (TDP) Households to request a re-assessment of their TDP Household's deductible.19-Jul92http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4931-87E 014-4940-87E Exceptional Access Program (EAP) Request OxyNEO (Oxycodone Hydrochloride Controlled Release) TabletsEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun336http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4940-87E 014-4941-87E Exceptional Access Program (EAP) Request Fragmin (Dalteparin Sodium) TherapyEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun86http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4941-87E 014-4942-87E Exceptional Access Program (EAP) Request Innohep (Tinzaparin Sodium) TherapyEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4942-87E 014-4943-87E Exceptional Access Program (EAP) Request Lovenox (Enoxaparin Sodium) TherapyEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4943-87E 014-4951-87E Respiratory Syncytial Virus (RSV) Prophylaxis for High-Risk Infants Program Synagis® Order Form for Single or Multiple InfantsEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo provide healthcare practitioners a standard form to order palivizumab for patients enrolled in the program.16-Oct45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4951-87E 014-4953-64E Healthy Smiles Ontario – ApplicationEHealth and Long-Term CarePublic HealthPublic HealthMain application form for the core services stream of the Healthy Smiles Ontario program. This form applies to: (A) applicants that have a valid SIN and have filed statement of income or tax return with CRA; OR (B) applicants who do not have a valid SIN o15-Dec3250http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4953-64E 014-4954-64E Public Health Unit Requisition for Specimen Shipping SuppliesEHealth and Long-Term CarePublic HealthInfectious Diseases Policy and ProgramsPublic Health Unit requisition for specimen shipping supplies for rabies testing14-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4954-64E 014-4955-64E Healthy Smiles Ontario – Authorizing or Cancelling a RepresentativeEHealth and Long-Term CarePublic HealthPublic HealthPaper application required to register via mail. This form is submitted to authorize the MOHLTC (Oshawa) to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for HSO pro15-Dec46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4955-64E 014-4956-64E Healthy Smiles Ontario – Change of InformationEHealth and Long-Term CarePublic HealthPublic HealthPaper application required to register via mail. This Form is submitted as a result of a change during any benefit year that may result in the re-determination process step. e.g. Change/remove child, Add/remove spouse, Address Change. This Form is only re15-Dec304http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4956-64E 014-4963-84E Request for Prior Approval for Full Payment of Insured Out-of-Province (OOP) Health Services (in another province/territory)EHealth and Long-Term CareClaim Services BranchHealth Services15-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4963-84E 014-4971-67E Vendor AgreementEHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the indi15-Aug28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4971-67E 014-5023-67E Power Dynamic Positioning Devices - Justification for Funding ChartEHealth and Long-Term CareAssistive DevicesAssistive Devices19-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5023-67E 014-5024-41E Form 4A - Certificate of ContinuationEHealth and Long-Term CareMental HealthMental Health15-Dec26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5024-41E 014-5025-41E Form 51 - Application to the Board for Section 41.1 Orders under Subsection 39(6) of the ActEHealth and Long-Term CareMental HealthMental Health15-Dec54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5025-41E 014-5026-41E Form 52 - Application to the Board for an Involuntary Patient's Transfer to Another Psychiatric Facility under Section 39(8) of the ActEHealth and Long-Term CareMental HealthMental Health15-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5026-41E 014-5027-41E Form 53 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(9) of the ActEHealth and Long-Term CareMental HealthMental Health15-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5027-41E 014-5028-41E Form 54 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(10) of the ActEHealth and Long-Term CareMental HealthMental Health15-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5028-41E 014-5036-64E Healthy Smiles Ontario - Ontario Works First Nations Verification FormEHealth and Long-Term CarePublic HealthPublic HealthFirst Nations clients receiving Ontario Works will fill out this form and mail it to the HSO Program Administrator in order to enroll in the Healthy Smiles Ontario Program.16-Aug40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5036-64E 014-5037-67E Renewal of Funding Home Oxygen TherapyEHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to renew funding for home oxygen therapy.19-Aug35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5037-67E 014-5048-45E AEMCA Examination ApplicationEHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchCertification and Patient Care StandardsThe application form is for candidates who have either successfully completed the Paramedic training program provided by an approved College or Training Institution or have been considered equivalent through the MOH Standard Paramedic Equivalency Process 19-Oct382http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5048-45E 014-5050-67E Vendor Registration Application - Home Oxygen TherapyEHealth and Long-Term CareAssistive DevicesAssistive DevicesThe 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.16-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5050-67E 014-5052-45E AEMCA Examination Withdrawal and Refund ApplicationEHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchCertification and Patient Care StandardsThe withdrawal form is to be completed by individuals who have applied and paid to write the Ministry of Health (MOH) Advanced Emergency Medical Care Assistant (AEMCA) exam and now wish to withdraw from the exam.19-Oct63http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5052-45E 014-5053-20E Tobacconist RegistrationEHealth and Long-Term CareHealth Improvement Policy and Programs BranchSpecialty Store RegistrationFor retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.19-Dec36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5053-20E 014-5055-67E Authorizer Registration Change RequestEHealth and Long-Term CareAssistive DevicesAssistive DevicesTo maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program18-Jan98http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5055-67E 014-5056-87E Information Available to Health Care Providers through the Digital Health Drug RepositoryEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch“The Digital Health Drug Repository (DHDR) Reference Guide may be used by health care providers to understand the inclusions and limitations of the information available through the DHDR.”17-Feb29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5056-87E 014-5059-20E Warrant - Regulation 572, Health Protection and Promotion ActEHealth and Long-Term CareHealth PromotionHealth Promotion17-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5059-20E 014-5063-67E Addendum for Ventilator Equipment and Supplies Application FormEHealth and Long-Term CareAssistive DevicesAssistive DevicesAddendum for Ventilator Equipment and Supplies Application19-Aug75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5063-67E 014-5068-39E Health and Well-Being Grant Program Statement of InterestEHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs UnitStatement of Interest application form for the Health and Well-Being Grant Program17-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5068-39E 014-5069-39E Health and Well-Being (HWB) Grant Program Full Project Proposal Application Form - EvaluationEHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs Unit18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5069-39E 014-5069-87E Drug Benefit Claim Reversal FormEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchUsed by pharmacies for submitting claims or reversals19-Jun641http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5069-87E 014-5070-39E Health and Well-Being Grant Program Project Proposal Application Form – TrainingEHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs Unit18-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5070-39E 014-5071-39E Health and Well-Being (HWB) Grant Program Full Project Proposal Application Form - Community DevelopmentEHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs Unit18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5071-39E 014-5095-87E Consent to the Ministry of Health and Long-Term Care's Disclosure and Collection of Personal HealthEHealth and Long-Term CareDrug Programs Delivery BranchOntario Drug BenefitMOHLTC form that allows an Ontario Drug Benefits (ODB) Recipient to submit their express consent to disclose their personal health information to a third party and consent for the Ministry to collect that information from a third party.18-Jul150http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5095-87E 014-5109-20E Specialty Vape Store RegistrationEHealth and Long-Term CareHealth Improvement Policy and Programs BranchSpecialty Store RegistrationFor retailers that primarily sell vapour products to apply for a specialty vape store registration.19-Dec262http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5109-20E 014-5132-04E Form Y1 - Application to the Board to Review a Determination of Incapacity under Subsection 304(3) of the Child, Youth and Family Services ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5132-04E 014-5133-04E Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5133-04E 014-5134-04E Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5134-04E 014-5135-04E Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services ActEHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5135-04E 014-5486-92E Invoice Summary - Homes for Special CareEHealth and Long-Term CareAccounting Policy and Financial Reporting BranchAccounting Policy and Financial Reporting BranchThe Invoice Summary is used by home owners, suppliers and hospital staff to document the cost of goods and services provided to residents of Homes for Special Care.08-May60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5486-92E 014-6427-1787-41 Form 1 + Form 42 - Mental Health ActEHealth and Long-Term CareMental HealthMental HealthThis auto-populated version of the Form 1 and 42 is only to be used within psychiatric facilities where the Form 42 will be immediately issued to the recipient by the same physician that is completing the Form 1.10-May312http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6427-1787-41 014-6427-41 Form 1 - Application by Physician for Psychiatric AssessmentEHealth and Long-Term CareMental HealthMental HealthDec-00179http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6427-41 014-6428-41 Form 2 - Order for Examination under Section 16EHealth and Long-Term CareMental HealthMental HealthDec-0073http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6428-41 014-6429-41 Form 3 - Certificate of Involuntary AdmissionEHealth and Long-Term CareMental HealthMental HealthDec-00142http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6429-41 014-6430-41 Form 4 - Certificate of RenewalEHealth and Long-Term CareMental HealthMental HealthDec-0088http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6430-41 014-6437-41E Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the ActEHealth and Long-Term CareMental HealthMental Health16-Feb56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6437-41E 014-6615-53E Form 3 - X-ray Equipment and Shielding SpecificationsEHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection ServiceX-ray Equipment and Shielding Specifications18-Aug61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6615-53E 014-9998E-82 Ontario Health Insurance Plan (OHIP) Document ListEHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisThis is accompaniment to Registration for OHIP & Change of Information forms. Lists acceptable ID documents when applying for Ontario health coverage.16-Jan2930http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-9998E-82 016-0006 Schedule A - List of Employees (Certification) -- Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0006 016-0007 Schedule C - List of Employees (Termination ) --Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0007 016-0007A Employer's Report of Injury/Disease - Form 7ELabourWorkplace Safety and Insurance BoardCreative Services01-Oct21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0007A 016-0008 Schedule A -List of Employees (Certification)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0008 016-0008A Health Professional's Report - Form 8ELabourWorkplace Safety and Insurance BoardCreative Services01-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0008A 016-0009 Schedule B - List of EmployeesELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0009 016-0010 Schedule C - List of Employees (Termination)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0010 016-0069E Notice of Diving OperationsELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by employers to notify the Ministry of Labour prior to the start of a diving operation in Ontario.14-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0069E 016-0070E Notice of Trench WorkELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by constructors to notify the Ministry of Labour, before work is begun at a construction project, if the project includes work on a trench more than 1.2 metres deep into which a worker may enter.12-May83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0070E 016-0071E Notice of Window Cleaning WorkELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by employers, contractors or sub-contractors to notify the Ministry of Labour prior to carrying out window cleaning work at a building in Ontario if a suspended scaffold, boatswain's chair or similar single-point equipment is to be used.12-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0071E 016-0072E Notice of Asbestos Removal WorkELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by constructors or employers to notify the Ministry of Labour before beginning a Type 3 asbestos removal operation and certain Type 2 asbestos removal operations in Ontario.12-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0072E 016-0073E Notice of Mining ActivitiesELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by employers to notify a Ministry of Labour inspector of: the installation of portable crushing, screening or associated washing equipment or to notify of exploring, dewatering or resuming work at a mine where mining operations have been12-Apr17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0073E 016-0074E Notice of the Operation of a Test DrillELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by employers in the mining sector to notify a Ministry of Labour inspector before a test drill is operated at the surface to prove mineral bearing substances, rock, earth, clay, sand or gravel.11-Apr19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0074E 016-0075E Notice of Magazine or Use of ExplosivesELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by the operator of a surface magazine or a mine using explosives to notify the Ministry of Labour and the joint health and safety committee or health and safety representative, if any, before first use of a surface magazine or explosives12-May25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0075E 016-0076E Notice of a Reportable IncidentELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by mining companies to notify the Ministry of Labour of reportable incidents as identified in section 53 of the Occupational Health and Safety Act and section 21(5) of the Regulation for Mines and Mining Plants. It includes notification 12-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0076E 016-0077E Notice for Tunnels, Shafts, Caissons and CofferdamsELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by employers to notify the Ministry of Labour before beginning construction work on a tunnel, shaft, caisson or cofferdam.12-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0077E 016-0078E Notice of Diesel-Powered EquipmentELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is completed by employers, as required by section 182 (1) of the Regulation for Mines and Mining Plants, before diesel equipment is first used in an underground mine The completed form must be kept readily available at the mine site.12-May26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0078E 016-0079E Asbestos Work ReportELabourOccupational Health and Safety BranchHealth Care and Occupational Medicine UnitThis form is used by employers of workers in Type 2 or Type 3 asbestos operations. The form must be completed for each such worker at least once in each 12-month period and immediately on the termination of the employment of the worker. The form is submit12-May99http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0079E 016-0080E Notice of use of a suspended work platform systemELabourOccupational Health and Safety BranchOccupational Health and SafetyIf you're the Constructor on a construction project, you must notify the Ministry of Labour at least 48 hours before a suspended work platform system is used for the first time. A copy of the completed notice must be kept clearly visible at the worksite f17-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0080E 016-0200E Request for Information - Non-Union Employee ApplicantELabourPay Equity CommissionPay Equity CommissionThe Non-Union Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office12-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0200E 016-0201E Request for Information - Union/Employer QuestionnaireELabourPay Equity CommissionPay Equity CommissionThe Union/Employer Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.12-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0201E 016-0202E Request for Information - Represented Employee QuestionnaireELabourPay Equity CommissionPay Equity CommissionThe Represented Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.12-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0202E 016-0203E Request for Information - Employee Reprisal QuestionnaireELabourPay Equity CommissionPay Equity CommissionThe Employee Reprisal Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.12-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0203E 016-0208E Application for Review ServicesELabourPay Equity CommissionPay Equity CommissionThe Application for Review Services is used to make a complaint if there has been a contravention of the Pay Equity Act or a contravention of an Order issued by the Pay Equity Office or the Pay Equity Tribunal. 13-Mar54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0208E 016-0275E Hoist Operator's Medical CertificateELabourOccupational Health and Safety BranchOccupational Health and SafetyAmendments to Regulation 854 for Mines and Mining Plants made under the Occupational Health and Safety Act, which came into effect on January 1, 2012, included changes to the medical certificate prescribed under section 238 of the regulation. Under these 13-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0275E 016-0279E Crane Operator's Medical CertificateELabourOccupational Health and Safety BranchOccupational Health and SafetyAmendments to Regulation 854 for Mines and Mining Plants made under the Occupational Health and Safety Act, which came into effect on January 1, 2012, included changes to the medical certificate prescribed under section 195 of the regulation. Under these 13-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0279E 016-0283E Consent to Disclose Personal Information Complaints and Work RefusalsELabourOccupational Health and Safety BranchOccupational Health and SafetyComplaints and Work Refusals Worker consent to authorize the Ministry of Labour and the Workplace Safety and Insurance Board to disclose personal information for the purposes of administering and enforcing the Occupational Health and Safety Act and Sectio13-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0283E 016-0287E Application for EmploymentELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramApplication for Employment to be used in the upcoming Industrial Health & Safety Inspector recruitment for the Ministry of Labour. Applicants will download the form from the Ministry of Labour website and complete the application in order to apply for an 16-Mar26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0287E 016-0288E Application for Employment - ConstructionELabourOccupational Health and Safety BranchConstruction Health and Safety Program15-Feb28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0288E 016-0289E Application for Employment - MiningELabourOccupational Health and Safety BranchMining Health and Safety Program15-Feb31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0289E 016-1000E Registration of Constructors and Employers Engaged in ConstructionELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramEach constructor and employer engaged in a construction project in Ontario must complete this registration form. This form must be at the project while the employer is working there.17-Sep4079http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1000E 016-1552E Form 1 - Notice of Termination of Employment under Subsection 58 (2) of The Employment Standards Act, 2000ELabourEmployment Practices BranchEmployment Standards ProgramFor employers who are terminating 50 or more employees in a 4-week period, they are required to provide notice in the Form 1 to the Director of Employment Standards under the ESA. Once MOL receives the notice, the notice of termination period can begin.15-Dec550http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1552E 016-1909E Notice of Requirement to Achieve and Maintain Pay EquityELabourPay Equity CommissionPay Equity CommissionThis notice is posted in the employer's workplace as required by Section 7.1 of the Pay Equity Act, R.S.O. 1990, c.P.7, as amended.12-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1909E 016-1910E Notice of Inability to Achieve Pay EquityELabourPay Equity CommissionPay Equity CommissionAs required by the Pay Equity Act, as amended, the employer described below hereby notifies the Pay Equity Office that it has at least one female job class for which a pay equity comparison cannot be made within an establishment by either the job-to-job o12-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1910E 016-1911E Certificate of PostingELabourPay Equity CommissionPay Equity CommissionCertificate of Posting12-Oct35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1911E 016-1931E Training Program Assessment for WorkersELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitTraining Program Assessment for Workers - This guidance tool can help employers assess whether their occupational health and safety awareness training program meets the minimum requirements of the Occupational Health and Safety Awareness and Training Regu14-May2115http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1931E 016-1932E Training Program Assessment for SupervisorsELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitTraining Program Assessment for Supervisors - This guidance tool can help employers assess whether their occupational health and safety awareness training program meets the minimum requirements of the Occupational Health and Safety Awareness and Training 14-May352http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1932E 016-1933E Record Keeping TemplateELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitThe Record Keeping Template – This guidance tool is one way that an employer can record the basic occupational health and safety awareness training for their workers and supervisors. This guidance tool is a sample template.14-May537http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1933E 016-1934E Knowledge Check for SupervisorsELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitKnowledge Check for Supervisors - This guidance tool is one way an employer can verify that a supervisor's previous awareness training meets the minimum requirements.14-May178http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1934E 016-1935E Knowledge Check for WorkersELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitKnowledge Check for Workers - This guidance tool is one way an employer can verify that a worker's previous awareness training meets the minimum requirements.14-May415http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1935E 016-1938E Multi-workplace Joint Health and Safety Committee Self-evaluation ChecklistELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramThis Self-evaluation checklist has been developed to assist you in the process of applying for a Multi-workplace Joint Health and Safety Committee (MJHSC) granted under a Minister's Order pursuant to subsection 9(3.1) of the Occupational Health and Safety14-Sep89http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1938E 016-1950E Working at Heights Training Provider ApplicationELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThis is the training provider application form a training provider must complete and submit to the Chief Prevention Officer, pursuant the authority under subsection 7.1(2) and 7.2(2) of the Occupational Health and Safety Act (OHSA), for the purpose of th14-Dec105http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1950E 016-1963E Joint Health and Safety Committee (JHSC) Certification Training Provider ApplicationELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThe JHSC Training Provider Application is designed to support the new Joint Health and Safety Committee Training Provider & Training Program standards by allowing training provider applicants to submit their JHSC Part One and/or Part Two and/or Refresher 15-Sep46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1963E 016-1964E Joint Health and Safety Committee (JHSC) Certification Training Program Extension or Exemption RequestELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThe Joint Health and Safety Committee Certification (JHSC)Training Program – Extension Or Exemption Request form allows JHSC learners to apply for a one-time extension, or it allows fully certified JHSC members to apply for a one-time exemption from Refre18-Nov296http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1964E 016-1965E Request for Voluntary Withdrawal of Application or Training ProgramELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThe Request for Voluntary Withdrawal of Application or Training Program form allows Training Provider applicants seeking Chief Prevention Officer (CPO) approval, or currently approved Training Providers to voluntarily withdraw their program(s). By submitt15-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1965E 016-1966E Child Performers Claim FormELabourEmployment Practices BranchEmployment Standards ProgramTo enable child performers or their parents or guardians to file a claim under the Protecting Child Performers Act, 2015, which sets out the minimum requirements for employers, child performers and parents or guardians.16-Feb22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1966E 016-1973E Application for Employment - Employment Standards OfficerELabourOperations BranchOperations Integration & Coordination UnitThe form is required for candidates to apply to the Employment Standards Officer job posting from August 28 - September 29, 2017.18-Apr6186http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1973E 016-1975E Application for Employment Occupational Health and Safety Inspector - IndustrialELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramApplication for Employment to be used in the upcoming Industrial Health & Safety Inspector recruitment for the Ministry of Labour. Applicants will download the form from the Ministry of Labour website and complete the application in order to apply for an 19-Feb30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1975E 016-1977E Application for Employment Occupational Health and Safety Inspector - ConstructionELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramApplication for Employment Occupational Health and Safety Inspector - Construction18-Apr28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1977E 016-1986E Self-Assessment Questionnaire for Candidates Interested in an Employment Standards Officer PositionELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramBefore you complete the Application Form for the Occupational Health and Safety Inspector position, take a moment to see if you meet some of the important qualifications. Please note that this questionnaire was developed for your personal use only.16-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1986E 016-1997E Self-Assessment Questionnaire for Candidates Interested in an Occupational Health and Safety Inspector PositionELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramSelf-Assessment Questionnaire for Candidates Interested in an Occupational Health and Safety Inspector Position 16-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1997E 016-2010E Application for Registration with the Radiation Protection ServiceELabourOccupational Health and Safety BranchRadiation Protection ServiceIf you are an employer planning to use X-ray sources at your workplace, you must use this form to apply for registration with the Ministry of Labour, before using any X-ray sources at your workplace.18-Mar104http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2010E 016-2011E Application for Review of Permanent X-ray LocationELabourOccupational Health and Safety BranchRadiation Protection ServiceIf you are an employer planning to install an X-ray source or use a mobile or portable source regularly in one location you must submit an application for review of the permanent location for the X-ray source, along with plan location drawings to the Mini18-Mar87http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2011E 016-2018E Application for Employment Occupational Health and Safety Inspector - MiningELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramApplication for Employment Occupational Health and Safety Inspector - Mining19-Feb21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2018E 016-2019E Request for Appointment of Conciliation OfficerELabourDispute Resolution ServicesDispute Resolution Services BranchA trade union or employer can apply to the Ministry of Labour for assistance in reaching a collective agreement. Conciliation is the process that the parties must complete to be in a legal strike or lockout position, as outlined in the Labour Relations Ac19-Jan130http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2019E 016-2020E Request for Appointment of Single Arbitrator Under Section 49 (Expedited Arbitration)ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator through an expedited process, as outlined in section 49 of the Labour Relations Act, 1995.19-Jan69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2020E 016-2021E Request for Appointment of Single Arbitrator Under Section 53.0.1 (Expedited Arbitration)ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator through an expedited process, as outlined in section 53.0.1 of the Fire Protection and Prevention Act, 1997.19-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2021E 016-2022E Request for Appointment of Arbitrator/Chair/Nominee Under Section 48ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator, chair or nominee in the case of a failure to appoint, as outlined in section 48 of the Labour Relations Act, 1995.19-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2022E 016-2023E Request for Appointment of Single Arbitrator Under Section 53ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator, as outlined in section 53 of the Fire Protection and Prevention Act, 1997.19-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2023E 016-2024E Application for Approval as an ArbitratorELabourDispute Resolution ServicesDispute Resolution Services BranchThis form is for individuals who wish to apply to have their name added to the Minister of Labour's list of approved grievance arbitrators.19-Jan30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2024E 016-2026E File a workplace health and safety complaintELabourOperations DivisionOccupational Health and Safety Contact CentreComplete and submit this form to file a complaint with the Ministry of Labour, Training and Skills Development's Health and Safety Contact Centre about a workplace health and safety concern.19-Nov1197http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2026E 016-5086E Electric Vehicle Chargers Ontario (EVCO) Program ApplicationETransportationTransportation Policy BranchSustainable and Innovative Transportation OfficeApplication for the Electric Vehicle Chargers Ontario program15-Dec18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-5086E 016-C-10E Notice to Responding Party and/or Affected Party of Application Regarding Unlawful Strike or Lock-outELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-10E 016-C-11E Notice to Responding Party and/or Affected Party of Application for Interim OrderELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-11E 016-C-12E Notice to Responding Party and/or Affected Party of Application under Section 96 of the Act (Unfair Labour Practice)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-12E 016-C-13E Notice to Responding Party and/or Affected Party of Application for Consent to Institute ProsecutionELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-13E 016-C-14E Notice to Union and Employer of Application under Section 74 of the Act (Union's Duty of Fair Representation)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-14E 016-C-15E Notice to Union of Application under Section 75 of the Act (Union's Duty of Fair Referral)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-15E 016-C-16E Notice to Responding Party and/or Affected Party of Application for Termination of Bargaining Rights under Section 64, 65 or 66 of the ActELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-16E 016-C-17E Notice to Responding Party and/or Affected Party of Application for Religious ExemptionELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-17E 016-C-18E Notice to Responding Party and/or Affected Party of Application Concerning Work Assignment (Jurisdictional Dispute)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-18E 016-C-19E Notice to Responding Party and/or Affected Party of Application under Part IV of the Crown Employees Collective Bargaining Act, 1993ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-19E 016-C-20E Notice to Responding Party and/or Affected Party of Application Regarding Employee StatusELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-20E 016-C-21E Notice to Responding Party and/or Affected Party of Application Regarding Failure to Comply with Terms of SettlementELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-21E 016-C-22E Notice to Responding Party and/or Affected Party of Application Concerning Failure to Furnish Financial StatementELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-22E 016-C-23E Notice to Responding Party and/or Affected Party of Application Concerning Inadequate Financial StatementELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-23E 016-C-24E Notice of Request for ReconsiderationELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-24E 016-C-25E Notice to Responding Party and/or Affected Party of Application under Section 77 of the Act (Colleges Collective Bargaining Act)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-25E 016-C-26E Notice to Employer and/or Affected Party of Application under Section 50 of the Act (Unlawful Reprisal) (Occupational Health and Safety Act)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-26E 016-C-27E Notice to Employer and/or Affected Party of Application under Section 8 of the Act (Unlawful Reprisal) (Smoking in the Workplace Act)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-27E 016-C-28E Notice to Employer and/or Affected Party of Application under Section 174 of the Act (Unlawful Reprisal) (Environmental Protection Act)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-28E 016-C-29E Notice to Employer and/or Affected Party of Application under Section 105 of the Act (Unlawful Reprisal) (Environmental Bill of Rights Act)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-29E 016-C-2E Notice to Employees of Application for CertificationELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-2E 016-C-30E Notice to Responding Party and/or Affected Party of Application under Section 21, 22 or 23 of the Act (Public Sector Labour Relations Transition Act, 1997)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-30E 016-C-31E Notice to Responding Party and/or Affected Party of Application under the ActELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-31E 016-C-32E Notice to Employer of Application for Certification, Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-32E 016-C-33E Notice to Employees of Application for Certification, Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-33E 016-C-34E Notice to Union of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-34E 016-C-35E Notice to Employer of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-35E 016-C-36E Notice to Employees of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-36E 016-C-37E Notice to Responding Party and/or Affected Party of Application under Section 127.2 of the Act (Termination of Bargaining Rights, Non-Construction Employer)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-37E 016-C-38E Notice of Responding Party and/or Affected Party of Referral of Grievance to Arbitration (Construction Industry)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-38E 016-C-39E Notice to Responding Party and//or Affected Party of Application for Accreditation, Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-39E 016-C-3E Notice to Union of Application for Termination of Bargaining Rights under Section 63 of the ActELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-3E 016-C-40E Notice to Responding Party and/or Affected Party of Application Concerning Sector Dispute in the Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-40E 016-C-41E Notice to Responding Party and/or Affected Party of Application under the Ambulance Services Collective Bargaining Act, 2001ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-41E 016-C-43E Notice to Responding Party and/or Affected Party of Notice of Jurisdictional Dispute in the Construction IndustryELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-43E 016-C-4E Notice to Employer of Application for Termination of Bargaining Rights under Section 63 of the ActELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-4E 016-C-5E Notice to Employees of Applicatin for Termination of Bargaining Rights under Section 63 of the ActELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-5E 016-C-6E Notice to Responding Party and/or Affected Party of Application for Rights of AccessELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-6E 016-C-7E Notice to Responding Party of Application under Section 43 of the Act (Direction that a First Collective Agreement be Settled by Arbitration)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-7E 016-C-8E Notice to Responding Parties and/or Affected Party of Application for Declaration Concerning Status of Successor Trade UnionELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-8E 016-C-9E Notice to Responding Party and/or Affected Party of Application under Section 69 and/or Subsection 1(4) of the Act (Sale of Business and/or Related Employer)ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-9E 016-JPO-001E Contractor Registration Application for Specialized WorkELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis 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.11-Jan42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-001E 016-JPO-002E Worker Registration Application Specialized for WorkELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used by workers who want to work in Quebec with their Ontario contractor to do specialized construction work. This type of work is usually associated with the provision of a warranty.11-Jan40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-002E 016-JPO-003E Contractor Registration Application Trade ActivitiesELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used by contractors who want to bring their qualified but uncertified workers to do work in Quebec. These workers normally have experience in certain aspects of a voluntary trade but do not hold a certificate for that trade.11-Jan44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-003E 016-JPO-004E Worker Registration Application for Trade ActivitiesELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used for workers who have experience in certain aspects of a voluntary trade and want to work in Quebec with their Ontario employer but who do not hold a certificate for that trade.11-Jan36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-004E 016-MOL-ES-002E Employment Standards Claim KitELabourEmployment Practices BranchEmployment Standards ProgramEmployment standards are enforced under the Employment Standards Act, 2000 (ESA), which sets out the minimum standards that employers and employees must follow.18-Jan3606http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-002E 016-MOL-ES-016E Employment Protection for Foreign Nationals Claim FormELabourEmployment Practices BranchEmployment Standards Program19-Apr43http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-016E 016-MOL-ES-024E Notification of ComplianceELabourEmployment Practices BranchEmployment Standards Program16-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-024E 016-MOL-ES-039E Severance Pay WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of severance pay your employer may owe you.18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-039E 016-MOL-ES-040E Public Holiday Pay WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of public holiday pay your employer may owe you.18-Jun25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-040E 016-MOL-ES-041E Termination Pay WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of termination pay your employer may owe you.18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-041E 016-MOL-ES-047E Notification of Section 112 Settlement FormELabourEmployment Practices BranchEmployment Standards ProgramThe claimant and employer, in the matter of the claim referenced filed in accordance with s. 96(1) of the Employment Standards Act, 2000, notify the Ministry of Labour of the settlement of the claim.15-Nov109http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-047E 016-MOL-ES-048E Section 112 Terms of SettlementELabourEmployment Practices BranchEmployment Standards ProgramThe claimant, in the matter of the claim referenced filed in accordance with s. 96(1) of the Employment Standards Act, 2000, notify the Ministry of Labour of the settlement of the claim/terms.15-Nov65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-048E 017-0104E Tenant's Motion to Void an Eviction Order for Arrears of RentEMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0104E 017-0106E Request to Re-open an ApplicationEMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0106E 017-0107E Request to Review an OrderEMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal07-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0107E 017-10550P Notice of Extension of Campaign Period – Form 6EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a candidate who has a deficit at the end of the regular campaign period and wishes to extend their campaign. Must be filed with the municipal clerk.18-Apr12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10550P 017-10551P Notice of Registration - Third Party - Form 7EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by an individual, corporation or trade union that wishes to incur expenses for a question on a municipal ballot. Must be filed with the municipal clerk.18-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10551P 017-10552P Financial Statement - Auditor's Report Third Party - Form 8EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by every registrant for a question on the ballot in a municipal or school board election. Must be filed with the municipal clerk.18-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10552P 017-10554PE Declaration of Identity – Form 9EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed at the voting place by a person who is on the voters' list, but who does not have proof of identity and proof of residence. 18-Apr56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10554PE 017-2006E Form 1 – Request for Fence-Viewers<br>Line Fences Act, subsection 4 (1), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2006E 017-2007E Form 2 – Clerk's Notice to Parties (Dispute)<br>Line Fences Act, subsection 4 (2), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2007E 017-2008E Form 3 – Clerk's Notice to Fence-Viewers (Dispute)<br>Line Fences Act, subsection 4 (2), O Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2008E 017-2009E Form 4 – Award<br>Line Fences Act, subsection 8 (1), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2009E 017-2010E Form 5 - Owner's Notice of Appeal from Fence-Viewers' Award<br>Line Fences Act, subsection 10 (1), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2010E 017-2011E Form 6 – Affidavit of Service of Notice of Appeal<br>Line Fences Act, subsection 10 (1), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2011E 017-2012E Form 7 – Clerk's Notice to Parties (Certification)<br>Line Fences Act, subsection 11 (8), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2012E 017-2013E Form 8 – Clerk's Notice to Fence-Viewers (Certification)<br>Line Fences Act, subsection 11 (8), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2013E 017-2014E Form 9 – Certification of Default (Work Not Done)<br>Line Fences Act, subsection 12 (1) (a), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2014E 017-2015E Form 10 – Certification of Default (Payment Not Made)<br>Line Fences Act, clause 12 (1) (b), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2015E 017-2016E Form 11 – Treasurer's Notice of Amount Owed to Municipality by Defaulting Owner<br>Line Fences Act, subsection 12 (8), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2016E 017-2017E Form 12 – Determination with Directions<br>Line Fences Act, subsection 13 (6), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2017E 017-2018E Form 13 – Decision of Fence-Viewers Where No Award, Certificate, etc. is Made<br>Line Fences Act, subsection 14 (1), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2018E 017-2019E Form 14 – Agreement<br>Line Fences Act, section 16, O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2019E 017-2020E Form 15 – Agreement (Where One Party is a Municipality or Local Board)<br>Line Fences Act, subsection 23 (3), O. Reg. 127/14EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2020E 017-2021E Form 1 - Award<br>Line Fences Act, R.R.O. 1990, Reg. 716EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2021E 017-2022E Form 2 - Notice of Appeal from Fence-Viewer's Award<br>Line Fences Act, R.R.O. 1990, Reg. 716EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2022E 017-2023E Form 3 - Certificate of Default (Work Not Done)<br>Line Fences Act, R.R.O. 1990, Reg. 716EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2023E 017-2024E Form 4 - Agreement<br>Line Fences Act, R.R.O. 1990, Reg. 716EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2024E 017-2028E Form to be forwarded for approval of an Adopted Official Plan or Plan AmendmentEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis form is to be used by municipalities and planning boards for the approval of an adopted official plan or plan amendment if the Ministry of Municipal Affairs and Housing is the approval authority.17-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2028E 017-2029E Application for ConsentEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used to apply for consent to sever lands if the Minister of Municipal Affairs and Housing is the consent granting authority.17-Mar59http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2029E 017-2030E Application to Amend or Revoke a Minister's Zoning OrderEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis form is to be used for applications to amend or revoke a Minister's zoning order (MZO).17-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2030E 017-2031E Application for Matching Education Property Tax AssistanceEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitThis form is to be used by municipalities to apply to the Province of Ontario's Brownfields Financial Tax Incentive Program.16-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2031E 017-2032E Annual Progress Report Brownfields Financial Tax Incentive ProgramEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitThis form is to be used by municipalities to provide annual progress reports under the Province of Ontario's Brownfields Financial Tax Incentive Program.16-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2032E 017-2034E Application for Validation OrderEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used where the Minister of Municipal Affairs and Housing has the authority under the Planning Act to grant validation orders.17-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2034E 017-2035E Application for Approval of a Plan of Subdivision and CondominiumEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used when the Minister of Municipal Affairs and Housing is the approval authority for a proposed plan of subdivision or proposed plan of condominium.17-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2035E 017-2036E Application for amendment to the Parkway Belt West PlanEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used to request for an amendment to the Parkway Belt West Plan as provided for by the Ontario Planning and Development Act.17-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2036E 017-2100E Places to Grow Implementation Fund ApplicationEMunicipal Affairs and HousingOntario Growth SecretariatPartnerships and ConsultationThe form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund.16-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2100E 017-2233E Endorsement of Nomination - Form 2EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy Section18-Apr41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2233E 017-2234E Disaster Recovery Assistance for Ontarians: Application Form for Homeowners and TenantsEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitDisaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligibl19-Mar42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2234E 017-2235E Disaster Recovery Assistance for Ontarians: Application Form for Small Businesses, Farms and Not-For-Profit OrganizationsEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitDisaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligibl19-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2235E 017-2236E Disaster Recovery Assistance for Ontarians: Request for ReconsiderationEMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach Unit19-Jul45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2236E 017-9499P Nomination Paper - Form 1EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a person wishing to be a candidate in a municipal or school board election. Must be filed with the clerk of the municipality responsible for conducting the election, along with the prescribed fee.18-Apr60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9499P 017-9502P Appointment for Voting Proxy – Form 3EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a qualified elector to appoint another person who is a qualified elector in the same municipality to vote or his or her behalf. Two copies of the completed form must be presented to the municipal clerk.18-Apr52http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9502P 017-9503P Financial Statement - Auditor's Report Candidate - Form 4EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by every candidate in a municipal or school board election. Must be filed with the municipal clerk.18-Apr37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9503P 017-9504P Financial Statement – Subsequent Expenses Form 5EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a candidate who incurs costs related to a recount, controverted election or compliance audit after the supplementary campaign period has passed, and who receives the surplus funds from their campaign held in trust from the clerk. Must b18-Apr20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9504P 017-S2E Motion to Set Aside an Ex Parte OrderEMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-S2E 017-S3E Landlord's Motion to Set Aside an Order to VoidEMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-S3E 018-0178E Avoidance Alternatives Form for activities that may require an overall benefit permit under clause 17(2)(c) of the Endangered Species ActENatural Resources and ForestrySpecies at Risk BranchSpecies at Risk ProgramThe purpose of this Avoidance Alternatives Form (AAF) is to assist the proponent with considering alternatives that would not adversely affect protected species or habitat(s). The completion of the Avoidance Alternatives Form (AAF) by the proponent is req12-Feb83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0178E 018-0179E Application for an overall benefit permit under clause 17(2)(c) of the Endangered Species ActENatural Resources and ForestrySpecies at Risk BranchSpecies at Risk ProgramThis form supplies to MNR the necessary information for a Minister's decision on the issuance of an overall benefit permit under section 17 of the Endangered Species Act. The combined information provided in the Information Gathering Form (IGF), Avoidance12-Feb85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0179E 018-0180E Information Gathering Form for activities that may affect species or habitat protected under the Endangered Species ActENatural Resources and ForestrySpecies at Risk BranchSpecies at Risk ProgramThe purpose of this form is to gather the information that proponents need to submit to the Ministry of Natural Resources (MNR) to inform the Ministry's determination of whether or not a proposed activity is likely to contravene subsection 9(1) or 10(1) o12-Feb128http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0180E 018-0181E Land Stewardship and Habitat Restoration Program (LSHRP) Application 2015/16ENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements Unit14-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0181E 018-0233E Private Gas Well Licence ApplicationENatural Resources and ForestryIntegration BranchPetroleum OperationsThis form only to be used for the licensing of existing wells.12-Jul13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0233E 018-0235E Well Evaluation Private Gas Well Incentive ProgramENatural Resources and ForestryIntegration BranchProgram Coordination Section12-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0235E 018-0427E Notice of PossessionENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis is the notice of possession form a person must complete and submit to the Minister to satisfy the notice requirements set out in subsection 23.15 (6) of Ontario Regulation 242/08 under the Endangered Species Act, 2007 and sections 2 and 3.2 of Ontari13-Jul43http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0427E 018-0428E Notice of Butternut Impact FormENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis is the notice of butternut impact form a person must complete and submit to the Minister to satisfy the notice requirements set out in section 23.7 of Ontario Regulation 242/08 under the Endangered Species Act, 2007 for the purpose of impacting butte13-Jul32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0428E 018-0433E Notice of Activity Form to Register for Activities on Public Land and Shore Lands under the Public Lands ActENatural Resources and ForestryIntegration BranchProgram Coordination SectionThis is the Notice of Activity on Public Land and Shorelands form a person must complete and submit to the Minister to satisfy the notice requirements set out in subsection 8 (3) 2 and 5 (2) 3 of Ontario Regulation 239/13 under the Public Lands Act, R.S.O13-Dec49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0433E 018-0434E Application for Aquaculture-Related Licences for Community HatcheriesENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionThis form is to be used by community hatcheries only to apply for an Aquaculture Licence, a Licence to Collect Fish for Aquaculture, and/or a Licence to Stock Fish.18-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0434E 018-0446E Elk Seal Transfer ApplicationENatural Resources and ForestrySpecies Conservation Policy BranchFish and Wildlife Services BranchThis form documents a group applicant's request to transfer his/her elk seal to another hunter in the group.14-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0446E 018-0447E Adult Moose Validation Tag Transfer ApplicationENatural Resources and ForestrySpecies Conservation Policy BranchFish and Wildlife Services BranchThis form documents a group applicant's request to transfer his/her moose validation tag to the designated alternate in the group.14-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0447E 018-0448E Ice Hut RegistrationENatural Resources and ForestryIntegration BranchProgram Coordination SectionThis Ice Hut Registration form is to be used to obtain a number required for ice fishing hut(s) in Fisheries Management Zones 9 – 12 and 14 – 20. For more information, please see ontario.ca/icefishing14-Jul217http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0448E 018-0451E Examiner ReportsENatural Resources and ForestryIntegration BranchPetroleum OperationsThe form provides a template for Examiner's to provide well information for annual and semi-annual examinations. These reports are legislated through the Provincial Operating Standards. Examinations take place under the Exameriner's Program, which is admi19-Feb20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0451E 018-0456E Ontario FireRanger Employment Application FormENatural Resources and ForestryAviation, Forest Fire & Emergency ServicesScience and Technology/Integrated Services SectionBeing a FireRanger with Aviation, Forest Fire and Emergency Services is a rewarding job, physically demanding and can involve weeks away from home. Ontario FireRangers participate in resource management projects, training, equipment maintenance and fire p17-Dec1505http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0456E 018-0457E Seasonal or Temporary Employment Application FormENatural Resources and ForestryAviation, Forest Fire & Emergency ServicesScience and Technology/Integrated Services SectionBeing a Data Entry Clerk, a Driver, a Hose Plant Labourer or any of the other available seasonal or temporary employment with Aviation, Forest Fire and Emergency Services can be rewarding. Seasonal and temporary employees participate in resource managemen15-Feb34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0457E 018-0469E Licence to Collect Fish for Scientific Purposes – Mandatory Collection ReportENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionThere is a reporting requirement for activities carried out under a Licence to Collect fish for Scientific Purpose. This form is an electronic version of the mandatory report. The specific regulation requiring this report reads: O. Reg. 664-98 34.1 & O. R16-Sep23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0469E 018-0470E Kids' Fish Art Contest - Entry FormENatural Resources and ForestryFish and Wildlife Services BranchBusiness and Integration Services SectionThis form is used when submitting an entry to the Kids' Fish Art Contest.18-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0470E 018-0471E Independent Electricity System Operator Feed-In Tariff 5 (IESO FIT 5) ProgramENatural Resources and ForestryNatural Resources Conservation Policy BranchResource Development SectionThis procedural guidance document is intended for those proponents with renewable energy projects proposed in whole or in part on provincial Crown land who have received a Feed-In Tariff (FIT) 5 energy procurement contract offer by the Independent Electri16-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0471E 018-0472E Notice of Activity Form - Aquatic Species Activities in the habitat of certain fish or musselsENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Aquatic Species - Activities in the habitat of certain fish or mussels (s.23.4) under the Endangered Species Act, 2007.16-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0472E 018-0473E Notice of Activity Form Barn Swallow – Activities in built structures that are habitatENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Barn Swallow – Activities in built structures that are habitat under the Endangered Species Act, 2007.16-Dec23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0473E 018-0474E Notice of Activity Form Bobolink and Eastern Meadowlark – Activities impacting 30 hectares or less of habitatENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Bobolink and Eastern Meadowlark – Activities impacting 30 hectares or less of habitat under the Endangered Species Act, 2007.16-Dec21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0474E 018-0475E Notice of Activity Form Chimney Swift – Activities in chimneys that are habitatENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Chimney Swift – Activities in chimneys that are habitat under the Endangered Species Act, 2007.16-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0475E 018-0476E Notice of Drainage WorksENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Drainage Works under the Endangered Species Act, 2007.16-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0476E 018-0477E Notice of Activity Form Early Exploration MiningENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Early Exploration Mining under the Endangered Species Act, 2007.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0477E 018-0478E Notice of Activity Form Ecosystem protectionENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Ecosystem Protection – Activities to maintain, enhance or restore native ecosystems under the Endangered Species Act, 2007.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0478E 018-0479E Notice of Activity Form – Threats to Human Health or Safety- Activities to protect against non-imminent threatsENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Threats to Human Health or Safety- Activities to protect against non-imminent threats under the Endangered Species Act, 2007.16-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0479E 018-0480E Notice of Activity Form Hydro-Electric Generating Stations- OperationsENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Hydro-Electric Generating Stations- Operations under the Endangered Species Act, 2007.16-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0480E 018-0481E Notice of Activity Form Notice of Incidental TrappingENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Notice of Incidental Trapping Form under the Endangered Species Act, 2007.16-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0481E 018-0482E Notice of Activity for Newly Listed and Transition SpeciesENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity or Notice of Drainage Works for Newly Listed and Transition Species – Eligible development activities under the Endangered Species Act, 2007.16-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0482E 018-0483E Notice of Activity Form - Pits and Quarries – Operations of an eligible pit or quarryENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Pits and Quarries – Operations of an eligible pit or quarry under the Endangered Species Act, 2007.16-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0483E 018-0484E Notice of Activity Form Possession for Scientific or Educational PurposesENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Possession of Scientific of Educational Purposes under the Endangered Species Act, 2007.16-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0484E 018-0485E Notice of Activity Form - Safe HarbourENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Safe Harbour – Activities in created or enhanced habitat under the Endangered Species Act, 2007.16-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0485E 018-0486E Notice of Activity Form - Safe HarbourENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Safe Harbour – Activities in created or enhanced habitat under the Endangered Species Act, 2007.16-Dec18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0486E 018-0487E Notice of Activity Form - Wind Facilities OperationsENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Wind Facilities Operations under the Endangered Species Act, 2007.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0487E 018-0488E Application Form for Cage Aquaculture Facilities in OntarioENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionThe purpose of this Application Form is to provide MNRF with the necessary information to process and review a request for a new (Type A), revised (Type B) or renewed (Type C) license for Cage Aquaculture Facilities.17-Jul13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0488E 018-2365E Building Construction Part 2ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo collect information regarding work requested to take place on private property without municipal organization and located within a restricted area or for structures proposed on Crown land.14-Aug39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2365E 018-2366E Application to do Work on Shorelands Part 3ENatural Resources and ForestryIntegration BranchProgram Coordination SectionCollect information regarding work to take place on shore lands.14-Aug102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2366E 018-2367E Road or Trail Construction/Water Crossings Part 4ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo provide information regarding work requested to take place for purposes of road or trail or watercrossings14-Aug64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2367E 018-2368E Works within a Waterbody Part 5ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo provide information regarding work requested to take place wihtin a waterbody14-Aug45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2368E 018-2369E Application for Work Permit Part 1ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo collect applicant/contractor information and site specific information regarding activities proposed on public land or shore lands14-Aug294http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2369E 018-2370E Seed Purchase OrderENatural Resources and ForestryRegional Operations DivisionOntario Tree Seed PlantAllows clients to access order form at any time. Allows clients to mail/fax/email order form at their convenience rather than wait for regular business hours.14-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2370E 018-2371E Bait Harvest Area ApplicationENatural Resources and ForestryBiodiversity BranchFisheries Policy SectionMechanism to apply for a bait harvest area (BHA). BHA's are an allocated portion of the resource and is the scale at which commercial bait harvesters are allowed to harvest baitfish and leeches. A commercial bait harvester can obtain as many BHAs as are 15-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2371E 018-2372E Application for a Commercial Bait Licence to Deal in BaitENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionApplication for a Commercial Bait Licence to Deal in Bait16-Apr106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2372E 018-2374E Application for a Commercial Bait Licence to Harvest in BaitENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionApplication for a Commercial Bait Licence to Harvest in Bait16-May66http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2374E 018-2375E Application for Transfer of a Commercial Bait LicenceENatural Resources and ForestryBiodiversity BranchFisheries Policy SectionMechanism to transfer a commercial bait licence from one licence holder to another.15-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2375E 018-2376E Application for Change of Information Regarding Designates Listed on a Commercial Bait LicenceENatural Resources and ForestryBiodiversity BranchFisheries Policy SectionMechanism to change information (e.g., address) of a designate or remove a designate from a commercial bait harvest licence. Designates are persons 16 years (or older) that are granted the authority to harvest bait on behalf of the licence holder in the15-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2376E 018-2377E Designate Acknowledgement for Commercial Bait HarvestingENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionDesignate Acknowledgement for Commercial Bait Harvesting16-May44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2377E 018-2378E Licensees Compliance Assessment Report - Aggregate Resources ActENatural Resources and ForestryNatural Resources Conservation Policy BranchResource Development SectionLicensees are required, under the Aggregate Resources Act, to conduct an annual self-assessment of their aggregate site's compliance with the rules and submit a Compliance Assessment Report. The report is submitted to the Ministry of Natural Resources and16-May76http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2378E 018-2380E Well Location Sketch - Existing Private Gas WellENatural Resources and ForestryIntegration BranchPetroleum OperationsThis form is used to collect spatial information to identify the exact location of a private well.15-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2380E 018-2382E Ontario Managed Forest Tax Incentive Program - Landowner ReportENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements UnitMust be completed to stay eligible in program. MFTIP Landowner Report must include your 19 digit property tax number14-Apr102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2382E 018-2383E Planning Template for Preparing a Stewardship Plan for Natural AreasENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements UnitTo provide eligible landowners a full package of forms18-Nov48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2383E 018-2390E Aggregate Permittees Compliance Assessment Report - Aggregate Resources ActENatural Resources and ForestryNatural Resources Conservation Policy BranchResource Development SectionPermittees are required, under the Aggregate Resources Act, to conduct an annual self-assessment of their aggregate site's compliance with the rules and submit a Compliance Assessment Report. The report is submitted to the Ministry of Natural Resources an16-May44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2390E 018-2391E Crown Land Survey Request FormENatural Resources and ForestryMapping and Information ResourcesOffice of the Surveyor General / Crown Land SurveysTo request any type of crown survey plan, field notes, diary or instructions.14-Dec30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2391E 018-2392E Geographic Name ApplicationENatural Resources and ForestryMapping and Information ResourcesOffice of the Surveyor General / Crown Land SurveysTo request a new name or change an existing name for a place or feature anywhere in Ontario14-Dec45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2392E 018-2400E Managed Forest Tax Incentive Program (MFTIP) - Ten-Year ApplicationENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements Unit10 Year application for the MFTIP program14-May207http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2400E 018-2401E Application for Crown LandENatural Resources and ForestryCrown Forests and Lands Policy BranchCrown Lands SectionApplication for Crown Land18-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2401E 018-2404E Work Permit Application for Works on Shore Lands for Erosion ControlENatural Resources and ForestryRegional Operations DivisionRegions (Northeast, Northwest, Southern)Online registration for members of the public20-Jan273http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2404E 018-FW1007E Head Trapper ApplicationENatural Resources and ForestrySpecies Conservation Policy BranchWildlife SectionDetermines compliance of applicant with regulated licence pre-requisites, and allows for selection of most suitable applicant through evaluation of applicant's qualifications.10-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1007E 018-FW1014E Application for an Aquaculture LicenceENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionProvides necessary information for Ministry determine whether or not to issue a licence, and what terms and conditions are applicable if the decision is to issue a licence18-Jul35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1014E 018-FW1015E Application for a License to Collect Fish for AquacultureENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionProvides necessary information for Ministry to determine whether or not to issue a licence18-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1015E 018-FW1016E Application for a License to Stock FishENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionProvides necessary information for Ministry determine whether or not to issue a licence, and what terms and conditions are applicable if the decision is to issue a licence18-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1016E 018-FW1021E Application for a License to Transport Live Fish Taken from Ontario WatersENatural Resources and ForestryPolicy DivisionBiodiversity BranchA licence to Transport Live Fish is issued under authority of the Fish and Wildlife Conservation Act and is required to transport live fish or live spawn, other than baitfish, that have been taken from Ontario waters. This form allows an individual to app15-Oct24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1021E 018-FW1031E Application For a License to Collect Fish for Scientific PurposesENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionRequest a licence to fish14-Nov59http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1031E 019-0044E Application for Extension of Time to Perform and/or File WorkENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionThis form is used by clients if they need to apply for an extension of time to perform and/ or file the required amount of assessment work on their mining claim(s).06-Jan38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0044E 019-0239E Transfer of Unpatented Mining Claim(s)ENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionWhen the holder of a mining claim transfers all or part of their interest in a mining claim, this form must be used to record the transfer in the Provincial Recording Office. Form is updated and simplified for your convenience. The “AFFIDAVIT OF SUBSCRIBI11-Nov22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0239E 019-0271E Affidavit Concerning Hazards on Mining LandsENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionWhen the holder or a mining lease, or licence of occupation or patented mining lands wants to surrender title to the land, they must verify that to the best of their knowledge there are no hazards on the land.06-Jan24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0271E 019-0297E Northern Industrial Electricity Rate Program - 2017ENorthern Development and MinesCoordination and Analysis UnitNorthern Industrial Electricity Rate ProgramAn application to the Northern Industrial Electricity Rate Program17-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0297E 019-0298E Application for Exemption from Mining Land TaxENorthern Development and MinesMineral Development and Lands BranchMining Lands Section11-Jan31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0298E 019-0299E Application for an Order Opening Crown Mining Rights in OntarioENorthern Development and MinesMineral Development and Lands BranchMining Lands Section11-Jan37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0299E 019-0300E Application for an Order Withdrawing Crown Mining Rights in Northern OntarioENorthern Development and MinesMineral Development and Lands BranchMining Lands Section11-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0300E 019-0305E Notice of Project Status - Form 1 - Mining ActENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionThis form is used by proponents to report advance exploration or mine production project status under subsections 140(1), 141(1) or 144(1) of the Mining Act.17-Sep18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0305E 019-0306E Notice to Require Hearing Under Part VII of the Act - Form 5 - Mining ActENorthern Development and MinesMineral Development and Lands BranchMine Rehabilitation, Inspection and Compliance OfficeThis form is used by proponents to require a hearing concerning rehabilitation of mining lands under Part VII of the Mining Act.12-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0306E 019-0307E Notice of Material Change-Under the Mining ActENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionThis form is used by proponents to report changes that could substantially affect adequacy of a closure plan under subsection 144(2) of the Mining Act.12-Oct44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0307E 019-0311E Application for an Order Withdrawing a Site of Aboriginal Cultural Significance for the purposes of Mining Act, Section 35ENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionLands that meet the criteria prescribed in regulations to the Mining Act as a site of Aboriginal cultural significance are eligible to be considered for withdrawal to protect them from prospecting, staking, sale or lease. Communities who wish to have land12-Oct26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0311E 019-0312E Activity Details ReportENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development Section18-Oct54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0312E 019-0313E Aboriginal Consultation ReportENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development Section12-Oct49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0313E 019-0316E Bulk Sample Evaluation Report Mining Act, Section 52ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionPersonal information if any, collected on this form is obtained under the authority of sections 52 and 178.2 (1) of the Mining Act. This information will be used for the purposes of processing report and to communicate with the named Contact Person in th12-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0316E 019-0317E Application for Bulk Sample Permission Mining Act, Section 52ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionPersonal information collected on this form is obtained under the authority of sections 52 and 178.2 (1) of the Mining Act. This information will be used for the purposes of processing the application for a permission to extract and test bulk sample and 12-Oct25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0317E 019-0320E Notice to Surface Rights Owner (SRO) of Intent to Submit an Exploration PlanENorthern Development and MinesMineral Development and Lands BranchStrategic Support UnitForm for use by early exploration proponent (proponent) submitting an Exploration Plan to notify the surface rights owner (SRO) of the proponents' intent to submit an Exploration plan to MNDM for exploration activities on the SRO's land.16-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0320E 019-0321E Notice to Surface Rights Owner (SRO) of Intent to Apply for an Exploration PermitENorthern Development and MinesMineral Development and Lands BranchStrategic Support UnitForm for use by the early exploration proponent (proponent) applying for an Exploration Permit to notify the surface rights owner (SRO) of the proponents' intent to apply for an Exploration Permit with MNDM for exploration activities on the SRO's land.16-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0321E 019-0322E Voluntary Rehabilitation ApplicationENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development Section12-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0322E 019-0323E Northern Ontario Heritage Fund Corporation (NOHFC) Applicaton - Northern Ontario Internship ProgramENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project17-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0323E 019-0324E Northern Business Opportunity Program - Business Expansion Projects Stream - Small Business Start-up Projects Stream - New Investment Projects StreamENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 18-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0324E 019-0325E Northern Business Opportunity Program - Film & Television Industry Projects StreamENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0325E 019-0326E Northern Innovation ProgramENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0326E 019-0327E Strategic Economic Infrastructure Program - Northern Community Capacity Building ProgramENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0327E 019-0328E Northern Ontario Crew ContentENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 14-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0328E 019-1001E Northern Communities Investment Readiness Application and GuideENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Communities Investment Readiness ProgramThis guide is intende to assist clients in completeing a project proposal for the Northern Communities Investment Readiness (NCIR) initiative.18-Aug22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-1001E 0209E Application for Appointing OfficialsESolicitor GeneralExternal RelationsPublic Safety Projects14-Sep22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0209E 021-0368E Application Guidelines for Determination under the Foreign Cultural Objects Immunity From Seizure Act (FCOISA)ETourism, Culture and SportCulture Agencies BranchCulture Agencies UnitApplication guidelines for the administration of the Foreign Cultural Objects Immunity From Seizure Act (FCOISA). Cultural/educational institution representatives must submit this form in order to have works on loan from foreign institutions protected un16-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0368E 021-0459E One Week Survey of Public Library Use (Typical Week Survey)ETourism, Culture and SportPrograms and ServicesCulture ProgramsTypical Week Survey helps Ontario public libraries and First Nations public libraries to record, and then report on, their public library usage. Typical Week Survey is annually done in November and data from it is used in the Annual Survey of Public Lib14-Oct25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0459E 021-0478E Criteria for Evaluating Archaeological PotentialETourism, Culture and SportPrograms and ServicesCulture Services UnitThe purpose of the checklist is to determine if a property(ies) or project area may contain archaeological resources i.e., have archaeological potential.15-Nov69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0478E 021-0483E REA Checklist: Consideration of Potential for Heritage ResourcesETourism, Culture and SportPrograms and ServicesCulture Services Unit12-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0483E 021-0484E REA Checklist: Consideration of Potential for Archaeological ResourcesETourism, Culture and SportPrograms and ServicesCulture Services Unit12-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0484E 021-0493E IGNITE Ontario Application GuideETourism, Culture and SportInvestment & Development OfficeProduct Development & Investment ServicesTo inform stakeholders and potential applicants about IGNITE Ontario program details and guidelines on submitting an application for the grant.14-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0493E 021-0494E Tourism Development Fund Application GuideETourism, Culture and SportTourism DivisionTourism Development FundThe Tourism Development Fund supports projects that encourage three key streams: tourism investment, tourism product development and industry capacity building.17-Jul22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0494E 021-0495E Celebrate Ontario Blockbuster- Event Bid and Event Hosting Application GuideETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)Celebrate Ontario Blockbuster applicants are also required to download, complete and attach an Additional Information Package with the online application. The Celebrate Ontario Blockbuster Event Bid and Event Hosting Application Guide provides detailed in18-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0495E 021-0496E Celebrate Ontario 2019 - Application GuideETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)Celebrate Ontario 2019 applicants are also required to download, complete and attach the Celebrate Ontario Project Application Form with the online application. The Celebrate Ontario 2019 Application Guide provides detailed instructions on the program and18-Nov26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0496E 021-0500E Criteria for Evaluating Potential for Built Heritage Resources and Cultural Heritage LandscapesETourism, Culture and SportPrograms and ServicesCulture Services UnitThe purpose of the checklist is to determine if a property(ies) or project area: • is a recognized heritage property • may be of cultural heritage value16-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0500E 021-0502E Celebrate Ontario 2017 - Frequently Asked QuestionsETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Frequently Asked Questions provide answers to common questions applicants to the Celebrate Ontario 2017 program may ask.17-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0502E 021-0503E Criteria for Evaluating Marine Archaeological PotentialETourism, Culture and SportPrograms and ServicesHeritage Program UnitEvaluating Marine Archaeological Potential16-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0503E 021-0504E Ontario 150 Community Celebration ProgramETourism, Culture and SportInvestment & Development OfficeProduct Development & Investment Services16-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0504E 021-0510E License or Event Permit ApplicationETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan169http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0510E 021-0511E Initial and Annual Examination FormETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0511E 021-0512E Report on Professional MMA Contest or ExhibitionETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0512E 021-0513E Report on Professional Boxing / Kickboxing Contest or ExhibitionETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0513E 021-0515E Celebrate Ontario Project Application Form 2018 - Multi-YearETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Celebrate Ontario Project Application Form - Multi-Year must be submitted as part of a Celebrate Ontario 2018 program application and via the Grants Ontario web platform.17-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0515E 021-0516E Celebrate Ontario Project Application Form 2018 – Single-YearETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Celebrate Ontario Project Application Form - Single-Year must be submitted as part of a Celebrate Ontario 2018 program application and via the Grants Ontario web platform.17-Sep24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0516E 021-0517E Celebrate Ontario 2019 At a GlanceETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Celebrate Ontario At a Glance document provides a high level overview of the program, eligibility requirements and application steps for Celebrate Ontario.18-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0517E 0211E Bench Warrant Form 1ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerTo Facilitate Coroners Act 40(3)15-Jan19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0211E 021-22-240E Project Information Form (PIF) Archaeological FieldworkETourism, Culture and SportPrograms and ServicesCulture ProgramsThis form provides information about a planned archaeological fieldwork project and the names of licensed archaeologists supervising the fieldwork. Licensed archaeologists must file it with the ministry's Licensing Coordinator before the archaeological fi11-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-22-240E 021-52-208E 2020-21 Ontario Sport Hosting BudgetETourism, Culture and SportSport, Recreation and Community ProgramsCelebrate Ontario 2014 International Amateur Sport Hosting ProgramOutline event budget19-Nov24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-52-208E 022-12-1537E Application for Trade Activity CardETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit06-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1537E 022-12-1539E 2013 Minister's Awards for Apprenticeship TrainingETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations UnitThis form is to be used by the public to communicate to the Ministry of Training, Colleges and Universities the merits of an employer who through their actions has demonstrated excellence in their support of apprenticeship training. The Guide provides mem13-Jun28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1539E 022-12-1554E Signing Authority Guidelines For Modular TrainingETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit06-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1554E 022-12-1661E Application for Apprenticeship TrainingETraining, Colleges and UniversitiesProgram Delivery Support BranchApprenticeship UnitApplication for Apprenticeship Training19-Feb665http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1661E 022-12-1666E Income Support while Attending Apprenticeship Classroom TrainingETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations UnitThe Ontario Skills Development Program provides temporary financial assistance to apprenticeship clients who are eligible for Employment Insurance (EI) benefits or who were in receipt of EI benefits in the past. This notice is a summary only.19-Jan318http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1666E 022-12-1756E Ontario Youth Apprenticeship Program (OYAP) - Participant Application FormETraining, Colleges and UniversitiesProgram Delivery Support BranchApprenticeship UnitForm used to register students who are participating in the Ontario Youth Apprenticeship Program (OYAP). 19-Feb61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1756E 022-12-1791E Application for Access Training Delivery Agent (TDA) SubscriberETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit19-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1791E 022-12-1792E Inactivation/Reset Number Training Delivery - Agent Subscriber / Private Identification NumberETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit19-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1792E 022-12-1885E Application for Apprenticeship Training Delivery AgentETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations UnitInstitutions, agencies or organizations interested in delivering apprenticeship in-school training must submit this application. Apprenticeship Training Delivery Agents are approved by the Employment and Training Division, Ministry of Training, Colleges a19-Jan90http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1885E 022-13-1352E Postsecondary Student Unpaid Work Placement Workplace Insurance ClaimETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)Track Post secondary students who incur a serious occurance on work placements17-Oct573http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-13-1352E 022-1993E Payment Claim / Activity Report for Ontario Labour Market Partnerships (OLMP) AgreementsETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)Used by Recipients to make payment claims and to report on activities related to Ontario Labour Market Partnerships Agreements 16-Oct28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-1993E 022-1994E Payment Claim / Activity Report for Ontario Job Creation Partnerships (OJCP) AgreementsETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)Used by Recipients to make payment claims and to report on activities related to Ontario Job Creation Partnerships Agreements16-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-1994E 022-2938-87E Ontario Employment Assistance Services Participant InformationETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario Programs19-Jul31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-2938-87E 022-3033E SkillsAdvance Ontario Employer RegistrationETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThis form is used for eligible employers who are interested in offering job placements to SkillsAdvance Ontario participants. This is an employer registration form and attestation. It is a “signature required” form.18-Oct42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3033E 022-3034E Skills Advance Ontario Participant RegistrationETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThis form is used for eligible participants who wish to participate in SkillsAdvance Ontario's sector-focused employment and training services. This is a participant application form and attestation. It is a “signature required” form.19-Mar73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3034E 022-3035E SkillsAdvance Ontario Training Placement AgreementETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitSkills Advance Ontario18-Jun43http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3035E 022-3045E Supported Employment Financial Support AgreementETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitOutlines the roles and responsibilities to Participants, Employers and Service Providers in the event of a Job Trial or a Job Match. Attached to the agreement is a Participant Employment Plan, which provides the opportunity for the Service Provider and t18-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3045E 022-34-1646E Ontario Graduate Scholarship Program - Summary SheetETraining, Colleges and UniversitiesStudent Financial Assistance BranchInformation Systems Unit07-Jul0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1646E 022-34-1651E Request for Assessment on Spouses' Estimated IncomeETraining, Colleges and UniversitiesStudent Financial Assistance BranchInformation Systems Unit07-Apr9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1651E 022-34-1892E Ranked Candidates - Ontario Graduate ScholarshipETraining, Colleges and UniversitiesStudent Financial Assistance BranchInformation Systems Unit09-Aug0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1892E 022-58-1715E Student Contact Information FormETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career CollegesPlease complete this form if you are a student that has been affected by the closure of a private career college. 12-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1715E 022-58-1722E Administrative Monetary Penalties – Request for Review FormETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career CollegesPlease complete this form if you have been issued a Notice of Contravention by the Superintendent of Private Career Colleges and would like to request a review of this decision.16-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1722E 022-58-1807E Program Assessment Report (Distance Education)ETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career CollegesIn order to obtain program approval, private career colleges must have their programs assessed by third party program assessors who have expertise in the evaluation of such programs and have been approved by the Superintendent.12-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1807E 022-58-1959E Private Career Colleges Branch - Instructor Qualification FormETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career Colleges17-Apr129http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1959E 022-87-1736E Employment Service - Training Incentive Placement AgreementETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)17-Aug234http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1736E 022-87-1737E Employment Service - Training Incentive Placement Agreement for Participant on Service Provider PayrollETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)19-Apr37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1737E 022-87-1760E Ontario College of Trades Governance Boards and Roster of Adjudicators ApplicationETraining, Colleges and UniversitiesProgram Delivery Support BranchApprenticeship Unit13-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1760E 022-87-1788E Literacy and Basic Skills - Exit and Follow-UpETraining, Colleges and UniversitiesProgram Delivery SupportLiteracy and Basic Skill (LBS)To be used by Literacy and Basic Skills Service Providers to capture outcomes of LBS learners at exit 3, 6 and 12 months.19-May110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1788E 022-87-1790E Ontario Postsecondary Application Ontario Postsecondary Application Fee Reimbursement Program For Individuals Who Are/Were In Extended Society Care 2020-2021 Academic Year Application for ReimbursementETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchOntario Crown Ward Postsecondary Application Fee Reimbursement ProgramApplication form allows the program to reimburse current and former Ontario Crown wards for the cost of applying to eligible postsecondary schools and postsecondary programs.20-Jan118http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1790E 022-87-3038E Council of the Federation Literacy AwardETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchProgram DevelopmentNomination form and instructions for the Council of Federation Literacy Award (Ontario)19-Jun22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-3038E 022-89-1824E-EMP5209E Sponsors Application for FundingETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitTo enable sponsor to apply to become Self Employment Coordinators07-Mar30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1824E-EMP5209E 022-89-1839E-EMP5335E Ontario Job Creation Partnerships – Client ApplicationETraining, Colleges and UniversitiesBusiness Systems Management BranchOntario EBSM: (Employment Benefits and Support Measures)This form is used for eligible unemployed workers who are facing difficulty finding and keeping on-going employment and/or are seeking assistance under JCP. This is a client application form and attestation. It is a "signature required" form.19-Jun45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1839E-EMP5335E 022-89-1859E-EMP5362E Application for Direct Deposit for Ontario EBSMsETraining, Colleges and UniversitiesBusiness Systems Management BranchOntario EBSM: (Employment Benefits and Support Measures)application07-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1859E-EMP5362E 022-89-1889E Application for Financial Assistance - Second Career (SC)ETraining, Colleges and UniversitiesProgram Delivery Support BranchSecond CareerThis form is completed by individuals applying to the Second Career program.19-Apr299http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1889E 022-97-1982E Youth Job Connection and Youth Job Connection: Summer Training Incentive Placement AgreementETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchYouth Job Connection and Youth Job Connection: Summer16-Oct84http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-97-1982E 022-97-1983E Youth Job Connection and Youth Job Connection: Summer Training Incentive Placement Agreement for Participant on Service Provider PayrollETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchYouth Job Connection and Youth Job Connection: Summer16-Oct33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-97-1983E 023-0127E Claim for LienETransportationOffice Delivery Partnership BranchContract Management Office15-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0127E 023-0128E Release of LienETransportationOffice Delivery Partnership BranchContract Management Office15-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0128E 023-0129E Illegal Passing of A School Bus ReportingETransportationSafety Policy and Education BranchRoad User Saftey Division07-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0129E 023-0132E Individual Vehicle Distance Records (IVDR) FormsETransportationProjects and Change Management BranchInternational Registry Program07-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0132E 023-0134E RAQs LoginETransportationOffice Delivery Partnership BranchContract Management Office07-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0134E 023-0135E Road Test BookingETransportationContract Management and Operations BranchLicensing Services ProgramRoad Test booking is primarily an automateds process (DABS). Form usage is very low as per Stock Management (Kingston)02-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0135E 023-0137E Commercial Vehicle Operator Record - Driver AbstractETransportationContract Management and Operations BranchLicensing Services ProgramCommercial vehicle driver record (abstract), level 101-May198http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0137E 023-0138E Commercial Vehicle Operator Summary - Public AbstractETransportationContract Management and Operations BranchLicensing Services ProgramAbstract or information on the company and not on the individual drivers.02-Oct31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0138E 023-0139E Used Vehicle Information PackageETransportationLicensing Services BranchLicensing Administration OfficeRequest a uvip package07-Mar47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0139E 023-0142E Certified Plate Search - Recent OwnerETransportationLicensing Services BranchLicensing Administration OfficeApplication for a vehicle abstract06-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0142E 023-0144E List of Excellent CarriersETransportationCarrier Safety and Enforcement BranchData Management SectionThe information on this list can be used by the public to make an informed decision when selecting/hiring a trucking/bussing operator.02-Oct6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0144E 023-0145E List of Unsatisfactory/Cancelled CarriersETransportationCarrier Safety and Enforcement BranchData Management SectionThe information on this list can be used by the public to make an informed decision when selecting/hiring a trucking/bussing operator.02-Oct7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0145E 023-0146E Commercial Vehicle Operator Record - For Carriers OnlyETransportationLicensing Services BranchLicensing Administration OfficeApplication for a level 2 carrier abstract03-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0146E 023-0147E Carrier Safety Rating EnquiryETransportationLicensing Services BranchLicensing Administration Office02-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0147E 023-0148E Driver Licence CheckETransportationLicensing Services BranchLicensing Administration Office02-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0148E 023-0149E Copy of Collision ReportETransportationLicensing Services BranchLicensing Administration OfficeRequest copy of a collison report02-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0149E 023-0150E Driver's Licence History SearchETransportationLicensing Services BranchLicensing Administration OfficeRequest copy of a driver history astract Restricted: may only be requested and delivered to the Driver)06-Jun13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0150E 023-0152E 5-Year Statement of Driving RecordETransportationLicensing Services BranchLicensing Administration OfficeRequest copy of a 5 year driver record (Restricted: may only be requested and delivered to the Driver)06-Jun17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0152E 023-0155E Vehicle Population Statistics: Annual ReportETransportationLicensing Services BranchLicensing Administration OfficeThere is no application for this product, you can order online or submit a request via mail.06-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0155E 023-0156E Carrier Search by NameETransportationLicensing Services BranchLicensing Administration OfficeTo order a carrier abstractApr-0011http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0156E 023-0157E Driver's Licence - Copies of DocumentsETransportationLicensing Services BranchLicensing Administration Office06-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0157E 023-0158E Vehicle - Copies of DocumentsETransportationLicensing Services BranchLicensing Administration Office06-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0158E 023-0159E Certified Driver and Vehicle DocumentsETransportationLicensing Services BranchLicensing Administration Office06-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0159E 023-0160E Certified Driver's Licence History SearchETransportationLicensing Services BranchLicensing Administration Office(Restricted: may only be requested and delivered to the Driver) 06-Jun16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0160E 023-0161E Certified 3 Year Statement of Driving RecordETransportationLicensing Services BranchLicensing Administration Office06-Jun23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0161E 023-0162E Certified 5 Year Statement of Driving RecordETransportationLicensing Services BranchLicensing Administration Office(Restricted: may only be requested and delivered to the Driver)06-Jun18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0162E 023-0163E Certified Driver's Licence - Copies of DocumentsETransportationLicensing Services BranchLicensing Administration Office06-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0163E 023-0164E Certified Plate Search - Date SpecificETransportationLicensing Services BranchLicensing Administration Office06-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0164E 023-0165E Certified Owner by Vehicle Identification Number (VIN) - Date SpecificETransportationLicensing Services BranchLicensing Administration Office06-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0165E 023-0166E Certified Vehicle - Copies of DocumentsETransportationLicensing Services BranchLicensing Administration Office06-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0166E 023-05004E Special Vehicle Configuration Permit Application Long Combination Vehicle (LCV) ProjectETransportationCarrier Safety and Enforcement BranchCarrier Safety Policy Office12-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05004E 023-05005E LCV Origin/Destination Location Application Long Combination Vehicle (LCV) ProgramETransportationCarrier Safety and Enforcement BranchCarrier Safety Policy Office11-Feb18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05005E 023-05006E LCV Origin/Destination Location - Road Authority Consent Long Combination Vehicle (LCV) ProgramETransportationCarrier Safety and Enforcement BranchCarrier Safety Policy Office11-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05006E 023-05011E Change your home addressETransportationLicensing Services BranchDriver Improvement OfficeChange your address for your driver's licence, vehicle registration, health card and Outdoors Card quickly and easily in one secure, simple transaction. You can choose to notify one or more of three ministries of your address change – Ministry of Transpor09-Sep51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05011E 023-05016E Electric and Hydrogen Vehicle Incentive Program (EHVIP) Vehicle Eligibility Submission FormETransportationTransportation Policy BranchElectric Vehicle Incentive Program18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05016E 023-05017E Application for MTO Exempt Dealer ProgramETransportationProgram Development and Evaluation BranchVehicle Programs OfficeThis application form must be completed by dealers exempt from the Motor Vehicle Dealers Act, 2002 (MVDA, 2002), in order to qualify for MTO Highway Traffic Act (HTA) dealer exemptions.17-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05017E 023-05023E ServiceOntario centres which offer the full suite of EDL services and are EDL card pick-up locationsETransportationRoad User Safety DivisionService Management and Business Integrity Office12-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05023E 023-05045E Application for Demonstrator Vehicles with extended MileageETransportationTransportation Policy BranchSustainable Transportation Policy OfficeThe 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 limi17-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05045E 023-05060E Damage Claim ReportETransportationRisk Management and Insurance Services BranchClaimsThe purpose of this form is to provide an online reporting tool to submit claims for vehicle damage that were sustained while on a Provincial roadway. The report is for use by the general public15-Oct633http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05060E 023-2096E Electric and Hydrogen Vehicle Incentive Program (EHVIP) Incentive Application for Individuals and BusinessesETransportationTransportation Policy BranchElectric Vehicle Incentive Program18-Aug61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-2096E 023-5025E Estimated Distance DeclarationETransportationProgram Development and Evaluation BranchVehicle Programs Office14-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5025E 023-5026E Established Place of Business QuestionnaireETransportationProgram Development and Evaluation BranchVehicle Programs OfficeEstablished Place of Business Questionnaire19-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5026E 023-5048E User AccountETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionThis form needs to be filled out by a Carrier registrant and the requirements indicated submitted along with the form so that User Accounts can be created for the purpose of submitting and processing online applications for the International Registration 16-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5048E 023-5049E Pre-Paid Account / Registrant AcknowledgmentETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionThis form has to be filled out by a Carrier registrant if they wish to establish a Pre-Paid Account from which the Ministry of Transportation may debit amounts owing under the International Registration Plan (IRP) and Oversize/Overweight (O/O) Programs up16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5049E 023-5061E Service Provider AuthorizationETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionThis 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) Program16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5061E 023-5075E Cycling Training Fund 2015 & 2016 - Application GuideETransportationTransportation Policy BranchSustainable Transportation Policy OfficeApplication form to apply for cycling or instructor training funding and curriculum or public education funding from the Cycling Training Fund in 2015 and 2016 from the Ministry of Transportation15-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5075E 023-5076E Cycling Training Fund: Cycling Skills and Instructor Training Final ReportETransportationTransportation Policy BranchSustainable Transportation Policy OfficeFinal report form to report on the results of delivering approved cycling training and cycling instructor training projects under the Cycling Training Fund from the Ministry of Transportation15-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5076E 023-5077E Cycling Training Fund: Cycling Curriculum and/or Public Education Report Form (for Final Report or Annual Report)ETransportationTransportation Policy BranchSustainable Transportation Policy OfficeFinal report and annual report form to report on the results of delivering public education or cycling curriculum projects under the Cycling Training Fund from the Ministry of Transportation15-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5077E 023-5078E Commercial Vehicle Operator's Registration (CVOR) ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeCVOR registration.19-Jul4125http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5078E 023-5083E Connecting Links Program ApplicationETransportationContract Management and Operations BranchOperations OfficeThrough the Connecting Links Program, the Province of Ontario is investing $30 million in 2020 - 2021 for the construction and repair of roads and bridges on connecting links. Connecting links are municipal roads designated under the Public Transportation19-Aug56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5083E 023-5084E Automated Vehicle (AV) Pilot Application FormETransportationProgram Development and Evaluation BranchVehicle Programs Office18-Dec56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5084E 023-5085E Application for the Manufacturer Plate ProgramETransportationProgram Development and Evaluation BranchVehicle Programs OfficeApplication for the Manufacturer Plate Program15-Dec108http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5085E 023-5096E Electric and Hydrogen Vehicle Incentive (EHVIP)ETransportationTransportation Policy BranchElectric Vehicle Incentive ProgramIf the EVIP applicant has purchased an extended mileage demonstrator vehicle, than this form must be completed by the dealer or leasing company and attached to the incentive application.18-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5096E 023-5104E Appendix A to the Grants Ontario ApplicationETransportationTransportation Policy BranchPassenger Transportation OfficeCompleting this form is a mandatory requirement for applicants to the Electric School Bus Pilot Program. 17-Aug20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5104E 023-5108E Medical Condition ReportETransportationLicensing Services BranchDriver Improvement Office19-May1814http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5108E 023-5109E Vision Report to the Registrar of Motor VehiclesETransportationLicensing Services BranchDriver Improvement Office19-May161http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5109E 023-AIR-01E Application to Increase RatingETransportationOffice Delivery Partnership BranchContract Management Office18-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-AIR-01E 023-CRF-01E Contractor Registration Form (CRF)ETransportationOffice Delivery Partnership BranchContract Management Office07-Feb23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-CRF-01E 023-CWA-01E Contractor Work Appraisal "Qualification Purposes Only"ETransportationOffice Delivery Partnership BranchContract Management Office18-Dec14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-CWA-01E 023-MOA-01E Memordandum of AgreementETransportationOffice Delivery Partnership BranchContract Management Office07-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-MOA-01E 023-PH-A-041 Building And Land Use PermitETransportationConstruction and Operations BranchConstruction and Operations11-Apr0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-PH-A-041 023-SR-E-127E Special Vehicle Configuration Permit ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office07-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-127E 023-SR-E-135E Letter of Clearance in Reference to the Application for Permit to Move Used Buildings on Kings HighwayETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section07-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-135E 023-SR-E-205E Application for a Motor Vehicle Inspection Station LicenceETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station UnitApplication for a Motor Vehicle Inspection Station Licence19-Jul846http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-205E 023-SR-E-209E Safety Standards Certificate and Inspection Stickers Order FormETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit19-Jul1048http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-209E 023-SR-E-215 Notification of Addition to List of Directors or Corporate Officers / Notification of Termination to List of Directors or Corporate OfficersETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit18-Apr53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-215 023-SR-E-217 Garage Register - Issued Pursuant to the Highway Traffic ActETransportationCarrier Safety and Enforcement BranchCarrier Enforcement Program Office20-Jan207http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-217 023-SR-E-241 List of Signing AuthoritiesETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit15-Jun269http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-241 023-SR-E-291 Structural Inspection Certificate Order FormETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit19-Jul55http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-291 023-SR-L-105A-E Oversize/Overweight Permit Application Annual Permit OnlyETransportationLicensing Services BranchLicensing Administration OfficeOversize/Overweight Permit Application Annual Permit Only19-Jul54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-105A-E 023-SR-L-105PP-E Oversize/Overweight Permit Application Project Permit OnlyETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-105PP-E 023-SR-L-105ST-E Oversize/Overweight Permit Application - Single Trip Permit OnlyETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionA single trip permit is issued to facilitate an oversize/overweight move for a one way trip along for a limited time period.17-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-105ST-E 023-SR-LC-016E Application for Out-of-Province RequestsETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeOrdering Products12-Jul16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LC-016E 023-SR-LC-112E Record Search Application (with or without address)ETransportationLicensing Services BranchLicensing Administration Office18-Sep2240http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LC-112E 023-SR-LD-040E Declaration from a GuarantorETransportationLicensing Services BranchClient Services OfficeAn Ontario Photo Card (OPC) applicant must provide an identity document to prove signature. If the applicant does not have a proof of signature document, the Declaration from a Guarantor form will allow a guarantor to vouche for the applicant's signature.16-Apr1712http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-040E 023-SR-LD-043E Commercial Vehicle Inspection Report ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeRequest Commercial Vehicle Inspection Reports.16-Jun62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-043E 023-SR-LD-049 Application for Ontario Photo Card - Ontario Residents OnlyETransportationLicensing Services BranchClient Services OfficeIt is used for the original application, renewal, replacement and data change transactions. The form also serves as a receipt for the applicant.14-Mar1411http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-049 023-SR-LD-050E Ontario Photo Card - Address Requirement for the Homeless or Marginally Housed ApplicantsETransportationLicensing Services BranchClient Services OfficeIn order to obtain an Ontario Photo Card, an Ontario resident address is required. This form authorizes the applicant who is without a permanent and principal residence to use a recognized institution address to acquire an Ontairo Photo Card11-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-050E 023-SR-LD-054E Application for Ontario Driver's LicenceETransportationLicensing Services BranchClient Services Office17-Nov563http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-054E 023-SR-LD-327E Application for Search of a Motor Vehicle Accident Report RecordETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeOrdering Products18-Sep72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-327E 023-SR-LD-433E Third Party Letter of AuthorizationETransportationLicensing Services BranchClient Services OfficeInstructions for completing the Third Party Letter of Authorization (LOA)19-Apr285http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-433E 023-SR-LH-112E Voluntary Termination of Commercial Vehicle Operator's Registration (CVOR) CertificateETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeTerminating CVOR certificate15-Oct28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LH-112E 023-SR-L-PR-13E International Registration Plan (IRP) ApplicationETransportationProgram Development and Evaluation BranchVehicle Programs OfficeForm 1 - Carrier Fleet Information, Form 2 - Fleet Distance Declaration, Form 3 - Gross Vehicle Weight Schedule, Form 4 - Vehicle Information14-Oct110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-PR-13E 023-SR-LV-025E Low-Speed Vehicle (LSV) Registration DeclarationETransportationProgram Development and Evaluation BranchVehicle Programs Office17-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-025E 023-SR-LV-034E Credit Card Authorization FormETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionTo provide credit card authorization for MTO product/service17-Jan2603http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-034E 023-SR-LV-040E Replacement DeclarationETransportationLicensing Services BranchClient Services OfficeComplete this form when validated plate / unvalidated plate / both plates / trailer or off-road plate / motorized snow vehicle decal / accessible parking permit. 14-Sep1111http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-040E 023-SR-LV-139E Spouse Declaration and/or Plate Transfer DeclarationETransportationLicensing and Control Branch - PlanningCard Operations OfficeThis form is a dual purpose form used to declare that a vehicle is being transferred to an eligible spouse in order to exempt them from the Safety Standards Certificate and the Drive Clean emissions test requirements. This form is also used to declare tha15-May2889http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-139E 023-TRF-01E Tender Registration Form (TRF)ETransportationOffice Delivery Partnership BranchContract Management Office07-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-TRF-01E 024-3048E Ontario Autism Program (OAP) Behaviour Plan BudgetEChildren and Youth ServicesPolicy Development and Program Design DivisionOntario Autism Program Project TeamIf a family chooses to receive direct funding to purchase evidence based behavioural services through the Ontario Autism Program (OAP), an OAP Behaviour Plan Budget must be completed by a Clinical Supervisor and submitted to a single point of access provi18-Mar118http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=024-3048E 025-0005E Agency Designation Plan and Evaluation ToolEFrancophone AffairsOffice of Francophone AffairsOffice of Francophone AffairsThis form is intended for agencies that receive transfer payments from the government of Ontario who wish to obtain official designation pursuant to the French Language Services Act, as well as for agencies already designated under the Act.14-Jun26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=025-0005E 025-0007E Nomination FormEFrancophone AffairsOffice of Francophone AffairsOffice of Francophone Affairs18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=025-0007E 026-0173E Notice of a Change in Officers, Directors or Partners of Agencies that Provide Security Guard and/or Private Investigator ServicesESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchThis form is to be used by the agency to notify the Private Security and Investigative Services Branch (PSISB) of any change in officers, directors or partners per section 8 (2) of the Private Security and Investigative Services Act (PSISA), 2005.19-Dec22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0173E 026-0174E Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Sole ProprietorshipsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships19-Dec5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0174E 026-0175E Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - CorporationsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Corporations 19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0175E 026-0176E Application for a Security Guard and/or Private Investigator Agency Licence - Sole ProprietorshipsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships19-Dec29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0176E 026-0177E Application for a Security Guard and/or Private Investigator Agency Licence - CorporationsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Agency Licence - Corporations 19-Dec87http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0177E 026-0178E Security guard and/or private investigator licence: Guarantor Information FormESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services Branch15-Sep3120http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0178E 026-0180E Information and Declaration/Consent for Background Check (For Officers, Directors and Partners of Security Guard and/or Private Investigator Agencies)ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInformation and Declaration/Consent for Background Check (For Officers, Directors and Partners of Security Guard and/or Private Investigator Agencies)19-Dec100http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0180E 026-0188E Application to Change Licence Category of an Existing Security Guard and/or Private Investigator LicenceESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence19-Dec35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0188E 026-0189E Application to Replace a Business Registration Certificate – For Employers of Security Guards/Private InvestigatorsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication to Replace a Business Registration Certificate – For Employers of Security Guards/Private Investigators19-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0189E 026-0190E Instructions for Completing the Application to Change Licence Category of an Existing Security Guard and/or Private Investigator LicenceESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing the Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence19-Dec5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0190E 026-0200E Notification to Coroner of Organ Retention: Disposition Request of Retained OrgansESolicitor GeneralOntario Forensic Pathology ServiceOntario Forensic Pathology ServiceNotification to Coroner of Organ Retention: Disposition Request of Retained Organs17-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0200E 026-0201E Application for a Security Guard and/or Private Investigator Agency Licence – PartnershipsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Agency Licence – Partnerships19-Dec36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0201E 026-0202E Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - PartnershipsESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Partnerships19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0202E 026-0204E Change of name Form for a Security Guard and/or Private Investigator LicenceESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchTo provide change of name service to existing licensees.19-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0204E 026-0234E Invoice for Expert Death Review Committee MembersESolicitor GeneralOffice of the Chief CoronerForensic Pathology Unit19-Jul11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0234E 026-0251E Death Investigation Oversight Council Complaint FormESolicitor GeneralDeath Investigation Oversight CouncilDeath Investigation Oversight CouncilThe Death Investigation Oversight Council (DIOC) administers a public complaints process through its Complaints Committee, which reviews complaints regarding death investigations, specifically, complaints against a coroner or a forensic pathologist workin18-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0251E 026-0257E Instruction Guide to the OCC-OFPS Secure Web FormESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner18-Dec27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0257E 026-0260E Information to Obtain a Warrant / Telewarrant Authorizing Entry - Form 1ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0260E 026-0261E Warrant Authorizing Entry - Form 2ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0261E 026-0262E Information to Obtain an Order for the Production of Records - Form 3ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0262E 026-0263E Order for the Production of Records - Form4ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0263E 026-0264E Urgent Demand for Records - Form 5ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0264E 026-0265E Urgent Demand for Records Report - Form 6ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-Jun24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0265E 026-0266E Urgent Demand for Records Report Appendix - Notice of Request Form 6AESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0266E 026-0267E Annual Report Template - Form 7ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-Jun39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0267E 026-LE219E Criminal Record CheckESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThis check is intended for applicants who are currently or will potentially be a volunteer or employee where a basic Criminal Record Check is requested. This search is NOT intended for the Vulnerable Sector. The Record Check is intended for applicants who18-Nov2657http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE219E 026-LE220E Vulnerable Sector CheckESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThis check is to be used by applicants seeking a paid or volunteer position with vulnerable persons. “Vulnerable person" means a person who, because of their age, a disability or other circumstances, whether temporary or permanent, are (a) in a position o18-Nov3019http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE220E 026-LE221E Security Screening CheckESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThis form is used by private contractors and/or employees to have a criminal background check completed and to identify what level of check is required.14-Mar63http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE221E 026-LE238E Image(s), Audio and/or Visual Record(s) Consent, Waiver and Release of LiabilityESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceTo obtain the consent from participants at an OPP event to be recorded in any matter, which could be used for OPP promotional items; users are made aware of this before any recordings are taken13-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE238E 026-ON00019E Guide to the OCC-OFPS Secure Web FormESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerGuide to the OCC-OFPS Secure Web Form20-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-ON00019E 026-PCS104 Pre-Employment Application Questionnaire - Casual Part-time PolicingESolicitor GeneralOntario Provincial PoliceOntario Provincial PolicePCS104 is to be completed by the Manager/Supervisor requesting any new casual/part-time position, or renewing any existing contracts in place, and shall be included in the final Ontario Provincial Police (OPP) Casual Part-time Policing program application17-May5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-PCS104 026-PCS119E Amalgamating Police Officer ApplicationESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThe PCS119 is used by Police Services that are amalgamating into the Ontario Provincial Police (OPP) in order for their Police Officers to apply for a position. It allows OPP's Uniform Recruitment to review personal and occupational information about each18-Jul82http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-PCS119E 028-0001E Age-Friendly Communities Recognition AwardESeniors and AccessibilityStrategic Policy and Stakeholder RelationsPublic Education and Awareness UnitThe Ontario Age-Friendly Communities (AFC) Recognition Program celebrates and showcases Ontario communities that are taking steps to become age-friendly and is aimed at recognizing the efforts and achievements of communities engaged in age friendly initia17-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=028-0001E 028-0002E Fire Sprinkler Retrofit Program for Licensed Small or Rural Retirement Homes Grant ApplicationESeniors and AccessibilityStrategic PolicyDirector’s OfficeTo administer a grant based funding program for the cost of installing automatic fire sprinklers in licensed retirement homes17-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=028-0002E 0329E NOHFC Application Northern Community Capacity Building Program Event Partnership ProjectsENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund CorporationSingle stage application form to replace the existing form on the site.17-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0329E 033-0041E Energy and Water Reporting and Benchmarking (EWRB) Exemption NoticeEEnergy, Northern Development and MinesConservation Programs and Partnerships Branch (CPPB)Energy and Water Reporting and Benchmarking (EWRB)If you are eligible for a reporting exemption according to the criteria set out in O. Reg. 506/18: Reporting of Energy Consumption and Water Use, this form lets you submit the documentation required to show that you qualify for an exemption. This form su19-Mar39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0041E 033-0042E EWRB Reporting Lead Contact UpdateEEnergy, Northern Development and MinesConservation Programs and Partnerships Branch (CPPB)Energy and Water Reporting and Benchmarking (EWRB)The EWRB Reporting Lead is the person who will receive EWRB emails for each of the buildings which the corporations owns. This form allows you to update the contact information for that person. The contact information will be updated and automatically app19-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0042E 033-0048E Annual Hydro One Compensation DisclosureEEnergy, Northern Development and MinesDeputy Minister's OfficeDeputy Minister's OfficeThe Compensation Disclosure regulation gives effect to the disclosure provision of the Hydro One Accountability Act, 2018 and clarifies requirements of the public disclosure. The Annual Hydro One Compensation Disclosure form, referenced by the regulation,19-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0048E 0387E Attestation for Other Persons Providing Child Care or Services to a Child in a Child Care CentreEEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitThis form will assist child care licensees in meeting regulatory requirements for attestations for other persons under the Child Care and Early Years Act (CCEYA).17-Jan100http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0387E 0388E Offence Declaration for Other Persons Providing Child Care or Services to a Child in a Child Care CentreEEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitThis form will assist child care licensees in meeting regulatory requirements for offence declarations for other persons under the Child Care and Early Years Act (CCEYA).17-Jan144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0388E 04-0201E Non-Agricultural Source Materials (NASM) Plan Registration FormEAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing ProgramTo register agricultural operations that intend to land apply Catergory 2 non-agricultural source materials (NASM) with a low metals content.11-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=04-0201E 043-0028E Application to the Ontario-China Research and Innovation Fund (OCRIF) - Ontario Call for Proposals 2015EResearch, Innovation and ScienceINTERNATIONAL TRADESOUTH AMERICA, RUSSIA/EASTERN EUROPE, ASIA PACIFIC AND MIDDLE EAST15-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=043-0028E 0439E Request to Obtain Official Copies of Crown Land Patent RecordsENatural Resources and ForestryIntegration BranchLand and Water Services SectionRequest a certified or uncertified copy of the record of the original Crown patent for a specific property19-May124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0439E 044-0032E Municipal Infrastructure Investment Initiative, Funding for Asset Management, Expression of InterestEInfrastructureInfrastructure Partnerships BranchMunicipal Infrastructure UnitOn August 16, 2012, the Government of Ontario launched the Municipal Infrastructure Investment Initiative. As part of the initiative, funding is being made available to improve asset management planning in small municipalities and Local Services Boards (L12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0032E 044-0033E Municipal Infrastructure Investment Initiative, Funding for Social Housing Asset Management, Expression of InterestEInfrastructureInfrastructure Partnerships BranchMunicipal Infrastructure UnitOn August 16, 2012, the Government of Ontario launched the Municipal Infrastructure Investment Initiative. As part of the initiative, funding is being made available for eligible Service Managers to improve asset management planning of their social housin12-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0033E 044-0034E Municipal Infrastructure Investment Initiative Capital Program – Expression of InterestEInfrastructureInfrastructure Partnerships BranchMunicipal Infrastructure UnitTo allow eligible applicants to submit an Expression of Interest to the MIII Capital Program. Through the program, up to $51 million will be made available to address necessary road, bridge, water and wastewater projects identified as top priorities throu12-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0034E 044-0035E Places to Grow Implementation Fund ApplicationEInfrastructureOntario Growth SecretariatPartnerships and ConsultationThe form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund.14-Apr9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0035E 044-0037AE New Building Canada Fund Small Communities Fund (SCF) - Intake 2 - Expression of Interest (EOI)EInfrastructureInter-governmental Policy BranchInter-governmental Infrastructure PolicyNew Building Canada Fund Small Communities Fund (SCF) - Intake 2 - Expression of Interest (EOI)15-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0037AE 044-0044E Natural Gas Grant ProgramEInfrastructureInter-governmental Policy BranchMunicipal Infrastructure PolicyNatural Gas Grant Program Application Form17-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0044E 044-0047E Surplus Property Transition Initiative Application FormEInfrastructureCommunity Hubs DivisionSurplus Property Transition InitiativeThese forms are used to apply for the Surplus Property Transition Initiative. The initiative allows community proponents to request additional time to support planning for potential re-development of surplus public properties into community hubs.18-Apr31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0047E 044-0050E Application Form - Facilitation ProgramEInfrastructurePlanning and ImplementationFacilitation ProgramThe Community Hubs Facilitation Program provides funding to successful applicants to engage service providers who will provide assistance in advancing their community hub development projects.18-May35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0050E 044-0059E Asset Management Planning Regulation (0. Reg. 588/17) Completeness QuestionnaireEInfrastructureInter-governmental Policy BranchMunicipal Infrastructure PolicyTo provide information on the progress municipalities who are eligible to receive provincial infrastructure funding have made so far in meeting the requirements of the Asset Management Planning regulation.19-Aug41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0059E 045-06538E Application for Licence or Registration New, Reinstatement or RenewalEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario09-Nov65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06538E 045-06538EINFO Application for Licence or Registration New, Reinstatement or RenewalEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario08-Nov47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06538EINFO 045-06550E Application to close a cemetery or part of a cemeteryEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchCemeteries Regulation UnitApplication to request closure of a cemetery or part of a cemetery. 12-Jun23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06550E 045-12104E Application for Licence Payday Loans Act, 2008EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioApplication for Licence Payday Loans Act, 2008 19-Jun176http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-12104E 045-12106E Notice of AppealEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioTo appeal an Order of Administrative Penalty imposed under the Payday Loans Act, 200818-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-12106E 046-0002E Personal Disclosure and Conflict of Interest Form for Public Appointment CandidatesETreasury Board SecretariatPublic Appointments and Agency Governance BranchPublic Appointments SecretariatThis 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.19-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-0002E 046-0026E Application for Appointment to Agencies, Boards and CommissionsETreasury Board SecretariatCentre for Leadership and LearningPublic Appointments Secretariat18-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-0026E 046-5191E Broader Public Sector Compensation Information QuestionnaireETreasury Board SecretariatTotal Compensation Strategy BranchBroader Public Sector Compensation Policy UnitThe purpose of the form is to assist in the collection of compensation information from designated employers under the Broader Public Sector Executive Compensation Act, 2014 (the Act). Issued in accordance with the Act, the Broader Public Sector Compensat15-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-5191E 046-5200E Local Poverty Reduction Fund Funding Stream for Indigenous-led Projects ApplicationETreasury Board SecretariatPoverty Reduction Strategy OfficePoverty Reduction Strategy OfficeFor Indigenous communities and Indigenous-led organizations to apply to the Local Poverty Reduction Fund - Funding Stream for Indigenous-led Projects.17-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-5200E 047-2229E Residential Tenancy Agreement (Standard Form of Lease)EMunicipal Affairs and HousingMarket Housing BranchResidential Tenancies UnitThis form is a residential tenancy agreement (lease). Starting April 30, 2018 landlords of most private market rental units will be required to use this form (lease) when they enter into a tenancy with a tenant.18-Jan45977http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=047-2229E 05039E Electric Vehicle Charging Incentive Program (EVCIP) - New Electric Vehicle Charger Application FormETransportationTransportation Policy BranchSustainable Transportation Policy OfficeThe purpose of this form is to assist the Province of Ontario in assessing whether Level 2 (208V or 240V) private (residential/fleet) electric vehicle supply equipment (EVSE) can become eligible for the Ontario Electric Vehicle Charging Incentive Program 17-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=05039E 0506E Application to Register Tobacco ProductsEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0506E 0511E Application to Register for Interjurisdictional TransporterEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0511E 0515E Application to Register for a Wholesaler's PermitEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax18-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0515E 0518E Marine Archaeology Licence ApplicationETourism, Culture and SportCulture Agencies BranchCulture Agencies UnitApplication for individuals/companies to conduct marine archaeological surveys. Both consulting and non-consulting projects. Archaeology, Marine, Licence, Underwater18-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0518E 0521E Application to Register for Transit PermitEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0521E 05245E Notice of Appeal (for appeal of an Order of Administrative Penalty under the Collection and Debt Settlement Services Act)EGovernment and Consumer ServicesConsumer Protection OntarioBusiness Process Modernization BranchNotice of Appeal?(for appeal of an Order of Administrative Penalty under the Collection and Debt Settlement Services Act)18-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=05245E 081-10022E-OF Sidewalk Artist/Busker Permit ApplicationEMunicipality - City of TorontoMunicipal Licensing and StandardsLicensing ServicesApplication for musicians and performers (buskers) wishing to perform on City of Toronto sidewalks. 12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=081-10022E-OF 081-10023E-OF Temporary Fireworks Permit ApplicationEMunicipality - City of TorontoMunicipal Licensing and StandardsLicensing ServicesApplication for any person wishing to sell fireworks in the City of Toronto.10-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=081-10023E-OF 09-0011E Ontario Research Fund – Research Excellence Round 9 - Notice of IntentEResearch, Innovation and ScienceResearch and Innovation DivisionEconomic Development and Innovation DirectorateNotice of Intent to submit an application to Round 9 of the Ontario Research Fund – Research Excellence program, which provides funding for leading edge research in Ontario's universities, colleges, hospitals, and non-profit research organizations. See Mi17-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-0011E 09-0012E Ontario Research Fund – Research Excellence Round 10 ApplicationEResearch, Innovation and ScienceResearch and Innovation DivisionEconomic Development and Innovation DirectorateApplication to Round 10 of the Ontario Research Fund – Research Excellence program, which provides funding for leading edge research in Ontario's universities, colleges, hospitals, and non-profit research organizations. See Ministry website for full appli19-May101http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-0012E 09-174E Ontario – Quebec Health Study ProgramETraining, Colleges and UniversitiesFrench-Language Priorities BranchFrench-Language Continued Learning UnitTo be considered for admission to a Quebec university under the Ontario-Quebec Health Study Program, applicants must also complete this Notice of Application form and submit it to the Ministry of Training, Colleges and Universities no later than March 1.20-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-174E 11315E Application for Post Adoption Birth Information Under Section 48.1 or 48.2 of the Vital Statistics ActEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to apply for Post Adoption Birth Information under the Adoption Information Disclosure Act, 2005.10-May348http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E 11315E-A Adoption Information Disclosure, Adopted Person's Guide to Completing and Submitting an Application for Post Adoption Birth InformationEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo provide adopted persons with options when submitting a service request to the Office of the Registrar General to complete and submit an application for Post Adoption Birth Information.09-May363http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E-A 11315E-B Adoption Information Disclosure, Birth Parent's Guide for Completing and Submitting an Application for Post Adoption Birth InformationEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo provide birth parents with options when submitting a service request to the Office of the Registrar General to apply for Post Adoption Birth Information under the Adoption Information Disclosure Act, 2005.09-May110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E-B 11327E Application for a Change of Sex Designation on a Birth Registration of a Child (17 years of age and under)EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralApplication for a Change of Sex Designation on a Birth Registration of a Child (17 years of age and under)19-May92http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11327E 11328E Statutory Declaration for a Change of Sex Designation on a Birth Registration of a ChildEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralDeclaration for a Change of Sex Designation on a Birth Registration of a Child19-Aug46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11328E 11329E Consent for a Change of Sex Designation on a Birth Registration of a ChildEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralConsent for a Change of Sex Designation on a Birth Registration of a Child14-Dec104http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11329E 11330E Notice of Change of Sex Designation on a Birth Registration of a ChildEGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralNotice of Change of Sex Designation on a Birth Registration of a Child14-Dec46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11330E 11351E Settling Debt - What You Need To KnowEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Collection and Debt Settlement Services Act requires this to be the first page of any debt settlement/credit counselling contract.17-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11351E 11352E Repaying Debt And Credit Counselling - What You Need To KnowEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Collection and Debt Settlement Services Act requires this to be the first page of any debt settlement/credit counselling contract.17-Jan13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11352E 11353E Consumer-Initiated Calls: Water Heater ContractsEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Consumer Protection Act requires this to be the first page of any door-to-door contract for a water heater for customer-initiated calls.17-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11353E 11354E Unsafe Or Recalled Water Heaters - What You Need To KnowEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Consumer Protection Act requires this to be the first page of any door-to-door contract for an unsafe or recalled water heater.17-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11354E 11355E Water Heater Contracts - What You Need To KnowEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Consumer Protection Act requires this to be the first page of any door-to-door contract for a water heater.17-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11355E 11356E Water heater contract mandatory statement - when the 20-day cooling-off period does applyEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario17-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11356E 11357E Water heater contract mandatory statement - when the 20-day cooling-off period does not applyEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario17-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11357E 130-7540-1016 Oaths and Affirmations of Office and AllegianceEOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningEvery public servant must swear or affirm two oaths. This is part of the ethical framework set out in the Public Service of Ontario Act.17-Nov41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1016 130-7540-1055E Conflict of Interest Declaration for Public Servants (Ministry Employees, Public Body Employees/Appointees and Ontario Provincial Police Employees - Civilian and Uniform)EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningFor disclosure of potential conflict of interest for public servants including ministry employees and public body employees/appointees. Note: Adobe Reader version 11.0.04 or up is needed for the full functionality of the form.19-Mar101http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1055E 130-7540-1097E Disclosure of Wrongdoing for Public Servants and Former Public Servants (Ministry and Public Body)EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningFor disclosure of wrongdoing for public servants including ministry employees, ministers' office and public body employees/appointees.14-Oct25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1097E 130-7540-1107E Post-service Activity Conflict of Interest Form for Current and Former Public Servants (Ministry, Public Body and Ontario Provincial Police)EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningTo 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 activit19-Mar98http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1107E 130-7540-1539E Access or Correction RequestEOPS Internal Administration FormsFreedom of Information and Protection of PrivacyFreedom of Information and Protection of PrivacyTo help requesters get access to government records using the Freedom of Information and Protection of Privacy Act or to correct their personal information19-Dec1037http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1539E 14-5054-64E Form 3 – Notification of New Active – Leprosy (Hansen's Disease)EHealth and Long-Term CarePublic HealthInfectious Diseases Policy and Programs17-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=14-5054-64E 16-MOL-ES-034E Regular Pay WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of pay your employer may owe you if you weren't paid for work you performed.18-Jan31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-034E 16-MOL-ES-035E Vacation Pay WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of vacation pay your employer may owe you.18-Jan51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-035E 16-MOL-ES-036E Unauthorized Deductions WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of pay your employer may owe you, if your employer made deductions from your wages that were not authorized by statue, court order, or by you in writing.18-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-036E 16-MOL-ES-037E Overtime Pay WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of overtime pay your employer may owe you.18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-037E 16-MOL-ES-038E Minimum Wage WorksheetELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of pay your employer may owe you if you were paid less than minimum wage for all the hours that you worked in a pay period.18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-038E 1960E Health and Safety ChecklistELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitThe purpose of this checklist is to help employers increase their knowledge about their main responsibilities under the Occupational Health and Safety Act (OHSA), and to evaluate how well they are complying with their duties to ensure their workplaces are16-Feb1051http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=1960E 2018-024-0378E Form 2: Follow-up Report to Child Abuse RegisterEChildren and Youth ServicesChild Welfare SecretariatChild WelfareThis form is completed by a children's aid society to provide additional information regarding child abuse that has been verified by the society.18-Mar0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2018-024-0378E 2097E Great Lakes Guardian Community Fund - Application 2015EEnvironment, Conservation and ParksProgram Planning and Implementation BranchProgram Development15-Aug15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2097E 2159Renewable Energy Approval Site Plan Approval and Buidling Permit RequestEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesThis form is intended to standardize the way in which applicants of wind facilities request copies of site plan approvals (issued under section 41 of the Planning Act) and building permits (issued under s. 8 of the Building Code Act, 1992) from municipali16-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2159 2172E Report of a Waste Audit - Large Construction and Demolition ProjectsEEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared before construction or demolition begins at the site. The waste audit must be retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2172E 2173E Report of a Waste Reduction Work Plan - Large Construction and Demolition ProjectsEEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared before construction or demolition begins at the site. The waste reduction work plan must be retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2173E 2174E Report of a Waste Audit - Industrial, Commercial and Institutional EstablishmentsEEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared 6 months before becoming subject to O. Reg. 102/94 and a copy retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2174E 2175E Report of a Waste Reduction Work Plan - Industrial, Commercial and Institutional EstablishmentsEEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared 6 months before becoming subject to O. Reg. 102/94 and a copy retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2175E 2178Request Under s. 20(4) to have the Sch. 3 Standards Apply in Advance of the Data Required by LAQREEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests to have the Schedule 3 Standards of O. Reg 419/05 - Local Air Quality (the Regulation) made under the EPA apply in advance of the date required by the Regulation17-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2178 2179Notification of Exceedance - Local Air Quality RegulationEEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to collect information relating to measurerd or modelled air-related exceedances as required by s.25(9), s.28(1) and s.30(3) of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA17-Jun39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2179 2180Request Approval Under para 3 s.11(1) LAQR for a Plan for Combined Assessment of Modelled & MeasuredEEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests for approval of a plan for the combined assessment of modelled and monitored results including the use of meterological data for the purpose of refining emissions rates used in the analysis under paragraph 3 of17-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2180 2181Request for Approval Under s.13(1) of LAQR for Use of Site Specific Meterological dataEEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests for the use of site-specific meteorological data under section 13 of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA17-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2181 2182Request for Notice Under s.7(1) of Local Air Quality Reg for Use of a Specified Dispersion ModelEEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests for the use of a specified dispersion model under s. 7 of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA17-Jun21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2182 2188E Ontario CITSS Cross-Jurisdiction Users FormEEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by individuals who have already been approved as users in the Compliance Instrument Tracking System Service (CITSS) by a jurisdiction other than Ontario and now wish to serve as an account representative or an account viewing agent17-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2188E 2189E Drinking Water Information - O. Reg. 243/07EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchRegister a facility, update or revoke an existing registration, or provide notice of reduce lead sampling.17-Dec57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2189E 2190E Ethanol and Greener Diesel ReportingEEnvironment, Conservation and ParksOperations DivisionsProgram Services UnitFor annual reporting from the regulated community under greener fuels regulations. greener diesel, ethanol in gasoline, greener fuels18-Nov15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2190E 2199E Notice of Registration of Tax Arrears CertificateEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 1 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2199E 2200E Statutory Declaration Regarding Sending of Notice of Registration of Tax Arrears CertificateEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 2 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2200E 2201E Final Notice of Registration of Tax Arrears Certificate Under Section 373 of the ActEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 3 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2201E 2202E Statutory Declaration Regarding Sending of Final NoticeEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 4 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2202E 2203E Payment into Court – Statement of FactsEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 5 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2203E 2204E Sale of Land by Public TenderEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 6 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2204E 2205E Tender to PurchaseEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 7 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2205E 2206E Sale of Land by Public AuctionEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 8 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2206E 2207E Mining Act InformationEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 9 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018).18-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2207E 2208E Notice of ReadvertisementEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 10 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018).18-Jan13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2208E 2209E Notice of Registration of Tax Arrears CertificateEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 1 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018).18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2209E 2210E Statutory Declaration Regarding Sending of Notice of Registration of Tax Arrears CertificateEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 2 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2210E 2211E Final Notice of Registration of Tax Arrears Certificate Under Section 344 of the ActEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 3 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2211E 2212E Statutory Declaration Regarding Sending of Final NoticeEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 4 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2212E 2213E Payment into Court – Statement of FactsEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 5 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2213E 2214E Sale of Land by Public TenderEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 6 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2214E 2215E Tender to PurchaseEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 7 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2215E 2216E Sale of Land by Public AuctionEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 8 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2216E 2217E Notice of ReadvertisementEMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 9 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2217E 2945E Canada-Ontario Job Grant (COJG) Participant RegistrationETraining, Colleges and UniversitiesProgram Delivery SupportCanada-Ontario Job Grant Program (COJG)The Participant Registration form identifies the training participant's educational and employment history, along with details about the skills training request19-Mar131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2945E 2946E Canada-Ontario Job Grant (COJG) Placement AgreementETraining, Colleges and UniversitiesProgram Delivery Support BranchJob Connect ProgramThe Placement Agreement form outlines the terms and conditions of the placement including the placement plan, job placement activities, employer's evaluation and the terms and conditions of the three parties involved in the placement - the employer, the e16-Oct56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2946E 2947E Canada-Ontario Job Grant (COJG) Employer Registration for ConsortiumETraining, Colleges and UniversitiesProgram Delivery Support BranchJob Connect ProgramThe Employer Registration for Consortium form captures information about the consortium, participating employer, type of business and how many individuals it employs.19-Mar57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2947E 2948E Canada-Ontario Job Grant Employer/Consortium Application FormETraining, Colleges and UniversitiesProgram Delivery Support BranchDelivery Support Unit**IMPORTANT - You must download Adobe Acrobat Reader (version 9.0 or above) to view/print PDF forms. To support the launch of the Canada-Ontario Job Grant Program. This specific form is the application to be completed by prospective employers or consortiu17-Feb47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2948E 2953E Canada-Ontario Job Grant (COJG) Training AgreementETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitFor use by Canada-Ontario Job Grant (COJG) Service Providers when entering into training agreements with approved Employers19-May130http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2953E 3002E Child Care Centre Licensing ManualEEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitTo provide information about legislative and regulatory requirements for licensed child care centres.16-Dec42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3002E 3004E Employment Ontario Employer Registration FormETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThe Employment Ontario Employer Registration form will be used to register employers in the following programs: Employment Service (ES); Youth Job Connection (YJC)/Youth Job Connection: Summer (YJCS)19-Jun373http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3004E 3006E Employment Ontario Participant Registration FormETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThis form is used by Employment Ontario Service Providers to capture participant information of individuals wishing to access: Employment Service (ES);Supported Employment Consortia (SEC);Supported Employment Sole (SES); Youth Job Connection (YJC)/Youth J19-Mar1108http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3006E 3038E Offence DeclarationEEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitThis form is intended for use by child care licensees to meet provincial requirements for offence declarations.16-Sep391http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3038E 3042E Declaration of RepresentativeEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3042E 3043E Notice of MotionEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceTo request that the Tribunal issue an order.19-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3043E 3044E Request for an AdjournmentEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3044E 3045E Summons to a WitnessEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3045E 3046E Notice of MotionEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceTo request that the Tribunal issue an order.18-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3046E 3047E Request for an AdjournmentEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Aug6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3047E 3048E REQUEST TO WITHDRAW AN APPLICATIONEAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal16-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3048E 3107Form Support Guides - English (ISO Package - 2 PARTS - Booklet and Pad)EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office12-Jan0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3107 3257E OAP Clinical Supervisor Attestation FormEChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchTo confirm the professionals clinically supervising behavioural services in the Ontario Autism Program meet the program's qualification requirements.19-May198http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3257E 3259E Ontario Autism Program Registration FormEChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form allows families with children and youth with autism to register for the Ontario Autism Program.19-May3787http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3259E 3769-41E Form 48 - Application to Board to Review Community Treatment Order (s.39.1(1) and Notice to Board by Physician of NeedEHealth and Long-Term CareMental HealthMental Health16-Feb75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3769-41E 4611-45E Paramedic Labour Mobility ApplicationEHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchCertification and Patient Care StandardsApplication and Verification forms for the Ministry of Health (MOH) Paramedic Labour Mobility Equivalency for Paramedics who hold a valid license or certification in good standing from other Canadian provinces or territories and wish to obtain equivalency19-Nov83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4611-45E 4872Supporting Information for a Maximum Ground Level Concentration Acceptability Request for Compounds with No Ministry Point of Impingement (POI) Limit Supplement to Application For Approval, EPA S.9EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesThis form is used when a contaminant with no Ministry POI Limit is identified as apart of an Emission Summary and Dispersion Modelling (ESDM) Report.17-Nov28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4872 4967-47E Pharmacists WorksheetEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsMust be completed for every MedsCheck; pharmacists must have professional notes and/or a worksheet when conducting a MedsCheck.16-Jul205http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4967-47E 4968-47E Personal Medication RecordEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsUsing the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.16-Jul165http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4968-47E 4969-47E Diabetes Education ChecklistEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsThe MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Dia16-Jul53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4969-47E 4970-47E Diabetes Education Patient Take Home SummaryEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsThe MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Dia16-Jul44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4970-47E 4974-47E Patient Take Home SummaryEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsPharmacists may provide patients with a MedsCheck Patient Take-Home Summary that is intended to further engage patients in identifying ways to build added awareness in their drug therapy and help to identify therapy-related goals.16-Jul64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4974-47E 4975-47E MedsCheck Patient Acknowledgement of Professional Pharmacy ServiceEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsThe ministry is introducing an annual process for patient acknowledgement of professional pharmacy services. This is facilitated with the use of a mandatory form and when completed by the patient confirms the patient's understanding of MedsCheck.16-Jul199http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4975-47E 4976-47E Healthcare Provider Notification of MedsCheck ServicesEHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsUsing the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.16-Jul153http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4976-47E 4985-87E Respiratory Syncytial Virus (RSV) Prophylaxis for High-Risk Infants Program Enrolment - Special Clinical Circumstance Medical Justification FormEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo facilitate healthcare providers in making a Special Clinical Circumstance request for palivizumab funding.18-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4985-87E 5041-77E Request for Prior Approval for Funding of Sex-Reassignment SurgeryEHealth and Long-Term CareHealth Service BranchPolicy and Projects TeamForm to be completed by providers on behalf of patients seeking prior approval for insured sex-reassignment surgery.16-Mar97http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5041-77E 5046-64 Ontario Perinatal Record (set)EHealth and Long-Term CareProvincial Programs BranchProvincial Council for Maternal and Child HealthEffective July 1, 2017, the Ontario Perinatal Record will replace the Antenatal Record 1 and the Antenatal Record 2, to guide and document perinatal care in Ontario. The form is intended for health care providers including obstetricians, midwives, family 17-Mar0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5046-64 5047-87E Temporary Unblocking of Access to Drug and Pharmacy Service InformationEHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch16-Nov22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5047-87E 5060-64 Ontario Perinatal Record 3EHealth and Long-Term CareProvincial Programs BranchProvincial Council for Maternal and Child HealthEffective July 1, 2017, the Ontario Perinatal Record will replace the Antenatal Record 1 and the Antenatal Record 2, to guide and document perinatal care in Ontario. The form is intended for health care providers including obstetricians, midwives, family 17-Mar0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5060-64 5064E Community Transportation Pilot Grant Program Application FormETransportationTransit Policy BranchProvincial Transit Policy OfficeTo enable municipalities to apply for Community Transportation Pilot Grant.14-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5064E 5065E Application for Highway Corridor Management PermitsETransportationHighway Standards BranchHighway Corridor Management and Property OfficeAnyone planning to construct on or adjacent to a provincial highway may require a permit from the Ministry of Transportation (MTO). MTO issues permits under the Public Transportation and Highway Improvement Act and administration of the permits is the res17-Apr24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5065E 5074E Extended Permitting Application – Non-Dump Semi-Trailers with 4 or more Axles or Double TrailersETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionFacilitate trailer owners/operators to apply for special permits extending grandfathering provision of non-dump semi-trailers with 4 or more axle or double trailers.18-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5074E 5080E FMCSA Medical ReportETransportationLicensing Services BranchDriver Improvement OfficeThis form is for drivers that are requesting proof of medical fitness to comply with the Federal Motor Carrier Safety Administration (FMCSA) requirement.15-Oct122http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5080E 5081E Commercial Vehicle Operator's Registration (CVOR) Update ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office15-Oct116http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5081E 5082-69E Application for Reduction in Long-Term Care Home Basic Accommodation – Consent to Collection, Use and Disclosure of Information for Automated Income Verification with the Canada Revenue AgencyEHealth and Long-Term CareLicensing and PolicyFinancial Policies and Procedures UnitPursuant to section 177 of the Long-Term Care Homes Act, 2007, the Director may directly or indirectly collect the information provided in this application to determine the reduced amount payable by the resident for basic accommodation in accordance with 19-May34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5082-69E 5082E Prepaid Account Authorization ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office18-May28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5082E 5083-69E Withdrawal of Consent for Automated Income Verification with the Canada Revenue Agency –Long-Term Care Rate Reduction ProgramEHealth and Long-Term CareLicensing and PolicyFinancial Policies and Procedures UnitPlease complete this form if you wish to withdraw your consent to the Ministry of Health and Long-Term Care (MOHLTC), Ministry of Finance and the Long-Term Care Home Licensee (LTCH Licensee) collecting your income information from the Canada Revenue Agenc19-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5083-69E 5087E Commercial Vehicle Operator's Record Data Request ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office16-Jan38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5087E 5091E Voluntary Request for MTO Facility Audit ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office18-May48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5091E 5098E SVC Application For Hydrova, Sewer Cleaner or Street Sweeper PermitETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionHydrovacs, sewer cleaners and street sweepers manufactured before January 1, 2017 are eligible for a Special Vehicle Configuration Permit allowing them to operate outside the vehicle weight and dimension limits of the Highway Traffic Act, but within manuf17-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5098E 5111E Oversize/Overweight Permit Application – Enhanced Project PermitETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionFor carriers to apply for enhanced project permits to move similar oversized loads from the same origin and destination for a duration of up to 6 months.17-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5111E 5125E Ontario Seniors Dental Care Program ApplicationEHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this application form to apply for the Ontario Seniors Dental Care Program if you and your spouse (if applicable) have filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent tax year and have a valid Social Insu19-Sep12505http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5125E 5126E Ontario Seniors Dental Care Program Application Through GuarantorEHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this application form to apply for the Ontario Seniors Dental Care Program if you do not have a valid Social Insurance Number (SIN) and/or if you have not filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent t19-Sep1943http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5126E 5127E Ontario Seniors Dental Care Program. Authorizing or Cancelling a RepresentativeEHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this form to authorize the program administrator of the Ontario Seniors Dental Care Program to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for program 19-Sep23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5127E 5128E Ontario Seniors Dental Care Program. Change of InformationEHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this form if you have applied and are enrolled in the Ontario Seniors Dental Care Program and would like to change the information provided at the time of application. Through this form, you can update applicant information, contact informatio19-Sep591http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5128E 5356E Acoustic Assessment Report Check-ListEEnvironment, Conservation and ParksEnvironmental Approvals Access and Service Integration BranchBusiness ServicesTo ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted.17-Mar50http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5356E 5357E Emission Summary And Dispersion Modelling Report ChecklistEEnvironment, Conservation and ParksEnvironmental Approvals Access and Service Integration BranchBusiness ServicesTo ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted in the Emission Summary and Dispersion Modelling Report.17-Mar52http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5357E 56-4965E Grow Your Own Nurse Practitioner Initiative - ApplicationEHealth and Long-Term CareHealth Workforce Planning BranchHuman ResourcesThe Grow Your Own Nurse Practitioner Initiative Application is the application health care organizations must complete to request participation in the Grow Your Own Nurse Practitioner Initiative.15-May67http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=56-4965E 6238Pipe Data Form: Watermain, Storm Sewer, Sanitary Sewer and Forcemain DesignEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form will be used to evaluate applications for approval of municipal & non-municipal drinking-water systems as required by Section 31, 36, 38, 52 & 60 of the SDWA.17-Mar122http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=6238 7219-41E 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 ActEHealth and Long-Term CareMental HealthMental HealthNotice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act16-Dec40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=7219-41E 7746E Checklist for Requirements under O. Reg. 359/09 of a Renewable Energy ProjectEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services14-Aug17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=7746E 9167Environmental Compliance Approval Application for Vertical Closed Loop Ground Source Heat PumpsEEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesWill be used to evaluate applications for Environmental Compliance Approvals (ECAs) issued under Part II.1 of the EPA. This application form should be used solely for vertical closed loop ground source heat pumps.17-Dec22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9167 9955E Estate Information ReturnEFinanceAdvisory, Objections, Appeals and Services BranchEstate Administration Tax - Advisory & Compliance BranchTo be used by the Ministry of Finance to enforce compliance with the Estate Administration Tax Act, 1998. If you applied for a Certificate of Appointment of Estate Trustee on or before December 31, 2019, please refer to the form and guide Up to December 319-Dec8772http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9955E 9959E Guide - Completing the Raw Leaf Tobacco Return TT101R and the Raw Leaf Tobacco Schedule 101REFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9959E 9960E Guide - Completing the Evidence of Contract for PurchaseEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9960E 9961E Guide - Completing the Application to Register Raw Leaf TobaccoEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9961E 9962E Guide - Completing the Application to Produce – Raw Leaf TobaccoEFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxGuide Completing the Application to Produce – Raw Leaf Tobacco19-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9962E 9963E Guide - Completing the Application to Produce Raw Leaf Tobacco for Own Use in the Manufacture of Tobacco ProductsEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9963E 9964E Guide - Completing the Application to Produce Raw Leaf Tobacco for Agronomic ResearchEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9964E 9965E Guide - Completing the Acreage ConfirmationEFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9965E 9966E Authorizing or Cancelling a RepresentativeEFinanceAdvisory, Objections, Appeals and Services BranchClient Services BranchUsed to obtain Third Party Authorization for non-tax and benefit programs in the AMCB.15-Mar45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9966E 9996E Ontario Land Transfer Tax Refund/Rebate AffidavitEFinanceAudit BranchLand TaxesAllows taxpayers to claim the a rebate or refund of the Non-Resident Speculation Tax18-Jul536http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9996E CLA-10-E Form 10 - Certificate of Action Under Section 36 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form certifies that a lien claimant has commenced an action to enforce a lien.14-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-10-E CLA-11-E Form 11 - Notice Requiring Particulars of Sheltered Claim for Lien Under Paragraph 4 of Subsection 36 (4) of The Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a lien claimant whose lien is sheltered under the perfected lien of another lien claimant that he or she must provide the defendant with further particulars of their claim.14-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-11-E CLA-12-E Form 12 - Notice of Cross-Examination on Claim for Lien Under Section 40 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a lien claimant, agent or assignee of the lien claimant, or a trustee of a workers' trust fund (where applicable) that he or she will be cross-examined on the lien claim.14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-12-E CLA-13-E Form 13 - Notice of Cross-Examination Under Section 40 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies the person to be examined or the person's solicitor, every other person named in the lien claim as having an interest in the premises, the contractor, and the payer of the lien claimant of the date, time, and location of the cross-exami14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-13-E CLA-14-E Form 14- Release of Lien Under Section 41 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form to discharge a preserved or perfected lien by a release of lien.14-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-14-E CLA-15-1-E Form 15.1 - Financial Guarantee Bond Under Section 44 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a financial guarantee bond under section 44 of the Construction Lien Act.14-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-15-1-E CLA-15-E Form 15 - Notice of Postponement of Lien Under Section 43 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies parties that a preserved or perfected lien is being postponed in favour of the another person's interest in the premises.14-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-15-E CLA-16-E Form 16 - Judgment Directing a Reference for Trial Under Section 58 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a judgment under section 58 of the Construction Lien Act directing a reference of the action to a master for trial.14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-16-E CLA-17-E Form 17 - Notice of Trial Under Section 60 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies all persons entitled to notice of a settlement meeting that the court has fixed a date for trial.14-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-17-E CLA-18-E Form 18 - Notice of Settlement Meeting Under Section 60 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies every person who is entitled to a notice of a settlement meeting that the court has ordered a settlement meeting.14-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-18-E CLA-19-E Form 19 - Judgment at Trial Under Section 62 of the Act Where Lien Attaches to Premises Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a judgment at trial where the lien attaches to the premises.14-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-19-E CLA-1-E Form 1 - Notice to Contractor Under Section 18 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a contractor that the joint owner or owner in common of the premises on which the contractor is contracted to make improvements assumes no responsibility for the improvements.14-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-1-E CLA-20-E Form 20 - Judgment at Trial Under Section 62 of the Act Where Lien Does Not Attach to Premises Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a judgment at trial where the lien does not attach to the premises.14-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-20-E CLA-21-E Form 21 - Report Under Section 62 of the Act Where Lien Attaches to Premises Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a report by a master, case management master or other person agreed to by the parties, where the lien attaches to the premises.14-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-21-E CLA-22-E Form 22 - Report Under Section 62 of the Act Where Lien Does Not Attach To Premises Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a report by a master, case management master or other person agreed to by the parties, where the lien does not attach to the premises.14-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-22-E CLA-23-E Form 23 - Financial Guarantee Bond Under Subsection 78 (10) of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a financial guarantee bond under subsection 78(10) of the Construction Lien Act. 14-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-23-E CLA-24-E Form 24 - Notice of Intention to Register A Condominum in Accordance With The Condominium Act, 1998 Under Section 33.1 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form provides notice that an owner of land intends to register a declaration and description for a condominium in accordance with the Condominium Act, 1998.14-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-24-E CLA-2-E Form 2 - Notice to Landlord Under Subsection 19 (1) of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a landlord that a contractor will make an improvement to the premises of the landlord's tenant.14-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-2-E CLA-3-E Form 3 - Notice to Contractor Under Subsection 19 (1) of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a contractor that a landlord assumes no responsibility for the improvements to be made by the contractor to the premises of the landlord's tenant under a contract between the contractor and the tenant.14-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-3-E CLA-4-E Form 4 - Notice to Lien Claimant Under Subsection 19 (3) of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies every lien claimant of a landlord's intention to enforce forfeiture or terminate a lease of the premises that are the subject of the lien because of non-payment of rent.14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-4-E CLA-5-E Form 5 - Declaration of Last Supply Under Subsection 31 (5) of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form declares the date on which a supplier of services or materials last supplied services or materials under a contract or subcontract, and that the supplier will not supply any further services or materials under the contract or subcontract.14-Mar74http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-5-E CLA-6-E Form 6 - Certificate of Substantial Performance of the Contract Under Section 32 of the Act (Construction Lien Act )EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form certifies that a contract has been substantially performed.14-Mar62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-6-E CLA-7-E Form 7 - Certificate of Completion of Subcontract Under Subsection 33 (1) of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form certifies the completion of a subcontract for the supply of services or materials.14-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-7-E CLA-8-E Form 8 - Claim for Lien Under Section 34 of the Act Construction Lien ActEAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a claim for a lien.14-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-8-E CLR-001-E Declaration Affirming Parentage under section 12(1) of the Children's Law Reform ActEAttorney GeneralOperational Support BranchFamily Unit09-Dec20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-001-E CLR-002-E Joint Declaration Affirming Parentage under section 12(2) of the Children's Law Reform ActEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Dec6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-002-E CLR-003-E Statement of Finding of ParentageEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Dec4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-003-E COR-1-E Form 1 - Notice of Application (Criminal Proceedings Rules)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Application by Crown or Accused. 13-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-1-E COR-OCJ-1-E Application (Form 1)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Ontario Court of Justice. Application by Crown or accused. 12-Apr19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-1-E COR-OCJ-2-E Response (Form 2)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCiminal proceeding Ontario Court of Justice . Crown or accused's response to application. 12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-2-E COR-OCJ-3-E Consent (Form 3)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Ontario Court of Justice. Consent by Crown or accused to application. 12-Apr15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-3-E CSB022E Application for Non-Commercial Intellectual Property LicenseESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceApplication for Non-Commercial Intellectual Property License: For the purpose of this form, "intellectual property" is information belonging to the Ontario Provincial Police (OPP) and the rights which protect it. "Intellectual property rights" include: co17-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSB022E CSR-10A-20-42-E Form 10A - Conditions of Release (Criminal Code, s. 520 to 523, 816 and Criminal Proceedings Rules, Rules 20 and 42)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Form sets out the conditions upon which an accused is to be released from a detention facility. The form is to be completed by the solicitor of the accused and signed by both the solicitor and the C13-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-10A-20-42-E CSR-11-21-E Form 11 - Order Releasing Exhibit(s) for Scientific Testing (Criminal Code, ss. 605(1) and Criminal Proceedings Rules, Rule 21)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Form completed by solicitor of the accused for the release of identified exhibits for testing. Judge of Superior Court of Justice must approve and sign for it to become an order of the court. 13-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-11-21-E CSR-12-23-E Form 12 - Order for Attendance of Prisoner at Court Proceeding (Criminal Code, ss. 527(1) and Criminal Proceedings Rules, Rule 23)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-12-23-E CSR-13-23-E Form 13 - Order for Transfer of Prisoner to Custody of Peace Officer (Criminal Code, ss. 527(7) and Criminal Proceedings Rules, Rule 23)EAttorney GeneralOperational Support BranchCriminal/POA Unit1. release order; 2. order of the court directing the institution to release an inmate13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-13-23-E CSR-13A-20-E Form 13A - Order for Attendance of Prisoner at Judicial Interim Release or Review Application Hearing (Criminal Proceedings Rules, Rule 20)EAttorney GeneralOperational Support BranchCriminal/POA Unit1. Order for Attendance of Prisoner at Judicial Interim Release or Review; 2. order of the court directing the institution to release an inmate to attend court for a judicial interim release hearing13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-13A-20-E CSR-14-24-E Form 14 - Commission (Criminal Code, ss. 709 and Criminal Proceedings Rules, Rule 24)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Order appointing a commissioner to take evidence; 2. Order of the Court directing a commissioner to take evidence and provide a transcript of the evidence to the Court13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-14-24-E CSR-15-24-E Form 15 - Letter of Request (Criminal Code, s. 709 and Criminal Proceedings Rules, Rule 24)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Letter of request; 2. Letter from a judge in one jurisdiction to a judge in another jurisdiction requesting assistance in securing the attendance of a witness to be examined13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-15-24-E CSR-16-24-E Form 16 - Order for Commission and Letter of Request (Criminal Proceedings Rules, Rule 24)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Order for commission; 2. Order to the Registrar to prepare a commission13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-16-24-E CSR-17-28-E Form 17- Pre-Trial Conference Report (Criminal Code, s. 625.1, Criminal Proceedings Rules, Rule 28)EAttorney GeneralOperational Support BranchCriminal/POA Unit1. Pre-trial conference report 2. Form to be completed by Crown and defence setting out issues to be litigated, concessions made, time estimates for trial, etc.13-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-17-28-E CSR-18C1-E Form 18C1 - Trial Readiness Report (Where Trial Readiness Court Held)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Trial readiness report when hearing held; 2. confirmation that the parties are or are not ready to proceed to trial13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-18C1-E CSR-18C2-E Form 18C2 - Trial Readiness Report (Where Trial Readiness Court Not Held)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Trial readiness report when hearing is not held; 2. confirmation that the parties are or are not ready to proceed to trial13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-18C2-E CSR-19-40-E Form 19 - Appellant's Factum – Appeal From Sentence Only (Criminal Proceedings Rules, Rule 40)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Appellant's factum - sentence appeal; 2. factum setting out the facts of the case and grounds for appeal13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-19-40-E CSR-20-E Form 20 - Application for Review of Parole Ineligibility (Criminal Code, s. 745.6(1) and Ontario Review of Parole Ineligibility Rules, Rule 50.02(1))EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Application for Review of Parole Ineligibility; 2. Form for offenders to use when applying to the court to reduce their period of parole ineligibility13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-20-E CSR-21-E Form 21 - Affidavit in Support of Application for Review of Parole Ineligibility (Criminal Code, s. 745.6(1) and Ontario Review of Parole Ineligibility Rules (Rule 50), Subrule 50.02(2))EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Affidavit in Support of Application for Review of Parole Ineligibility; 2. Affidavit of applicant setting out that the facts in the application are true13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-21-E CSR-22-4-09-E Form 22 - Requisition (Criminal Proceedings Rules, Rule 4.09)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Requisition; 2 request to the Registrar to provide copies of documents and exhibits required for use in the proceeding13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-22-4-09-E CSR-23-35-E Form 23 - Pre-Hearing Conference Report for Crown Applications (Pursuant to Part XXIV) (Criminal Code, s. 625.1 and Criminal Proceedings Rules, Rule 35)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Pre-hearing conference report for Crown Applications for Dangerous or Long-Term Offender designations; 2. Form for Crown and defence to complete in preparation for Dangerous and Long Term Offender hearings13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-23-35-E CSR-2-40-E Form 2 - Notice of Appeal (Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Appeal from conviction by Crown or accused. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2-40-E CSR-2A-40-09-E Form 2A - Supplementary Notice of Appeal (Criminal Proceedings Rules, Rule 40.09)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Additional ground for appeal by Crown or accused. 13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2A-40-09-E CSR-2B-40-15-E Form 2B - Notice of Intention to Present Appeal in Writing (Criminal Proceedings Rules, Rule 40.15)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceeding in the Superior Court of justice. Notice by Crown or accused to argue appeal in writing. 13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2B-40-15-E CSR-2C-40-08-E Form 2C - Court Reporter's Certificate Respecting Evidence (Criminal Proceedings Rules, Rule 40.08)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Certificate by Court Reporter confirming transcript order, court reporter and completion of transcript order within 90 days. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2C-40-08-E CSR-2D-40-08-E Form 2D - Court Reporter's Completion Certificate (Criminal Proceedings Rules, Rule 40.08)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Certificate by Court Reporter confirming transcript order is complete and party ordering transcript has been notified. 13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2D-40-08-E CSR-3-E Form 3 - BacksheetEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Back sheet. 13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-3-E CSR-4-E Form 4 - Affidavit (Criminal Proceedings Rules, Rule 4)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCiminal proceeding in the Superior Court of Justice. Affidavit setting out evidence in support of proceeding. 13-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-4-E CSR-5-27-03-E Form 5 - Notice of Application and Constitutional Issue (Criminal Proceedings Rules, Rule 27.03)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Notice to Attorney General of Ontario and/or Canada that a constitutional challenge is being made in a criminal proceeding. 13-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-5-27-03-E CSR-650-01-E Form 18 - Designation Of Counsel (Criminal Code, section 650.01)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Designation of Counsel 2. for Accused to designate legal counsel to appear in Court on their behalf13-Nov19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-650-01-E CSR-6-5-E Form 6 - Acknowledgment of Receipt Card (Criminal Proceedings Rules, Rule 5)EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. An acknowledgement that documents have been received and service accepted. 13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-6-5-E CSR-7-5-E Form 7 - Affidavit of Service (Criminal Proceedings Rules, Rule 5)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Affidavit of service of documents in proceeding. 13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-7-5-E CSR-8-5-09-E Form 8 - Certificate of Service by Sheriff (Criminal Proceedings Rules, 5.09)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Affidavit of Sheriff confirming how and when documents served. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-8-5-09-E CSR-9-E Form 9 - Notice of Abandonment (Criminal Proceedings Rules)EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Notice to the Superior Court of Justice that the accused/Crown is no longer proceeding with an appeal. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-9-E EAF-001-E Form 1 - Certificate of Recording (Subsection 5 (1)) Evidence ActEAttorney GeneralCSD/ Corporate Planning BranchCourt Reporting Services11-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=EAF-001-E EAF-002-E Form 2 - Certificate of Transcript (Subsection 5 (2)) Evidence ActEAttorney GeneralCSD/ Corporate Planning BranchCourt Reporting Services11-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=EAF-002-E FLR-10A-E Form 10A: Reply By applicant/added respondentEAttorney GeneralOperational Support BranchFamily Unit05-Sep18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-10A-E FLR-10-E Form 10: AnswerEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit12-Oct26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-10-E FLR-12-E Form 12: Notice of WithdrawalEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-12-E FLR-13B-E Form 13B: Net Family Property StatementEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-May32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13B-E FLR-13C-E Form 13C: Comparison of Net Family Property StatementsEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit15-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13C-E FLR-13-E Form 13: Financial Statement (Support Claims) sworn/affirmedEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit15-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13-E FLR-14A-E Form 14A: Affidavit (general) datedEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14A-E FLR-14B-E Form 14B: Motion FormEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14B-E FLR-14C-E Form 14C: ConfirmationEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14C-E FLR-14D-E Form 14D: Order on Motion without NoticeEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14D-E FLR-14-E Form 14: Notice of MotionEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit07-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14-E FLR-15A-E Form 15A: Change Information FormEAttorney GeneralOperational Support BranchFamily Unit16-Apr34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15A-E FLR-15B-E Form 15B: Response to Motion to ChangeEAttorney GeneralOperational Support BranchFamily Unit16-Apr25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15B-E FLR-15C-E Form 15C: Consent Motion to ChangeEAttorney GeneralOperational Support BranchFamily Unit16-Apr33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15C-E FLR-15D-E Form 15D: Consent Motion to Change Child SupportEAttorney GeneralOperational Support BranchFamily Unit16-Apr42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15D-E FLR-15-E Form 15: Motion to Change Order or AgreementEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit16-Apr18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15-E FLR-17A-E Form 17A: Case Conference Brief – GeneralEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17A-E FLR-17B-E Form 17B: Case Conference Brief for Protection Application/Status ReviewEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17B-E FLR-17C-E Form 17C - Settlement Conference Brief –GeneralEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17C-E FLR-17-E Form 17: Conference NoticeEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17-E FLR-17E-E Form 17E - Trial Management Conference BriefEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17E-E FLR-20-1-E Form 20.1 - Acknowledgement of Expert's DutyEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-1-E FLR-20A-E Form 20A - Authorization to CommissionerEAttorney GeneralOperational Support BranchFamily Unit05-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20A-E FLR-20B-E Form 20B - Letter of RequestEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20B-E FLR-20-E Form 20 - Request for InformationEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-E FLR-20-F Form 20 - Request for InformationEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-F FLR-22A-E Form 22A - Response to Request to AdmitEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-22A-E FLR-22-E Form 22 - Request to AdmitEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-22-E FLR-23A-E Form 23A - Summons to Witness outside OntarioEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23A-E FLR-23B-E Form 23B - Order for Prisoner's AttendanceEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23B-E FLR-23B-F Form 23B - Order for Prisoner's AttendanceEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23B-F FLR-23C-E Form 23C - Affidavit for Uncontested Trial, datedEAttorney GeneralOperational Support BranchFamily Unit09-Sep24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23C-E FLR-23C-F Form 23C - Affidavit for Uncontested Trial, datedEAttorney GeneralOperational Support BranchFamily Unit09-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23C-F FLR-23-E Form 23 - Summons to WitnessEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23-E FLR-25A-E Form 25A - Divorce OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25A-E FLR-25A-F Form 25A - Divorce OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25A-F FLR-25B-E Form 25B - Secure Treatment OrderEAttorney GeneralOperational Support BranchFamily Unit05-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25B-E FLR-25B-F Form 25B - Secure Treatment OrderEAttorney GeneralOperational Support BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25B-F FLR-25C-E Form 25C - Adoption OrderEAttorney GeneralOperational Support BranchFamily Unit12-Jun15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25C-E FLR-25C-F Form 25C - Adoption OrderEAttorney GeneralOperational Support BranchFamily Unit12-Jun0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25C-F FLR-25D-E Form 25D - Order (Uncontested Trial)EAttorney GeneralOperational Support BranchFamily Unit05-Sep12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25D-E FLR-25D-F Form 25D - Order (Uncontested Trial)EAttorney GeneralOperational Support BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25D-F FLR-25-E Form 25 - Order (general)EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25-E FLR-25E-E Form 25E - Notice Disputing Approval of OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25E-E FLR-25E-F Form 25E - Notice Disputing Approval of OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25E-F FLR-25F-E Form 25F - Restraining OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25F-E FLR-25F-F Form 25F - Restraining OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25F-F FLR-25G-E Form 25E - Notice Disputing Approval of OrderEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep3http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25G-E FLR-4-E Form 4: Notice of Change in RepresentationEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit13-Oct26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-4-E FLR-6A-E Form 6A: AdvertisementEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit15-Mar4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-6A-E FLR-6B-E Form 6B: Affidavit of Service sworn/affirmedEAttorney GeneralOperational Support BranchFamily Unit16-Apr53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-6B-E FLR-8A-E Form 8A: Application (Divorce) - Simple (divorce only)/JointEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit16-Oct42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8A-E FLR-8B-1-E Form 8B-1: Application (Status Review for Crown Ward and Former Crown Ward)EAttorney GeneralOperational Support BranchFamily Unit06-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-1-E FLR-8B-2-E Form 8B-2: Application (General) (Child and Family Services Act Cases other than Child Protection and Status Review)EAttorney GeneralOperational Support BranchFamily Unit06-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-2-E FLR-8B-E Form 8B: Application (Child Protection and Status Review)EAttorney GeneralOperational Support BranchFamily Unit06-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-E FLR-8C-E Form 8C: Application for Secure Treatment/Extension of Secure TreatmentEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8C-E FLR-8D-1-E Form 8D-1: Application (Dispense with Parent's Consent To Adoption Before Placement)EAttorney GeneralOperational Support BranchFamily Unit05-Sep7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-1-E FLR-8D-2-E Form 8D-2: Notice of Intention to Place a Child for AdoptionEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-2-E FLR-8D-3-E Form 8D-3: Notice to Child of Intention to Place for AdoptionEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-3-E FLR-8D-4-E Form 8D-4: Notice of Termination of AccessEAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-4-E FLR-8D-E Form 8D: Application (Adoption)EAttorney GeneralOperational Support BranchFamily Unit12-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-E FLR-8-E Form 8: Application (General)EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit12-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8-E FLR-CLRA-30-E Children's Law Reform Act Section 30 Endorsement SheetEAttorney GeneralCourt Services DivisionProgram Management BranchOrders and sets out an assessment of a Children's Law Reform Act case.16-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-CLRA-30-E FORM1 Compliance Report (Form1)EFinanceOffice of the Budget and Treasury BoardOffice of the Budget and Treasury Board11-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FORM1 FW4511E Landowner's ConsentENatural Resources and ForestrySpecies Conservation Policy BranchWildlife SectionRight to Access personal property for purposes of hunting16-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FW4511E FW-A-5-E Request for Court Interpreter by An Individual Who Has Been Given a Fee WaiverEAttorney GeneralCivil/Family Policy and Program BranchCivil UnitFee waiver granted. Request to court staff for an interpreter. 09-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FW-A-5-E LE343E Application for the Removal of OPP Suicide Information on CPICESolicitor GeneralOntario Provincial PoliceOntario Provincial Police18-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE343E LE353E Anti-Rackets Branch (ARB) Request for ServiceESolicitor GeneralOntario Provincial PoliceBusiness Management Bureau18-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE353E LE354E Consent to Release Financial RecordsESolicitor GeneralOntario Provincial PoliceBusiness Management Bureau18-Aug14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE354E MAG007E Family Arbitration ReportEAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchIt lists the arbitrators information & the information about the parties to the arbitration. Must be completed by the Arbitrator for every family arbitration. 07-Oct32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MAG007E MR-A-52E Application For Aid Under Part XIIIETransportationContract Management and Operations BranchOperations Office07-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-52E MR-A-53E Appointment of Agent By Owners in Territority Without Municipal Organization to Arrange Road Work with The Minister of TransportationETransportationContract Management and Operations BranchOperations Office07-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-53E MR-A-71E Appointment of Owner To Call A Public Meeting Pursuant To Section 7 (1) The Local Roads Boards ActETransportationContract Management and Operations BranchOperations Office07-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-71E MR-A-72E Notice of Public Meeting The Local Roads Boards Act R.S.O. 1990, Chapter L. 27ETransportationContract Management and Operations BranchOperations Office07-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-72E ON00002 Document Solutions and Logistics Branch - Form RequestEOPS Internal Administration FormsDocument Solutions and Logistics BranchDocument Solutions and Logistics BranchTo submit requests for Forms-related and Printing services19-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00002 ON00008E Ontario Autism Program Interim One-Time Funding - Primary Caregiver ApplicationEChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form allows Primary Caregivers of children eligible for Ontario Autism Program Interim One-Time Funding to apply for this funding.20-Jan4339http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00008E ON00010E Ontario Autism Program Interim One-Time Funding - Independent Youth ApplicationEChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form allows independent youths eligible for Ontario Autism Program Interim One-Time Funding to apply for this funding.20-Jan59http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00010E ON00012E Sample sign for auto repair businessesEGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis sample sign was produced to help auto repair businessees in Ontario comply with signage requirements under the Consumer Protection Act, 2002. This is not an official form required by the ministry; no data in this template is required to be returned t19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00012E ON00013E Ontario Autism Program Interim One-Time Funding Expense FormEChildren, Community and Social ServicesClient Services BranchChild and Youth ServicesThis form allow families to report and categorize how their Ontario Autism Program Interim One-Time Funding was spent. The information provided will be used to reconcile this funding.19-Dec585http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00013E ON00016E Sworn Statement to Applying for an Accessible Parking Permit on Behalf of an Adult Incapable of SigningEGovernment and Consumer ServicesServiceOntario – Kingston Production and Verification ServicesAccessible Parking Permit Services OfficeSworn Statement to Applying for an Accessible Parking Permit on Behalf of an Adult Incapable of Signing19-Dec44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00016E ON00017E Support for Parents ApplicationEEducationEarly Years & Child Care Policy BranchEarly Years Policy UnitTo enable parents/guardians to apply for the Support for Parents program.20-Jan2534http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00017E PH-A-17-E Application for Sign PermitETransportationContract Management and Operations BranchOperations Office07-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=PH-A-17-E PH-A-20-E Application for Building and Land Use Permit/Entrance PermitETransportationContract Management and Operations BranchOperations Office07-Mar38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=PH-A-20-E POA-0803-E Form 16, Provincial Offences Act, Ontario Court of Justice. Certificate Requestiong ConvictionEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0803-E POA-0812-E Form 15, Provincial Offences Act, Ontario Court of Justice. Notice of Impending ConvictionEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0812-E POA-0813-E Form 8, Provincial Offences Act. Notice of intention to appearEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0813-E POA-0814-E Form 9, Provincial Offences Act, O. Reg. 108/11. Notice of TrialEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0814-E POA-0847-E Form 1 - Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Certificate of OffenceEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0847-E POA-0848-E Form 3, Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Offence NoticeEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0848-E POA-0849-E Form 4, Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Offence NoticeEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0849-E POA-0851-E Form 7.1, Provincial Offences Act, O. Reg.108/11. Early Resolution Meeting NoticeEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0851-E POA-0852-E Form 7.2, Provincial Offences Act, O. Reg.108/11. Early Resolution Meeting NoticeEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0852-E POA-0853-E Form 7.3, Provincial Offences Act, O. Reg.108/11. Early Resolution OutcomeEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0853-E POA-0854-E Form 10, Provincial Offences Act, O. Reg. 108/11. Notice of Fine and Due DateEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0854-E POA-0855-E Form 11, Provincial Offences Act, Ontario Court of Justice. Certificate of Parking InfractionEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0855-E POA-0856-E Form 12, Provincial Offences Act, Ontario Court of Justice. Parking Infraction NoticeEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0856-E POA-0858-E Form 14, Provincial Offences Act, Ontario Court of Justice. Notice of Impending ConvictionEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0858-E POA-0861-E Form 7, Provincial Offences Act, Ontario Court of Justice. SummonsEAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0861-E POA-0862-E Form 2.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Certificate of OffenceEAttorney GeneralCourt Services DivisionProgram Management BranchForm 2.1, Provincial Offences Act, O. Reg. 108/1116-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0862-E POA-0863-E Form 5.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Offence NoticeEAttorney GeneralCourt Services DivisionProgram Management BranchForm 5.1, Provincial Offences Act, O. Reg. 108/1116-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0863-E POA-0864-E Form 6.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Offence NoticeEAttorney GeneralCourt Services DivisionProgram Management BranchForm 6.1, Provincial Offences Act, O. Reg. 108/1116-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0864-E RCP-14A-E Form 14A - Courts of Justice Act Statement of ClaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14A-E RCP-14B-E Form 14B - Courts of Justice Act Statement of Claim (Mortgage Action - Foreclosure)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14B-E RCP-14C-E Form 14C - Courts of Justice Act Notice of ActionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14C-E RCP-14D-E Form 14D - Courts of Justice Act Statement of Claim (Action Commenced by Notice of Action)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14D-E RCP-14E-1-E Form 14E.1- Courts of Justice Act Notice of Application Under Subsection 140(3) of The Courts of Justice ActEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14E-1-E RCP-14E-E Form 14E - Courts of Justice Act Notice of ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14E-E RCP-14F-E Form 14F - Courts of Justice Act Information for Court use Ontario Superior Court of JusticeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14F-E RCP-15A-E Form 15A - Courts of Justice Act Notice of Change of LawyerEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15A-E RCP-15B-E Form 15B - Courts of Justice Act Notice of Appointment of LawyerEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15B-E RCP-15C-E Form 15C - Courts of Justice Act Notice of Intention to Act in PersonEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15C-E RCP-16B-E Form 16B - Courts of Justice Act Affidavit of ServiceEAttorney GeneralOperational Support BranchCivil Unit08-Jan26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-16B-E RCP-17A-E Form 17A - Courts of Justice Act Request For Service Abroad of Judicial or Extrajudicial DocumentsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17A-E RCP-17B-E Form 17B - Courts of Justice Act Summary of The Document to be ServedEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17B-E RCP-17C-E Form 17C - Courts of Justice Act Notice and Summary of Document Identity and Address of The AddresseeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17C-E RCP-18A-E Form 18A - Courts of Justice Act Statement of DefenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-18A-E RCP-18B-E Form 18B - Courts of Justice Act Notice of Intent to DefendEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-18B-E RCP-19D-E FORM 19D - Courts of Justice Act. Requisition for Default JudgmentEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-19D-E RCP-2-1A-E Form 2.1a - Courts of Justice Act Notice That Proceeding (or Motion) May Be Stayed or DismissedEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-2-1A-E RCP-22A-E FORM 22A - Courts of Justice Act. Special CaseEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-22A-E RCP-23A-E FORM 23A - Courts of Justice Act. Notice of DiscontinuanceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23A-E RCP-23B-E FORM 23B - Courts of Justice Act. Notice of Election to Proceed with CounterclaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23B-E RCP-23C-E FORM 23C - Courts of Justice Act. Notice of Withdrawal of DefenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23C-E RCP-25A-E FORM 25A- Courts of Justice Act. ReplyEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-25A-E RCP-27A-E FORM 27A- Courts of Justice Act. Counterclaim Against Parties to Main Action OnlyEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27A-E RCP-27B-E FORM 27B- Courts of Justice Act. Counterclaim (Against Plaintiff and Person Not Already Party To Main Action)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27B-E RCP-27C-E FORM 27C- Courts of Justice Act. Defence to CounterclaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27C-E RCP-27D-E FORM 27D- Courts of Justice Act. Reply to Defence to CounterclaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27D-E RCP-28A-E FORM 28A- Courts of Justice Act. CrossclaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28A-E RCP-28B-E FORM 28B- Courts of Justice Act. Defence to CrossclaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28B-E RCP-28C-E FORM 28C- Courts of Justice Act. Reply to Defence to CrossclaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28C-E RCP-29A-E FORM 29A- Courts of Justice Act. Third Party ClaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29A-E RCP-29B-E FORM 29B - Courts of Justice Act. Third Party DefenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29B-E RCP-29C-E FORM 29C - Courts of Justice Act. Reply to Third Party DefenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29C-E RCP-30A-E FORM 30A - Courts of Justice Act. Affidavit of Documents (Individual)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30A-E RCP-30B-E FORM 30B - Courts of Justice Act. Affidavit of Documents (Corporation or Partnership)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30B-E RCP-30C-E FORM 30C - Courts of Justice Act. Request to Inspect DocumentsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30C-E RCP-34A-E FORM 34A - Courts of Justice Act. Notice of ExaminationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-34A-E RCP-34B-E FORM 34B - Courts of Justice Act. Summons To Witness (Examination Out Of Court)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-34B-E RCP-35A-E FORM 35A - Courts of Justice Act. Questions on Written Examination for DiscoveryEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-35A-E RCP-37A-E FORM 37A - Courts of Justice Act. Notice of MotionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37A-E RCP-37B-E FORM 37B - Courts of Justice Act. Confirmation of MotionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37B-E RCP-37C-E FORM 37C - Courts of Justice Act. Refusal and Undertakings ChartEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37C-E RCP-38A-E FORM 38A - Courts of Justice Act. Notice of AppearanceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-38A-E RCP-38B-E FORM 38B - Courts of Justice Act. Confirmation of ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-38B-E RCP-47A-E FORM 47A - Courts of Justice Act. Jury NoticeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-47A-E RCP-48C-1-E FORM 48C-1 - Courts of Justice Act. Status Notice: Action Not On A Trial ListEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-1-E RCP-48C-2-E FORM 48C-2 - Courts of Justice Act. Status Notice: Action Struck From Trial ListEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-2-E RCP-48C-E FORM 48C - Courts of Justice Act. Status NoticeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-E RCP-48E-E FORM 48E - Courts of Justice Act. Notice That Action Will Be DismissedEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48E-E RCP-48F-E FORM 48F - Court of Justice Act. Order Dismissing Action As AbandonedEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48F-E RCP-49A-E FORM 49A - Court of Justice Act. Offer to SettleEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49A-E RCP-49B-E FORM 49B - Court of Justice Act. Notice Of Withdrawal of OfferEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49B-E RCP-49C-E FORM 49C - Court of Justice Act. Acceptance of OfferEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49C-E RCP-49D-E FORM 49D - Court of Justice Act. Offer to ContributeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49D-E RCP-4B-E Form 4b - Courts of Justice Act General Heading of Documents — ApplicationsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4B-E RCP-4C-E Form 4c - Courts of Justice Act – BacksheetEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4C-E RCP-4D-E Form 4d - Courts of Justice Act AffidavitEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4D-E RCP-4E-E Form 4e - Courts of Justice Act RequisitionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4E-E RCP-4F-E Form 4F - Courts of Justice Act Notice of Constitutional QuestionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4F-E RCP-51A-E FORM 51A - Court of Justice Act. Request To AdmitEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-51A-E RCP-51B-E FORM 51B - Court of Justice Act. Response To Request To AdmitEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-51B-E RCP-53A-E FORM 53A - Court of Justice Act. Summons To Witness (At Hearing)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53A-E RCP-53C-E FORM 53C - Court of Justice Act. Summons To Witness Outside OntarioEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53C-E RCP-53-E FORM 53 - Court of Justice Act. Acknowledgment of Expert's DutyEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53-E RCP-55A-E FORM 55A - Court of Justice Act. Notice of Hearing for DirectionsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55A-E RCP-55B-E FORM 55B - Court of Justice Act. Notice to Party Added on ReferenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55B-E RCP-55B-F FORM 55B - Court of Justice Act. Notice to Party Added on ReferenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55B-F RCP-55D-E FORM 55D - Court of Justice Act. Notice of Contested ClaimEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55D-E RCP-55E-E FORM 55E - Court of Justice Act. Notice to CreditorEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55E-E RCP-55F-E FORM 55F - Court of Justice Act. Condition of SaleEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55F-E RCP-57B-E FORM 57B - Court of Justice Act. Costs OutlineEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-57B-E RCP-59A-E FORM 59A - Court of Justice Act. OrderEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59A-E RCP-59B-E FORM 59B - Court of Justice Act. JudgementEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59B-E RCP-59C-E FORM 59C - Court of Justice Act. Order on AppealEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59C-E RCP-60A-E FORM 60A - Court of Justice Act. Writ of Seizure and SaleEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60A-E RCP-60I-1-E FORM 60I-1 - Court of Justice Act. Notice to Co-Owner of the DebtEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60I-1-E RCP-60J-E FORM 60J - Court of Justice Act. Notice of Termination of GarnishmentEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60J-E RCP-60N-E FORM 60N - Court of Justice Act. Sheriff's ReportEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60N-E RCP-61E-E FORM 61E - Court of Justice Act. Notice of Cross-AppealEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61E-E RCP-61F-E FORM 61F - Court of Justice Act. Supplementary Notice of Appeal or Cross-AppealEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61F-E RCP-61G-E FORM 61G - Court of Justice Act. Notice of Listing for Hearing (Appeal)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61G-E RCP-61H-E FORM 61H - Court of Justice Act. Certificate of Completeness of Appeal Book and CompendiumEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61H-E RCP-61I-E FORM 61I - Court of Justice Act. Order Dismissing Appeal or Cross-Appeal for DelayEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61I-E RCP-61J-E FORM 61J - Court of Justice Act. Order Dismissing Motion for Leave to Appeal for DelayEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61J-E RCP-61K-E FORM 61K - Court of Justice Act. Notice of Abandonment of Appeal or Cross-AppealEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61K-E RCP-61L-E FORM 61L - Court of Justice Act. Notice of Election to Proceed With Cross-AppealEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61L-E RCP-62A-E FORM 62A - Court of Justice Act. Notice of Appeal to a JudgeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-62A-E RCP-64A-E FORM 64A - Court of Justice Act. Request to RedeemEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64A-E RCP-64D-E FORM 64D- Court of Justice Act. Default Judgment for Foreclosure Without a ReferenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64D-E RCP-64E-E FORM 64E- Court of Justice Act. Final Order of ForeclosureEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64E-E RCP-64F-E FORM 64F- Court of Justice Act. Request for SaleEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64F-E RCP-68A-E FORM 68A- Court of Justice Act. Notice of Application to Divisional Court for Judicial ReviewEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68A-E RCP-68B-E FORM 68B- Court of Justice Act. Notice of Listing for Hearing (Judicial Review)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68B-E RCP-68C-E FORM 68C- Court of Justice Act. Order Dismissing Application for Judicial ReviewEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68C-E RCP-72A-E FORM 72A - Court of Justice Act. Notice of Payment Into CourtEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72A-E RCP-72B-E FORM 72B - Court of Justice Act. Affidavit (Motion for Payment Out of Court)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72B-E RCP-72C-E FORM 72C - Court of Justice Act. Stop OrderEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72C-E RCP-74-10-E FORM 74-10 - Courts of Justice Act. Affidavit of Condition of Will or CodicilEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit17-Oct4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-10-E RCP-74-11-E FORM 74-11 - Courts of Justice Act. Renunciation of Right to a Certificate of Appointment of Estate Trustee (Or Succeding Estate Trustee) With a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-11-E RCP-74-12-1-E FORM 74-12-1 Courts of Justice Act. Consent to Applicant's Appointment as Estate Trustee with a Will Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-12-1-E RCP-74-12-E FORM 74-12- Courts of Justice Act. Consent to Applicant's Appointment as Estate Trustee with a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-12-E RCP-74-13-1-E FORM 74-13-1 Courts of Justice Act. Cerificate of Appointment of Estate Trustee With a Will Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-13-1-E RCP-74-13-2-E FORM 74-13-2 Courts of Justice Act. Order for Certificate of Appointment of (succeeding) Estate Trustee with a Will Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-13-2-E RCP-74-14-E FORM 74-14 Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee Without a Will (Individual Applicant)EAttorney GeneralOperational Support BranchCivil Unit18-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-14-E RCP-74-15-E FORM 74-15 Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee Without a Will (Corporate Applicant)EAttorney GeneralOperational Support BranchCivil Unit15-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-15-E RCP-74-16-E FORM 74-16 Courts of Justice Act. Affidavit of Service of NoticeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-16-E RCP-74-17-E FORM 74-17 Courts of Justice Act. Notice of an Application for a Certificate of Appointment of Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-17-E RCP-74-18-E FORM 74-18 Courts of Justice Act. Renunciation of Prior Right to a Certificate of Appointment of Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-18-E RCP-74-19-E FORM 74-19 Courts of Justice Act. Consent ti Applicant's Appointment as Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-19-E RCP-74-1-E FORM 74-1 - Courts of Justice Act. Notice to Estate Registrar of Deposit of Will or CodicilEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-1-E RCP-74-20-E FORM 74-20 Courts of Justice Act. Certificate of Appointment of Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-20-E RCP-74-21-1-E FORM 74-21-1 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a Will Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-21-1-E RCP-74-21-E FORM 74-21 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-21-E RCP-74-22-1-E FORM 74-22-1 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a Will Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-22-1-E RCP-74-22-E FORM 74-22 - Courts of Justice Act. Consent to Applicant's Appointment as Succeeding Estate Trustee With a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-22-E RCP-74-23-1-E FORM 74.23.1 - Courts of Justice Act. Cerificate of Appointment of Succeeding Estate Trustee With a Will Limited to the Assets Referred to in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-23-1-E RCP-74-23-E FORM 74-23 - Courts of Justice Act. Cerificate of Appointment of Succeeding Estate Trustee With a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-23-E RCP-74-24-E FORM 74-24 - Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-24-E RCP-74-25-E FORM 74-25 - Courts of Justice Act. Consent to Applicant's Appointment as Succeeding Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-25-E RCP-74-26-E FORM 74-26 - Courts of Justice Act. Certificate of Appointment of Succeeding Estate Trustee Without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-26-E RCP-74-27-E FORM 74.27 - Application for Confirmation by Resealing of Appointment or Certificate of Ancillary Appointment of Estate TrusteeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-27-E RCP-74-28-E FORM 74.28 - Courts of Justice Act. Confirmation by Resealing of Appointment of Estate TrusteeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-28-E RCP-74-29-E FORM 74.29 - Courts of Justice Act. Certificate of Ancillary Appointment of Estate Trustee with a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-29-E RCP-74-2-E FORM 74-2 - Courts of Justice Act. Notice to Estate Registrar of Withdrawal of Will or CodicilEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-2-E RCP-74-30-E FORM 74.30 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee During LitigationEAttorney GeneralOperational Support BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-30-E RCP-74-31-E FORM 74.31 - Courts of Justice Act. Certificate of Appointment of Estate Trustee During LitigationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-31-E RCP-74-32-E FORM 74.32 - Courts of Justice Act. Bond - Insurance or Guarantee CompanyEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-32-E RCP-74-33-E FORM 74.33 - Courts of Justice Act. Bond - Personal SuretiesEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-33-E RCP-74-34-E FORM 74.34 - Courts of Justice Act. Registrar's Notice to Estate Trustee Named in a Deposited Will of Application for Certificate of Appointment of Estate Trustee with a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-34-E RCP-74-35-E FORM 74.35 - Courts of Justice Act. Registrar's Notice to Estate Trustee Named in a Deposited Will of Application for Certificate of Appointment of Estate Trustee without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-35-E RCP-74-36-E FORM 74.36 - Courts of Justice Act. Order to Accept or Refuse Appointment as Estate Trustee with a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-36-E RCP-74-37-E FORM 74.37 - Courts of Justice Act. Order to Accept or Refuse Appointment as Estate Trustee without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-37-E RCP-74-38-E FORM 74.38 - Courts of Justice Act. Order to Consent or Object to a Proposed Appointment of an Estate Trustee with or without a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-38-E RCP-74-39-E FORM 74.39 - Courts of Justice Act. Order to File a Statement of Assets of the EstateEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-39-E RCP-74-3-E FORM 74-3 - Courts of Justice Act. Request for Notice of commencement of proceedingEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-3-E RCP-74-40-E FORM 74.40 - Courts of Justice Act. Order to Beneficiary WitnessEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-40-E RCP-74-4-1-E FORM 74-4-1 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Individual Applicant) Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit18-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-4-1-E RCP-74-41-E FORM 74.41 - Courts of Justice Act. Order to Former SpouseEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-41-E RCP-74-42-E FORM 74.42 - Courts of Justice Act. Order to Pass AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-42-E RCP-74-43-E FORM 74.43 - Courts of Justice Act. Affidavit Verifying Estate AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-43-E RCP-74-45-1-E FORM 74.45.1 - Courts of Justice Act. Request for Further Notice in Passing of AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-45-1-E RCP-74-45-E FORM 74.45 - Courts of Justice Act. Notice of Objection to AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-45-E RCP-74-46-E FORM 74.46 - Courts of Justice Act. Notice of No Objection to AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-46-E RCP-74-47-E FORM 74.47 - Courts of Justice Act. Affidavit in Support of Unopposed Judgment on Passing of AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-47-E RCP-74-48-E FORM 74.48 - Courts of Justice Act. Notice of Withdrawal of ObjectionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-48-E RCP-74-49-2-E FORM 74.49.2 - Courts of Justice Act. Request for Increased Costs (Estate Trustee)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-2-E RCP-74-49-4-E FORM 74.49.4 - Courts of Justice Act. Reply to Notice of Objection to AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-4-E RCP-74-49-E FORM 74.49 - Courts of Justice Act. Request for Costs (Person other than Children's Lawyer or Public Guardian and Trustee)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-E RCP-74-4-E FORM 74-4 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Individual Applicant)EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit18-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-4-E RCP-74-50-E FORM 74.50 - Courts of Justice Act. Judgment on Unopposed Passing of AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-50-E RCP-74-5-1-E FORM 74-5-1 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Corporate Applicant) Limited to the Assets Referred To in the WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit18-Sep5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-5-1-E RCP-74-51-E FORM 74.51 - Courts of Justice Act. Judgment on Contested Passing of AccountsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-51-E RCP-74-5-E FORM 74-5 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Corporate Applicant)EAttorney GeneralOperational Support BranchCivil Unit18-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-5-E RCP-74-6-E FORM 74-6 - Courts of Justice Act. Affidavit of Service of NoticeEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-6-E RCP-74-7-E FORM 74-7 - Courts of Justice Act. Notice of Application for a Certificate of Appointment of Estate Trustee with a WillEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-7-E RCP-74-8-E FORM 74-8 - Courts of Justice Act. Affidavit of Execution of Will or CodicilEAttorney GeneralOperational Support BranchCivil Unit05-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-8-E RCP-74-9-E FORM 74-9 - Courts of Justice Act. Affidavit Attesting to the Handwriting and Signature of a Holograph Will or CodicilEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-9-E RCP-75-10-E FORM 75.10 - Courts of Justice Act. Statement of Submission of Rights to the CourtEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-10-E RCP-75-11-E FORM 75.11 - Courts of Justice Act. Notice of SettlementEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-11-E RCP-75-12-E FORM 75.12 - Courts of Justice Act. Rejection of SettlementEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-12-E RCP-75-13-E FORM 75.13 - Courts of Justice Act. Notice of ContestationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-13-E RCP-75-14-E FORM 75.14 - Courts of Justice Act. Claim Against EstateEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-14-E RCP-75-1A-E FORM 75.1A - Courts of Justice Act. Request for Assignment of MediatorEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1A-E RCP-75-1B-E FORM 75.1B - Courts of Justice Act. Notice by MediatorEAttorney GeneralOperational Support BranchCivil Unit05-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1B-E RCP-75-1C-E FORM 75.1C - Courts of Justice Act. Statement of IssuesEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1C-E RCP-75-1D-E FORM 75.1D - Courts of Justice Act. Certificate of Non-ComplianceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1D-E RCP-75-1-E FORM 75.1 - Courts of Justice Act. Notice of ObjectionEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1-E RCP-75-2-E FORM 75.2 - Courts of Justice Act. Notice that Objection has been FiledEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-2-E RCP-75-3-E FORM 75.3 - Courts of Justice Act. Notice to ObjectorEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-3-E RCP-75-4-E FORM 75.4 - Courts of Justice Act. Notice of AppearanceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-4-E RCP-75-5-E FORM 75.5- Courts of Justice Act. Notice of Application for DirectionsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-5-E RCP-75-6-E FORM 75.6 Courts of Justice Act. Notice of Motion for DirectionsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-6-E RCP-75-7-E FORM 75.7 Courts of Justice Act. Statement of Claim Pursuant to Order Giving DirectionsEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-7-E RCP-75-8-E FORM 75.8 - Courts of Justice Act. Order Giving Directions Where Pleadings DirectedEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-8-E RCP-75-9-E FORM 75.9 - Courts of Justice Act. Order Giving Directions Where Trial of Issues DirectedEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-9-E RCP-76A-E FORM 76A - Courts of Justice Act. Notice Whether Action Under Rule 76EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76A-E RCP-76B-E FORM 76B - Courts of Justice Act. Simplified Procedure Motion FormEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76B-E RCP-76C-E FORM 76C - Courts of Justice Act. Notice of Readiness for Pre-Trial ConferenceEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76C-E RCP-76D-E FORM 76D - Courts of Justice Act. Trial Management ChecklistEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76D-E RCP-7A-E Form 7a - Courts of Justice Act Request for Appointment of Litigation GuardianEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-7A-E RCP-8A-E Form 8A - Courts of Justice Act Notice to Alleged PartnerEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-8A-E RR-0279-E Order for Assessment - Client's ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0279-E RR-0280-E Order for Assessment - Solicitor's ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0280-E RR-0288-E Requisition for Assessment - Client's ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0288-E RR-0289-E Requisition for Assessment - Solicitor's ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0289-E RR-0344-E Notice of Appointment for AssessmentEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit11-Jan5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0344-E RR-0360-E Order for Delivery and Assessment - Client's ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Mar5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0360-E RR-0361-E Requisition for Delivery and Assessment - Client's ApplicationEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0361-E RSCC 1A-1-E Request for a Copy of a Youth Criminal Justice Act (Canada) Sentence OrderEAttorney GeneralCivil/Family Policy and Program BranchCivil Unit03-Apr2http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC 1A-1-E RSCC-1A-E Form 1A - Additional PartiesEAttorney GeneralCivil/Family Policy and Program BranchCivil UnitUsed to name additional parties where a form does not have sufficient space. 14-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-1A-E RSCC-1A-F Form 1A - Additional PartiesEAttorney GeneralCivil/Family Policy and Program BranchCivil UnitUsed to name additional parties where a form does not have sufficient space. 14-Jan0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-1A-F RSCC-7A-E Form 7A - Plaintiff's Claim Ont. Reg. No.: 258/98EAttorney GeneralCivil/Family Policy and Program BranchCivil UnitUsed by plaintiff to commence a proceeding against the defendant.16-Nov17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-7A-E SR-E-500E Extended Permitting Dump Semi-TrailersETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-500E SR-E-501E Special Vehicle Configure Permit Application Long Combination Vehicle (LCV) ProgramETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-501E SR-E-503E Special AmendmentETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section17-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-503E SR-E-504E Disabled Vehicle Towing ApplicationETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-504E SR-E-5067E MVIS Replacement/AmendmentETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit19-Jul131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5067E SR-E-5070E Request for MVIS RefundETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit15-May48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5070E SR-E-5071E Termination of MVISETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit15-May78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5071E SR-E-5072E Representative and Service Provider AuthorizationETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit18-May65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5072E SR-L-PR-010E Commercial Vehicle Operator's Registration (CVOR) Replacement ApplicationETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office19-Jul357http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-L-PR-010E VSP005E Attorney General's Victim Services Awards of Distinction - Individual NominationEAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind17-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=VSP005E VSP006E Attorney General's Victim Services Awards of Distinction - Group/Organization NominationEAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind17-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=VSP006E