_id Form Number Form Title Language Ministry Name Branch Name Program Name Purpose of Form Edition Date Downloads 2020 URL Address 1 002-02021E Notice of Appeal - Motor Vehicle Impoundment E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02021E 2 002-02022E Notice of Appeal - Administrative Driver's Licence Suspension E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02022E 3 002-02023E Notice of Appeal – Commercial Motor Vehicle Impoundment and Suspension E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02023E 4 002-02024E Notice of Appeal - Downgrade of a Driver's Licence for Medical Reasons E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02024E 5 002-02025E Notice of Appeal - Suspension or Cancellation of a Driver's Licence for Medical Reasons E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02025E 6 002-02026E Notice of Appeal - Registration, Certificate, Licence, Claim Denial, Order E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02026E 7 002-02027E Notice of Appeal - Liquor Licence Act, Gaming Control Act,1992, Vintners Quality Alliance Act,1999, Alcohol and Gaming Regulation and Public Protection Act, 1996 E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02027E 8 002-02028E Summons to a Witness E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02028E 9 002-02029E Notice of Withdrawal E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02029E 10 002-02030E Declaration of Representative E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02030E 11 002-02048E Application for Removal of Conditions from a Liquor Licence under Subsection 14 (2) of the Liquor Licence Act E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02048E 12 002-02053E Supporting Documentation - Administrative Driver's Licence Suspension – Applicant's Medical Information E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 12-Jun 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02053E 13 002-02-5181E Application for Appointment to Agencies, Boards and Commissions E Government and Consumer Services Public Appointments Secretariat Corporate Policy and Agency Coordination Division Application for Appointment to Agencies, Boards and Commissions 15-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02-5181E 14 002-12119E Payday Lenders and Loan Brokers Licence Application, and Consent to Disclosure of Personal Information E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario Payday Lenders and Loan Brokers Licence Application, and Consent to Disclosure of Personal Information 19-Jul 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-12119E 15 002-14002 The Ontario Business Registration Application E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch The Ontario Business Registration Application is required by most entrepreneurs starting a new business or expanding an existing business. 14-Nov 91 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-14002 16 002-14-5145E Direct Access and Deposit Account Application Form E Government and Consumer Services ServiceOntario Personal Property Security Registration System Application 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-Apr 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-14-5145E 17 002-1983E Contractor Security Screening Request and Verification E Government and Consumer Services Program and Policy Enablement Branch Contractor Security Screening To request a contractor security screening check and allow for verification of identity of individual applicant 18-Oct 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1983E 18 002-1984E Contractor Security Screening Declaration E Government and Consumer Services Program and Policy Enablement Branch Contractor Security Screening To allow contractors, who are applying for a security clearance, to declare any criminal convictions and/or outstanding criminal charges. 18-Oct 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1984E 19 002-1985E Contractor Security Screening Consent E Government and Consumer Services Program and Policy Enablement Branch Contractor Security Screening To provide applicant's written consent to the contractor security screening check. 18-Oct 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1985E 20 002-1986E Request for Transferability of Contractor Security Clearance from an Approved Organization (Ontario Public Service Contractor Security Screening Program) E Government and Consumer Services Program and Policy Enablement Branch Contractor Security Screening This 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-Oct 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1986E 21 002-2046E Terminology Request Form E Government and Consumer Services Business Development and Services Branch Government Translation Service This 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-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-2046E 22 002-20-5202E Customer Comments E Government and Consumer Services Archives of Ontario Customer Service and Preservation Services This form is used by customers when issuing a complaint and/or providing feedback regarding the services offered at the Archives of Ontario. 15-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5202E 23 002-20-5203E Educational Programming Booking Request E Government and Consumer Services Archives of Ontario Strategic Stakeholder Development 16-Apr 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5203E 24 002-20-5204E Tour Booking Request E Government and Consumer Services Archives of Ontario Strategic Stakeholder Development 15-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5204E 25 002-23-5151E Compliance Report - Compensation Arrangements Pursuant to Section 7.18 of the Broader Public Sector Accountability Act, 2010, S.O. 2010, Chapter 25 E Government and Consumer Services HR Ontario Employee Relations Division 13-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-23-5151E 26 002-32-5128E Assessment Tool: Conflict of Interest Rules for Public Bodies E Treasury Board Secretariat Office of the Conflict of Interest Commissioner Office of the Conflict of Interest Commissioner This 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 Re 12-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-32-5128E 27 002-33-5098E Supplier Registration and Application for Direct Deposit/Electronic Funds Transfer E Government and Consumer Services Expenditure Management Branch Central Control Unit Suppliers 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-Sep 1071 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-33-5098E 28 002-35-026E Notary Public Application - Solicitors Only E Government and Consumer Services Business Development and Services Branch Official Documents Services Application for a Barrister and Solicitor to apply for certification as a Notary Public in Ontario. 16-Apr 626 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-026E 29 002-35-5031E Customer Comments E Government and Consumer Services Business Development and Services Branch Official Documents Services To comment and offer suggestions on ODS services. 14-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-5031E 30 002-35-5118E Authentication Service Request E Government and Consumer Services Business Development and Services Branch Official Documents Services To enable public applying services for authenticating legalized documents requested by foreign consulates and embassies 14-Aug 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-5118E 31 002-42-345 Forms History File Folder E Government and Consumer Services Document Solutions and Logistics Branch Forms Management Services 01-Sep 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-42-345 32 002-5201E Consumer Complaint E Government and Consumer Services Consumer Protection Ontario Business Process Modernization Branch Form that can be filled out by the public to file a complaint with the Ministry of Government and Consumer Services. 19-May 260 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5201E 33 002-5205E Complaint Regarding an Ontario Government Procurement E Government and Consumer Services Program and Policy Enablement Branch Policy Liaison and Enablement Suppliers 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 information 16-May 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5205E 34 002-5208E Security and Confidentiality Agreement of Personal Information for Research Purposes - Freedom of Information and Protection of Privacy Act E Government and Consumer Services Policy and Planning Policy Research and Issues Management Form 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-May 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5208E 35 002-5209E Security and Confidentiality Agreement of Personal Information for Research Purposes - Municipal Freedom of Information and Protection of Privacy Act E Government and Consumer Services Policy and Planning Policy Research and Issues Management Form 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-May 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5209E 36 002-5216E Initial Report of Insider, Form 14, Corporations Act E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario A 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-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5216E 37 002-5217E Report of Insider on Changes in Ownership of, or Control or Direction Over, Capital Securities, Form 15, Corporations Act E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario A 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 a 16-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5217E 38 002-5218E Information Circular, Form 16, Corporations Act E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario An information circular shall be prepared in accordance with Information Circular, Form 16 as required by Regulation 181. 16-Dec 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5218E 39 002-5219E Personal Bond, Form 1, Bailiffs Act E Government and Consumer Services Licensing, Inspections and Investigations Branch Payday Loans and Debt Recovery Unit "This 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-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5219E 40 002-5220E Bond by Insurer Licensed to Write Surety and Fidelity Insurance, Form 2, Bailiffs Act E Government and Consumer Services Licensing, Inspections and Investigations Branch Payday Loans and Debt Recovery Unit "This 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 o" 17-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5220E 41 002-5221E Bond by Guarantor other than Insurer, Form 3, Bailiffs Act E Government and Consumer Services Licensing, Inspections and Investigations Branch Payday Loans and Debt Recovery Unit This 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 prescribed 17-Feb 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5221E 42 002-5225E Direction to Seize under Section 14 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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 Act" 18-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5225E 43 002-5226E Application for Initial Certificate under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5226E 44 002-5227E Initial Certificate under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5227E 45 002-5228E Notice of Objection under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5228E 46 002-5229E Final Certificate under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5229E 47 002-5230E Writ of Seizure under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5230E 48 002-5231E Receipt under Section 24 for Article that is Seized E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5231E 49 002-5232E Receipt under Section 24 for Article that is Released E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5232E 50 002-5233E Waiver of Further Claim under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5233E 51 002-5234E Irrevocable Letter of Credit E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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 m" 18-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5234E 52 002-5235E Financial Guarantee Bond under Section 24 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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 u" 18-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5235E 53 002-5236E Application under Section 23 for Small Claims Court E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "This 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-Jan 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5236E 54 002-5248E Relief from Forfeiture Application E Government and Consumer Services Realty Management Branch Portfolio Management Unit Under 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-Aug 72 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5248E 55 002-5249E Co-ownership of Real Property by Tenants in Common Application E Government and Consumer Services Realty Management Branch Portfolio Management Unit Under 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-Aug 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5249E 56 002-5253E Request to publish in the Ontario Gazette for Non-Ontario Government Clients E Government and Consumer Services Document Solutions and Logistics Branch Publications Ontario This 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 o 19-Apr 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5253E 57 002-5349E Requirements for a Police Record Check for a Change of Name E Government and Consumer Services ServiceOntario Office of the Registrar General Requirements for a Police Record Check for a Change of Name 19-Jan 2854 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5349E 58 002-5350E Procurement Rationale Report Form E Government and Consumer Services Strategic Procurement Services Director's Office "The 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 proc" 19-Sep 193 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5350E 59 002-5352E General Form Affidavit E Government and Consumer Services ServiceOntario Customer Care General Form Affidavit for ServiceOntario transactions 19-May 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5352E 60 002-SR-LV-129E Application for Accessible Parking Permit E Government and Consumer Services ServiceOntario – Kingston Production and Verification Services Accessible Parking Permit Services Office 17-May 19293 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-SR-LV-129E 61 003-0162E Borrowing By-law for Municipalities Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 1 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing A by-law for lower-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act. 12-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0162E 62 003-0163E Borrowing By-law for Municipalities Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 2 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing A 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-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0163E 63 003-0164E Borrowing By-law for a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 3 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing A by-law for specific upper-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act. 12-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0164E 64 003-0165E Tile Drainage Debenture - Form 4 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Form of debenture sold to the Province by a municipality with respect to funds loaned to property owners for installing tile drainage. 12-Aug 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0165E 65 003-0166E Affidavit of Clerk – Form 5 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Form that officially confirms the passing of the by-law by a municipality for borrowing money for the construction of drainage works. 13-Jun 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0166E 66 003-0167E Application for Tile Loan – Form 6 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Application submitted by a property owner for a tile loan from the municipality under the Tile Drainage Act. 12-Aug 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0167E 67 003-0168E Inspection and Completion Certificate – Form 7 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Certify inspection and completion of drainage works by a municipal Drainage Inspector. 12-Aug 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0168E 68 003-0169E Offer to Sell for a Municipality Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 8 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Offer to sell debenture to the Minister of Finance by a lower-tier municipality. 12-Aug 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0169E 69 003-0170E Offer to Sell for a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 9 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Offer to sell a debenture to the Minister of Finance by a specific upper-tier municipality. 12-Aug 3 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0170E 70 003-0171E Rating By-law - Form 10 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing A by-law to impose special annual drainage rates upon land in respect of which money is borrowed under the Tile Drainage Act. 12-Aug 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0171E 71 003-0172E Notice of On-site Meeting for Construction or Improvement Project – Form 4 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Give notice to property owner(s) of on-site meeting with the appointed engineer to examine the area and site of proposed drainage works. 12-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0172E 72 003-0173E Petition for Drainage Works by Owners – Form 1 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing To allow property owner(s) to petition municipal council for a new drainage works. 12-Aug 62 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0173E 73 003-0174E Petition for Drainage Works by Director - Form 3 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing To allow the Director to petition municipal council for a new drainage works. 12-Aug 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0174E 74 003-0175E Petition for Drainage Works by Road Authority - Form 2 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing To allow a road authority to petition municipal council for a new drainage works. 12-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0175E 75 003-0176E By-law for Municipalities Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 5 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing For lower-tier municipalities to enact a by-law for drainage works. 15-Sep 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0176E 76 003-0177E By-law for Municipalities Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 6 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing For lower-tier municipalities located within specific upper-tier municipalities to enact a by-law for drainage works. 12-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0177E 77 003-0178E Borrowing By-law for Use by a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 7 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing For specific upper-tier municipalities to enact a borrowing by-law for drainage works on behalf of a lower-tier municipality. 12-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0178E 78 003-0179E Notice of Compensation Paid for Insufficient Outlet and/or Loss of Access – Form 8 E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing To give notice to property owner for compensation paid due to insufficient outlet or loss of access. 12-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0179E 79 003-0180E Agreement By Owners - Mutual Agreement Drains E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "For owners to enter into an agreement for drainage for the describe land and acknowledge financial obligations " 13-Feb 63 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0180E 80 003-0181E Notice of On-Site Meeting for Maintenance and/or Repair of a Drainage Works Under the Drainage Act E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "To 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-Feb 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0181E 81 003-0182E Notice of Meeting to Consider the Preliminary Report E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "In 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-Feb 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0182E 82 003-0183E Notice to Repair an Award Drain Constructed Under the Ditches and Watercourses Act E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "In 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-Feb 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0183E 83 003-0184E Notice of Council's Decision on Petition E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice 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-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0184E 84 003-0185E Generic Notice of Appeal to Tribunal By Petitioner(s) or Property Owner(s) E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice that Petitioners or Property Owners appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal " 13-Feb 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0185E 85 003-0186E Notice That Environmental Appraisal Required E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice that an Environmental Appraisal is required for the area of the drainage works " 13-Feb 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0186E 86 003-0187E Notice That Benefit Cost Statement Required E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice that a benefit cost statement is required for a drainage works " 13-Feb 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0187E 87 003-0188E Notice of Withdrawal From Petition At a Meeting to Consider a Preliminary Report E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "For petitioners for drainage works to indicate their desire to withdraw their names from the petition. " 13-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0188E 88 003-0189E Notice of Withdrawal From Petition At a Meeting to Consider Engineer's Report or At a Meeting to Consider Contract Price E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "For signatories of a petition for drainage works to indicate their desire to withdraw from a petition " 13-Feb 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0189E 89 003-0190E Notice of Engineer's Recommendation Not to Proceed E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "To 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-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0190E 90 003-0191E Notice of Meeting to Consider the Engineer's Report E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "In 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-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0191E 91 003-0192E Generic Notice of Appeal to Tribunal By a Municipality, Conservation Authority, Ministry of Natural Resources, Road Authority or Public Utility E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "For 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-Feb 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0192E 92 003-0193E Notice of Appeal to Tribunal by Owner of Land or Public Utility Re: Engineer's Report E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "For 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-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0193E 93 003-0194E Notice of Sitting of Court of Revision E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice to Property Owner(s) of sitting of court revision. " 13-Feb 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0194E 94 003-0195E Notice of Appeal to Tribunal by Local Municipality Re: Engineer's Report E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Notice 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-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0195E 95 003-0196E Notice of Appeal to Court of Revision E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice 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-Feb 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0196E 96 003-0197E Notice of Adjournment of Court of Revision E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Notice that the sitting of the Court of Revision to hear appeals regarding assessments for a drainage works has been adjourned. 13-Feb 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0197E 97 003-0198E Notice of Appeal to Tribunal from the Court of Revision E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Notice that the appellant(s) to the Court of Revision appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal. 13-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0198E 98 003-0199E Notice to Remove Obstructions From Drainage Works E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Notice to a property owner to remove obstructions from drainage works 13-Feb 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0199E 99 003-0200E Notice of Abandonment of Drainage Works E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice of Abandonment of Drainage Works " 13-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0200E 100 003-0201E Notice that Report of Engineer is Required for the Proposed Abandonment of a Drain E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing In response to a Notice of Abandonment of Drainage Works that a report of an engineer is to be made on the proposed amandonment. 13-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0201E 101 003-0202E Notice of Request for Drain Maintenance and/or Repair E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing "Notice 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-Feb 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0202E 102 003-0203E Notice of Request for Drain Improvement E Agriculture, Food and Rural Affairs Environmental Management Branch Approvals, Certification and Licensing Notice that owner(s) of land affected, request that a drain be improved in accordance with section 78(1) of the Drainage Act. 13-Feb 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0203E 103 003-0300E Ontario Wildlife Damage Compensation Program Application Form E Agriculture, Food and Rural Affairs Rural Programs Branch Agriculture and Rural Programs Unit The application form allows livestock and poultry producers in Ontario to be reimbursed for predation caused by eligible predators 17-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0300E 104 003-0302E Ontario Wildlife Damage Compensation Program Application Form - Bees E Agriculture, Food and Rural Affairs Rural Programs Branch Agriculture and Rural Programs Unit The application form allows Bee Keepers in Ontario to be reimbursed for damage to bee colonies and hives caused by eligible predators. 17-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0302E 105 003-0314E Ontario Livestock Manifest E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Food Safety and Traceability Programs Branch The purpose of this form is to provide a standardized manifest for shipping animals in Ontario's livestock industry. 13-Dec 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0314E 106 003-0316E Order to Destroy Noxious Weeds or Weed Seeds E Agriculture, Food and Rural Affairs Agriculture Development Branch Horticulture Technology Unit This 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 speci 14-Apr 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0316E 107 003-0346E Application for a licence to operate a meat plant under the Food Safety and Quality Act, 2001 and its Regulations E Agriculture, Food and Rural Affairs Food Inspection Branch Meat Inspection Operations This 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 exist 18-Dec 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0346E 108 003-0350E Merchandising Materials/Resources Order E Agriculture, Food and Rural Affairs Business Development Branch Foodland Ontario This form is used to order Foodland Ontario merchandising materials (POS) and resources 18-Feb 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0350E 109 003-049E Honeybee Registration E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Crop Technology Section 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 or 11-Jan 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-049E 110 003-ATDIA-001E Application For a Machine Operator's Licence E Agriculture, Food and Rural Affairs Environmental Management Branch Agricultural Drainage Licensing Program 12-Jul 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-001E 111 003-ATDIA-002E Application For a Machine Licence E Agriculture, Food and Rural Affairs Environmental Management Branch Agricultural Drainage Licensing Program 09-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-002E 112 003-ATDIA-003E Notice of Transfer of a Machine E Agriculture, Food and Rural Affairs Environmental Management Branch Agricultural Drainage Licensing Program 09-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-003E 113 003-ATDIA-004E Application For a Business Licence - (Licence to Install Drainage Works) E Agriculture, Food and Rural Affairs Environmental Management Branch Agricultural Drainage Licensing Program 09-Oct 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-004E 114 003-ATDIA-005E Application To Upgrade a Machine Operator's Licence E Agriculture, Food and Rural Affairs Environmental Management Branch Agricultural Drainage Licensing Program 12-Jul 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-005E 115 003-NM-001 Farm Unit Declaration E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Nutrient Management To identify properties included as part of the farm unit for the purposes of the Nutrient Management Act. 06-Feb 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-001 116 003-NM-002 Nutrient Management Strategy and/or Plan Sign-Off E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Nutrient Management To provide a sign-off to the Nutrient Management Plan. 06-Jan 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-002 117 003-NM-004E Engineer's Commitment Certificate E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Nutrient Management To 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-Dec 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-004E 118 003-NM-005 Nutrient Management Farm Registration Form E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Nutrient Management To register your Farm Unit under the Nutrient Management Program. 06-Feb 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-005 119 003-NM-006 Nutrient Mgmt Strategy Application E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Nutrient Management To be completed by eligible farms under the Nutrient Management Act. 06-Feb 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-006 120 003-NM-007E Engineering Requirement Form E Agriculture, Food and Rural Affairs Food Safety and Environmental Division Nutrient Management The 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 permi 11-Dec 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-007E 121 004-0007E Removal of Crown Ward - Child and Family Services Review Board Application - Child and Family Services Act - Section 61 E Attorney General Social Justice Tribunals Ontario Child and Family Services Review Board To 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-Sep 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0007E 122 004-0008E Refusal of Adoption - Child and Family Services Review Board Application - Child and Family Services Act - Section 144 E Attorney General Social Justice Tribunals Ontario Child and Family Services Review Board To 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-Sep 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0008E 123 004-0009E Request for Review of Children's Aid Society - Child and Family Services Review Board Application - Child and Family Services Act - Section 68 E Attorney General Social Justice Tribunals Ontario Child and Family Services Review Board To enable a person who has sought or received services from a CAS to make a complaint about certain services to the independent CFSRB. 12-Sep 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0009E 124 004-0022E Application to Appeal School Board Expulsion Decision E Attorney General Social Justice Tribunals Ontario Child and Family Services Review Board This 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-Sep 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0022E 125 004-02043E Certificate of Service E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal Certificate of Service 19-Jun 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-02043E 126 004-0222E Notice of Change of Address E Attorney General Victims and Vulnerable Persons Division Criminal Injuries Compensation Board Notice of Change of Address 16-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0222E 127 004-0236E Form 1 - Application to Replace the Public Guardian and Trustee as Statutory Guardian by a Person Authorized to Apply Under Subsection 17(1) E Attorney General Public Guardian and Trustee Public Guardian and Trustee This 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-Nov 239 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0236E 128 004-0237E Form 2 - Management Plan E Attorney General Public Guardian and Trustee Public Guardian and Trustee A 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 r 14-Nov 325 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0237E 129 004-0242E Form 3 - Guardianship Plan E Attorney General Public Guardian and Trustee Public Guardian and Trustee This 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-Nov 200 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0242E 130 004-0243E Form 4 - Request for Assessment of Capacity under Section 16 E Attorney General Public Guardian and Trustee Public Guardian and Trustee A 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 st 18-Jul 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0243E 131 004-0244E Form 5 - Statement of Grantor under Subsection 50 (1) E Attorney General Public Guardian and Trustee Public Guardian and Trustee Subsection 50(2) of the Substitute Decisions Act, 1992 lists certain special provisions that may be included in a power of attorney for personal care, but only if the person granting the power of attorney completes this form within 30 days of granting the 14-Nov 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0244E 132 004-0245E Form 6-Optional Statement to Appoint a Guardian of the Person under Subsection 71 (1) E Attorney General Public Guardian and Trustee Public Guardian and Trustee A 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 knows 14-Nov 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0245E 133 004-0246E Form 7-Optional Statement to Terminate Guardianship of the Person under Subsection 71 (2) E Attorney General Public Guardian and Trustee Public Guardian and Trustee A 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 i 14-Nov 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0246E 134 004-0247E Form 8 - Statement to Appoint a Guardian of Property by Summary Disposition under Section 72 E Attorney General Justice Policy Development Branch Justice Policy Development Branch A 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-Nov 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0247E 135 004-0248E Form 9 - Statement to Terminate Guardianship of Property by Summary Disposition under Section 73 E Attorney General Justice Policy Development Branch Justice Policy Development Branch A 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 require 14-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0248E 136 004-0310E Applying for Compensation for an Injury E Attorney General Victims and Vulnerable Persons Division Criminal Injuries Compensation Board "We 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-Dec 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0310E 137 004-0311E Applying for Compensation for Death E Attorney General Victims and Vulnerable Persons Division Criminal Injuries Compensation Board We 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 se 16-Dec 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0311E 138 004-0312E Commissioner for Taking Affidavits How to Renew or Change your Appointment E Attorney General Court Services Division Legal Appointments This 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-Aug 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0312E 139 004-0313E Commissioner for Taking Affidavits General Application E Attorney General Court Services Division Legal Appointments "This 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-Aug 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0313E 140 004-0314E Non-Lawyer Notary Public How to be Reappointed or Change your Appointment E Attorney General Court Services Division Legal Appointments This 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-Aug 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0314E 141 004-0315E Non-Lawyer Notary Public Application E Attorney General Court Services Division Legal Appointments This form is used by non-lawyers seeking to become notaries public in Ontario. 11-Aug 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0315E 142 004-0316E Commissioner for Taking Affidavits Student-at-Law / Law Student Application E Attorney General Court Services Division Legal Appointments "This 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 ""Commis" 11-Aug 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0316E 143 004-0318E Prescribed Form of Summons Under Subsection 33(4) of the Act E Attorney General Social Justice Programs and Policy Division Social Justice Programs and Policy Division The purpose of this form is for a Summons under s. 33(4) of the Public Inquiries Act, 2009. 11-Apr 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0318E 144 004-0319E Vulnerable Victims and Family Fund Request E Attorney General Ontario Victim Services Victims and Vulnerable Persons Division For 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-Apr 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0319E 145 004-0326E Application for Financial Assistance for Families of Homicide Victims E Attorney General Policy and Program Development Branch Financial Assistance for Families of Homicide Victims This 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-Sep 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0326E 146 004-0331E Have You Been a Victim of Crime? E Attorney General Victims and Vulnerable Persons Division Office for Victims of Crime Information and Resources For Victims of Crime in Ontario 11-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0331E 147 004-0360E Living Beyond the Murder of a Loved One E Attorney General Victims and Vulnerable Persons Division Office for Victims of Crime "Information for Families and Others Affected by Homicide " 12-Apr 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0360E 148 004-0406E Form 1 - Summons E Attorney General Justice Policy Development Branch Justice Policy Development Branch This 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-Aug 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0406E 149 004-0407E Form 2 – Warrant for Arrest (Defaulting Witness) E Attorney General Justice Policy Development Branch Justice Policy Development Branch This 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 hearin 15-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0407E 150 004-0408E Form 1 – Application for Approval to Expropriate Land E Attorney General Justice Policy Development Branch Justice Policy Development Branch An expropriating authority uses this form to apply for approval to expropriate land under the Expropriations Act. 15-Aug 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0408E 151 004-0409E Form 7 – Notice of Expropriation E Attorney General Justice Policy Development Branch Justice Policy Development Branch Under 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-Aug 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0409E 152 004-0410E Form 8 – Notice of Election E Attorney General Justice Policy Development Branch Justice Policy Development Branch Under 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-Aug 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0410E 153 004-0411E Form 9 – Notice of Possession E Attorney General Justice Policy Development Branch Justice Policy Development Branch Under 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 after 15-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0411E 154 004-0412E Form 2 – Notice of Application for Approval to Expropriate Land E Attorney General Justice Policy Development Branch Justice Policy Development Branch An 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 the 15-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0412E 155 004-0413E Form 3 – Notice of Hearing E Attorney General Justice Policy Development Branch Justice Policy Development Branch An 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-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0413E 156 004-0414E Form 4 – Notice of Grounds E Attorney General Justice Policy Development Branch Justice Policy Development Branch The 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 befor 15-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0414E 157 004-0415E Form 5 – Certificate of Approval E Attorney General Justice Policy Development Branch Justice Policy Development Branch The 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-Aug 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0415E 158 004-0416E Form 6 – Certificate of Approval (on Expropriation Plan) E Attorney General Justice Policy Development Branch Justice Policy Development Branch The 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-Aug 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0416E 159 004-0417E Form 10 – Notice of Land E Attorney General Justice Policy Development Branch Justice Policy Development Branch Under 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-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0417E 160 004-0418E Form 11 – Declaration of Abandonment (Land Registered under the Registry Act) E Attorney General Justice Policy Development Branch Justice Policy Development Branch Under the Expropriations Act, where land to be abandoned is registered under the Registry Act, the expropriating authority registers this form in the proper land registry office. The form is also served on each owner. 15-Aug 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0418E 161 004-0419E Form 12 – Declaration of Abandonment (Land Registered under the Land Titles Act) E Attorney General Justice Policy Development Branch Justice Policy Development Branch Under 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-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0419E 162 004-0420 Summons to a Witness E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission This form is used by a party before the Fire Safety Commission to request a summons be issued. 19-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0420 163 004-0421 Notice of Appeal E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission This form is used by an appellant to initiate an appeal before the Fire Safety Commission. 19-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0421 164 004-0422 Application for an Authorization E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission "This form is used by a fire service to request authorization to perform work on a subject property from the Fire Safety Comission Commission." 19-Jul 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0422 165 004-0423 Application for an Extension of Time E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission This 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-Dec 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0423 166 004-0424 Summons to a Witness E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Animal Care Review Board This form is used by a party before the Animal Care Review Board to request a summons be issued. 19-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0424 167 004-0425 Notice of Withdrawl E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Animal Care Review Board This form is used by an appellant to withdraw their appeal before the Animal Care Review Board. 19-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0425 168 004-0426 Notice of Appeal E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Animal Care Review Board This form is used by an appellant to initiate an appeal before the Animal Care Review Board. 19-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0426 169 004-0427 Declaration of Representative E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Animal Care Review Board This form is used by parties appearing before the Animal Care Review Board to identify their legal representative. 19-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0427 170 004-0428 Adjournment Request E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Animal Care Review Board This form is used by parties appearing before the Animal Care Review Board to request an adjournment of a proceeding. 19-Jul 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0428 171 004-0429 Adjournment Request E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission This form is used by parties appearing before the Fire Safety Commission to request an adjournment of a proceeding. 19-Jul 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0429 172 004-0430 Declaration of Representative E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission This form is used by parties appearing before the Fire Safety Commission to identify their legal representative. 19-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0430 173 004-0431 Notice of Withdrawl E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Fire Safety Commission This form is used by an appellant to withdraw their appeal before the Fire Safety Commission. 19-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0431 174 004-0455E Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act 19-Jun 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0455E 175 004-0456E Response by an Insurance Company to an Injured Person's Application for Auto Insurance Dispute Resolution under the Insurance Act E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service Response by an Insurance Company to an Injured Person's Application for Auto Insurance Dispute Resolution under the Insurance Act 19-Jun 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0456E 176 004-0457E Application by an Injured Person for Auto Insurance Dispute Resolution under the Insurance Act E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal Injured Person for Auto Insurance Dispute Resolution under the Insurance Act 19-Jun 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0457E 177 004-0458E Response by Injured Person regarding Insurance Company's Application for Auto Insurance Dispute Resolution under the Insurance Act E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal Response by Injured Person regarding Insurance Company's Application for Auto Insurance Dispute Resolution under the Insurance Act 19-Jun 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0458E 178 004-3039E Affidavit for Estate Administration Tax - Additional Payment/Refund E Attorney General Court Services Division Program Management Branch An affidavit regarding a revised total value of assets in an estate, resulting in a change in estate administration tax payable. 16-Jun 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3039E 179 004-3040E Acknowledgement of Expert's Duty E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service In 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-Jun 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3040E 180 004-3041E Certificate of Service E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service Certificate of Service 19-Sep 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3041E 181 004-3049E Appellant Form (A1) E Attorney General Environment and Land Tribunals Ontario Local Planning Appeal Tribunal This 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. Ple 19-Aug 341 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3049E 182 004-3050E Municipal/Approval Authority Submission E Attorney General Environment and Land Tribunals Ontario Local Planning Appeal Tribunal This 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-Aug 130 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3050E 183 004-3051E LPAT Appellant Form (A2) E Attorney General Environment and Land Tribunals Ontario Local Planning Appeal Tribunal This 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 form 19-Aug 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3051E 184 004-3052E Notice of Withdrawal E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service 19-Sep 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3052E 185 004-3805E Request Form - Access to Exhibits E Attorney General Court Services Division Judicial Library Services This 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-Feb 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3805E 186 004-9972E Request to Authorize or Cancel a Representative E Attorney General Court Services Division Family Policy and Programs Used 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-Oct 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-9972E 187 004-9973E Request to Withdraw Consent E Attorney General Court Services Division Family Policy and Programs Used to withdraw previously provided consent for CRA to share clients tax informtation, to calculate or recalculate child support. 18-Oct 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-9973E 188 004-CSD-009E Interpreter Request/Cancellation E Attorney General Court Services Division Toronto Region Informs 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 exte 17-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-CSD-009E 189 004-VSP-005E Attorney General's Victim Services Awards of Distinction – Individual Nomination E Attorney General Victims and Vulnerable Persons Division Victims and Vulnerable Persons Division The 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. Ind 16-Oct 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VSP-005E 190 004-VSP-006E Attorney General's Victim Services Awards of Distinction – Group Nomination E Attorney General Victims and Vulnerable Persons Division Victims and Vulnerable Persons Division The 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. Ind 16-Oct 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VSP-006E 191 004-VVPD-008E Reference in Support of Application E Attorney General Ontario Victim Services Victims and Vulnerable Persons Division Reference in Support of Application (Application to Join the Independent Legal Advice for Survivors of Sexual Assault Pilot Program Referral List) 16-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-008E 192 004-VVPD-009E Application to Join the Independent Legal Advice for Survivors of Sexual Assault Pilot Program Referral List E Attorney General Ontario Victim Services Victims and Vulnerable Persons Division This 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-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-009E 193 004-VVPD-010E Independent Legal Advice Pilot Program Voucher Request Form E Attorney General Victims and Vulnerable Persons Division Victims and Vulnerable Persons Division This 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-Feb 73 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-010E 194 005-0149E Employer Pre-screen Application - General and International Student Categories E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch Employer 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-Jul 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0149E 195 005-0152E Joint Verification E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch This form is intended for the Ontario employers trying to recruit foreign workers or international students through Opportunities Ontario: Provincial Nominee Program. 15-Jul 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0152E 196 005-0157E Translator Affidavit E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch Asserts the truth of the enclosed translations. 09-Feb 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0157E 197 005-0178E Pre-screen Application for Previously Approved Employers E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch This 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-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0178E 198 005-0179E Nominee Application E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch Individual completes application with personal information and employment/education history to apply to immigrate to Ontario through the PNP. 15-Jul 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0179E 199 005-0190E Ontario Immigrant Nominee Program - Investment Referral E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch Ontario 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 inform 15-Jul 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0190E 200 005-0194E Stage 1 Application: Ontario Corporate Stream E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch This form is to be completed and signed by an authorized signing officer of the investing company. 15-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0194E 201 005-0196E Nominee Application for International PhD Graduates E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch Form is foreseen for international PhD graduates applying to Ontario Immigrant Nominee Program (OINP) 15-Jul 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0196E 202 005-0208E Champion of Diversity Award E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat 16-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0208E 203 005-0209E Order of Ontario E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat The 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 a 18-Oct 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0209E 204 005-0210E Ontario Senior of the Year Award E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat The 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-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0210E 205 005-0211E Ontario Senior Achievement Award E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat To recognize outstanding seniors who, after age 65, have made significant contributions to their communities. 17-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0211E 206 005-0212E James Bartleman Indigenous Youth Creative Writing Awards E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat Recognizes up to six (6) Indigenous students for their creative writing talent. 17-Nov 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0212E 207 005-0213E Lincoln M. Alexander Award E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat To 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-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0213E 208 005-0214E Lieutenant Governor's Community Volunteer Award for Students E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat "The 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 each" 17-Nov 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0214E 209 005-0215E Ontario Volunteer Service Award E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat To recognize youth and adult volunteers for continuous years of commitment and dedicated service to an organization. 18-Sep 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0215E 210 005-0216E Hilary M. Weston Scholarship E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat "The 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 is" 17-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0216E 211 005-0217E June Callwood Outstanding Achievement Award E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat To 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-Dec 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0217E 212 005-0218E Ontario Medal for Young Volunteers E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat "To 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-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0218E 213 005-0219E Ontario Medal for Good Citizenship E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat To recognize outstanding citizens for their exceptional long-term contributions to their communities and to the province. 18-Oct 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0219E 214 005-0224E Ontario Award for Paramedic Bravery E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat The 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 selfless 15-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0224E 215 005-0225E David C. Onley Award for Leadership in Accessibility E Tourism, Culture and Sport Ontario Honours and Awards Secretariat Ontario Honours and Awards Secretariat To celebrate outstanding Ontarians who demonstrate exemplary leadership in the advocacy and promotion of awareness of accessibility and disability issues. 15-Oct 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0225E 216 005-0236E Ontario Entrepreneur Stream - Expression of Interest E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch "This 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 t" 16-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0236E 217 005-0237E Multicultural Community Capacity Grant Program E Citizenship and Immigration Program Management and Evaluation Branch Multicultural Community Capacity Grant Program This form is used to apply for funding under the Multicultural Community Capacity Grants Program 17-Oct 53 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0237E 218 005-0493E Seniors Community Grant Program Application Guide and Checklist 2019-2020 Stream 1 E Citizenship and Immigration Ontario Seniors' Secretariat Public Education & Awareness Unit To help seniors across Ontario and support projects that will encourage greater social involvement, volunteerism and community engagement for seniors across the province. 19-May 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0493E 219 0051E Ontario Community Infrastructure Fund (OCIF) 2018 Top-Up Application Component E Infrastructure Inter-governmental Policy Branch Inter-governmental Infrastructure Policy To express interest in applying to the Ontario Community Infrastructure Fund. 18-Apr 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0051E 220 006-0983E Application for Assistance under Ontario Works Act and Income Support under the Ontario Disability Support Program Act E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 14-Nov 1526 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-0983E 221 006-0985E Consent to Disclose and Verify Personal Information E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 18-Sep 51 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-0985E 222 006-1107E Rights and Responsibilities Ontario Works E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch Outlines the rights and responsibilities for individuals on Ontario Works. 19-Nov 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-1107E 223 006-1915E Application for Special Services at Home E Children, Community and Social Services Service Delivery and Supports Branch Program Management Unit (PMU) Application for Special Services at Home 20-Feb 1063 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-1915E 224 006-2764 Questionnaire (for Applicants or Recipients who are living with another adult) E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 10-Mar 266 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2764 225 006-2865E Rights and Responsibilities Ontario Disability Support Program E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch Outlines the rights and responsibilities for individuals on ODSP. 19-Nov 812 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2865E 226 006-2878 Request for Internal Review E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 13-Sep 746 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2878 227 006-2879 Request for Withdrawal of Internal Review E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 13-Sep 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2879 228 006-2882E Application for Employment Supports E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch Employment Support 15-Apr 1518 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2882E 229 006-2884 Verification of Disability/Impairment E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 10-Jan 815 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2884 230 006-2950E Employment/Training Income Report E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch Form 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-Sep 1566 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2950E 231 006-2999E Consent to Disclose and Verify Information (Canada Revenue Agency) E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 18-Oct 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2999E 232 006-3006E Confirmation of Assignment E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch Any 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 supp 19-Dec 700 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3006E 233 006-3089E Birth Family Member's Application to Request a Severe Medical Search E Children, Community and Social Services Service Delivery and Supports Branch Custodian of Adoption Information To 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 illness 08-Jun 85 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3089E 234 006-3090E Adopted Person's and Descendant of Adopted Person's Application to Request a Severe Medical Search E Children, Community and Social Services Service Delivery and Supports Branch Custodian of Adoption Information To 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 illness 08-Jun 141 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3090E 235 006-3091E Application to Request Non-Identifying Information Relating to an Adoption E Children, Community and Social Services Service Delivery and Supports Branch Custodian of Adoption Information To 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 removed 08-Jun 360 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3091E 236 006-3092E Application to Update Information or Remove Name from the Adoption Disclosure Register E Children, Community and Social Services Service Delivery and Supports Branch Custodian of Adoption Information "To 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 wi" 08-Jun 134 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3092E 237 006-3093E Application to be Named on the Adoption Disclosure Register E Children, Community and Social Services Service Delivery and Supports Branch Custodian of Adoption Information To allow adopted persons and eligible birth relatives to request to be named on the Adoption Disclosure Register 08-Jun 509 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3093E 238 006-3095E Application for a Copy of an Adoption Order E Children, Community and Social Services Service Delivery and Supports Branch Custodian of Adoption Information To 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-Jun 316 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3095E 239 006-3168E Request for Withdrawal of Regional Dispute Resolution Review E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 13-Sep 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3168E 240 006-3169E Request for Regional Dispute Resolution Review E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 13-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3169E 241 006-3183E Vision Care Benefit (Exceptional Circumstances) E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch The form is for requests for medically necessary items that are not in the Ministry of Community and Social Services (MCSS) Vision Care Fee Schedule. Requests may be made where exceptional medical circumstances exist. Service providers must obtain pre-au 14-Nov 181 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3183E 242 006-3188E Welcome to ODSP Employment Supports E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch Introduction to the ODSP Employment Supports 14-Feb 635 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3188E 243 006-3203E ODSP Hearing Aid Benefit (Exceptional Circumstances) E Children, Community and Social Services Ontario Disability Support Program Branch Ontario Disability Support Program Branch 16-Jun 75 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3203E 244 006-3216E Direct Bank Deposit (Electronic Funds Transfer) Enrolment / Change of Information Third Party Payees E Children, Community and Social Services Social Assistance Central Services Branch Financial Services Unit "To support direct bank deposit enrolment and information management for third party vendor records in Social Assistance Programs" 18-Jun 739 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3216E 245 006-3222E Temporary Care Agreement E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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 custody 18-Mar 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3222E 246 006-3223E Extension or Variation Agreement E Children, Community and Social Services Child Welfare Secretariat Child Welfare A children's aid society uses this form to extend and/or vary a temporary care agreement. 18-Mar 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3223E 247 006-3224E Warrant to Bring to a Place of Safety and Return a Child in Care E Children, Community and Social Services Child Welfare Secretariat Child Welfare This 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 18-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3224E 248 006-3225E Information in Support of a Warrant to Bring to a Place of Safety and Return a Child in Care E Children, Community and Social Services Child Welfare Secretariat Child Welfare This 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 CA 18-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3225E 249 006-3226E Warrant to Apprehend and Return a Child who has withdrawn from a Parent's Control E Children, Community and Social Services Child Welfare Secretariat Child Welfare This 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 provide 18-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3226E 250 006-3227E 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 Control E Children, Community and Social Services Child Welfare Secretariat Child Welfare This 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 t 18-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3227E 251 006-3228E Application for Emergency Admission to Secure Treatment Program E Children, Community and Social Services Children and Youth at Risk Branch Residential Services Emergency admission of a child to a secure treatment program. 18-Mar 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3228E 252 006-3229E Emergency Admission to Secure Treatment Program E Children, Community and Social Services Children and Youth at Risk Branch Residential Services This 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-Mar 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3229E 253 006-3230E Application for Review of Emergency Admission to Secure Treatment Program E Children, Community and Social Services Children and Youth at Risk Branch Residential Services This 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 adminis 18-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3230E 254 006-3231E Review of Emergency Admission to Secure Treatment Program E Children, Community and Social Services Children and Youth at Risk Branch Residential Services This 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-Mar 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3231E 255 006-3232E Warrant to Apprehend and Return a Child Who has Been Admitted to a Secure Treatment Program E Children, Community and Social Services Children and Youth at Risk Branch Residential Services Court Proceeding and to apprehend a child who has been admitted to a secure treatment program. 18-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3232E 256 006-3233E Information in Support of a Warrant to Apprehend and Return a Child Who has Been Admitted to a Secure Treatment Program E Children, Community and Social Services Children and Youth at Risk Branch Residential Services Court proceeding and the Information to support a warrant to apprehend and return a child who has been admitted to a secure treatment program. 18-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3233E 257 006-3234E Application for Approval of a Secure De-escalation Room E Children, Community and Social Services Planning and Program Development Branch Residential Services This 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-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3234E 258 006-3235E Approval or Renewal of Approval of a Secure De-escalation Room E Children, Community and Social Services Planning and Program Development Branch Residential Services This 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-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3235E 259 006-3236E Refusal or Withdrawal of an Approval of a Secure De-escalation Room E Children, Community and Social Services Planning and Program Development Branch Residential Services This 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 form 18-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3236E 260 006-3237E Notice to a Director of Proposed Placement E Children, Community and Social Services Client Services Branch Licensing of Private Adoption This form is completed by a licensee who proposes to place a child with an applicant with a view to adoption. 18-Mar 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3237E 261 006-3238E Registration of Placement of a Child for Adoption E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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-Mar 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3238E 262 006-3239E Director's Registration of Placement of Child for Adoption E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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, 2017 18-Mar 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3239E 263 006-3240E Acknowledgment of Adoption Placement E Children, Community and Social Services Child Welfare Secretariat Child Welfare This form is signed by prospective adoptive parents when a child is placed with them. 18-Mar 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3240E 264 006-3241E Statement by Physician E Children, Community and Social Services Child Welfare Secretariat Child Welfare This 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 pers 18-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3241E 265 006-3242E Application for a Licence or Renewal of a Licence to Place Children for Adoption E Children, Community and Social Services Client Services Branch Licensing of Private Adoption This 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 Ad 18-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3242E 266 006-3243E Warrant for Access to Record(s) E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3243E 267 006-3244E Information in Support of a Warrant for Access to a Record E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3244E 268 006-3245E Warrant (Telewarrant) for Access to Record(s) E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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 bef 18-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3245E 269 006-3246E Information in Support of a Warrant (Telewarrant) for Access to a Record E Children, Community and Social Services Child Welfare Secretariat Child Welfare A 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 be 18-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3246E 270 006-3247E Form 1: Report to Child Abuse Register E Children, Community and Social Services Child Welfare Operations Branch Child Welfare This form is completed by a children's aid society to report child abuse that has been verified by the society. 18-Mar 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3247E 271 006-3248E Form 2: Follow-up Report to Child Abuse Register E Children, Community and Social Services Child Welfare Operations Branch Child Welfare This form is completed by a children's aid society to provide additional information regarding child abuse that has been verified by the society. 18-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3248E 272 006-3249E Formal Complaint To A Society's Internal Complaints Review Panel (ICRP) E Children, Community and Social Services Child Welfare Secretariat Child Welfare This 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-Apr 112 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3249E 273 006-3250E Request to Director for Review of Proposed Placement E Children, Community and Social Services Client Services Branch Licensing of Private Adoption This 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-Apr 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3250E 274 006-3251E Youth Services Officer Employment Application E Children, Community and Social Services Operational Support and Program Effectiveness Branch Staff Training and Development Application form for the Youth Services Officer position with the Youth Justice Services Division, Ministry of Children and Youth Services. 19-Apr 2669 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3251E 275 006-3256E Ontario Autism Program Childhood Budget Form E Children, Community and Social Services Children with Special Needs Branch Children with Special Needs Branch This form will allow families of children and youth with autism to apply for Ontario Autism Program Childhood Budget funding. 19-Jun 5807 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3256E 276 006-3261E Invoice for Completing a Disability Determination Package, Medical Review Package or Providing Additional Medical Information E Children, Community and Social Services Social Assistance Central Services Branch Financial Services Unit For 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-Sep 530 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3261E 277 006-FORM-A Support Application/Support Variation Application. E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 231 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-A 278 006-FORM-A-GUIDE FormSupport Form A Support Application / Support Variation Application E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 73 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-A-GUIDE 279 006-FORM-B Identification Information E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 115 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-B 280 006-FORM-B-GUIDE FormSupport Form B Identification Information E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 57 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-B-GUIDE 281 006-FORM-C Evidence of Parentage E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 107 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-C 282 006-FORM-C-GUIDE FormSupport Form C Evidence of Parentage E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-C-GUIDE 283 006-FORM-D Statements to Support a Declaration of Biological Parentage E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-D 284 006-FORM-D-GUIDE FormSuppor Form D Statements to Support a Declaration of Biological Parentage E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-D-GUIDE 285 006-FORM-E Child Support Claim E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 186 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-E 286 006-FORM-E-GUIDE FormSupport Form E Child Support Claim E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-E-GUIDE 287 006-FORM-F Request For Support Order - If Respondent Does Not Provide Financial Information - E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 105 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-F 288 006-FORM-F-GUIDE FormSupport Form F Request for Support Order (if Respondent does not provide financial information) E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-F-GUIDE 289 006-FORM-G Request For A Child Support Order - Different Than Child Support Guidelines Table Amount - E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 75 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-G 290 006-FORM-G-GUIDE FormSupport Form G Request for a Child Support Order, Different than Child Support Guidelines Table Amount E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-G-GUIDE 291 006-FORM-H Special Expense Claim E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 190 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-H 292 006-FORM-H-GUIDE FormSupport Form H Special Expense Claim E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 77 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-H-GUIDE 293 006-FORM-I Request To Pay Child Support - Different Than Child Support Guidelines Table Amount - E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 67 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-I 294 006-FORM-I-GUIDE FormSupport Form I Request to Pay Child Support, Different than the Child Support Guidelines Table Amount E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-I-GUIDE 295 006-FORM-INTRO-GUIDE FormSupport Guide Introduction and General Information E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 17-Jul 73 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-INTRO-GUIDE 296 006-FORM-J Support for Claimant / Applicant E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 64 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-J 297 006-FORM-J-GUIDE FormSupport Form J Support for Claimant / Applicant E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-J-GUIDE 298 006-FORM-K Financial Statement of E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 151 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-K 299 006-FORM-K-GUIDE FormSupport Form K Financial Statement E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 61 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-K-GUIDE 300 006-FORM-L Child Status and Financial Statement for E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 131 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-L 301 006-FORM-L-GUIDE FormSupport Form L Child Status and Financial Statement E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-L-GUIDE 302 006-FORM-M Evidence to Support Variation of a Support Order E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 125 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-M 303 006-FORM-M-GUIDE FormSupport Form M Evidence to Support Variation of a Support Order E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-M-GUIDE 304 006-FORM-N Respondent's Answer to Application E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 116 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-N 305 006-FORM-N-GUIDE FormSupport Form N Respondent's Answer to Application E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 76 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-N-GUIDE 306 006-FORM-O Request for Enforcement E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 03-Mar 184 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-O 307 006-FORM-ON-GUIDE Making a Support or Support Variation Application Outside Ontario - Choosing Which Forms to Use - E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 08-Sep 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-ON-GUIDE 308 006-FRO-001E Personal Pre-Authorized Debit (PAD) Application E Children, Community and Social Services Family Responsibility Office Family Responsibility Office The 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 sourc 09-Dec 350 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-001E 309 006-FRO-002E Confirmation of Identity Letter Request E Children, Community and Social Services Family Responsibility Office Family Responsibility Office Confirmation 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 i 16-Feb 183 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-002E 310 006-FRO-003E Request for Director's Statement of Arrears (Statement of Account) E Children, Community and Social Services Family Responsibility Office Family Responsibility Office The 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 su 16-Feb 269 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-003E 311 006-FRO-004E Voluntary Arrears Payment Schedule (VAPS) Proposal E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 18-Feb 694 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-004E 312 006-FRO-005E Registration Package E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 12-Sep 1965 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-005E 313 006-FRO-006E Notice of Withdrawal E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 05-Jul 1103 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-006E 314 006-FRO-007E Statement of Arrears E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 12-Sep 1473 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-007E 315 006-FRO-009E Registration for Direct Deposit E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 15-Dec 1965 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-009E 316 006-FRO-010E FINANCIAL STATEMENT E Children, Community and Social Services Family Responsibility Office Family Responsibility Office Support 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. Docume 05-Jun 607 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-010E 317 006-FRO-013E Affidavit for a Lost Cheque E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 09-Aug 343 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-013E 318 006-FRO-014E Third Party Authorization Form E Children, Community and Social Services Family Responsibility Office Family Responsibility Office The 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-May 435 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-014E 319 006-FRO-015E Cancellation of Third Party Authorization Form E Children, Community and Social Services Family Responsibility Office Family Responsibility Office The 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-Jul 83 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-015E 320 006-FRO-016E Notice of Re-Filing E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 16-Feb 496 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-016E 321 006-FRO-018E NOTICE TO FAMILY RESPONSIBILITY OFFICE BY INCOME SOURCE E Children, Community and Social Services Family Responsibility Office Family Responsibility Office This 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 that 05-Jun 124 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-018E 322 006-FRO-021E SUPPORT DEDUCTION ORDER INFORMATION FORM E Children, Community and Social Services Family Responsibility Office Family Responsibility Office The 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 incom 05-Jun 416 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-021E 323 006-FRO-030E Notice by Support Recipient of Unilateral Withdrawal E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 16-Jan 479 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-030E 324 006-FRO-031E Application to Discontinue Enforcement of Ongoing Support E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 19-May 2936 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-031E 325 006-FRO-032E Panel Lawyer Application – Current Panel Lawyer E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 15-Feb 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-032E 326 006-FRO-033E Panel Lawyer Application – New Applicant E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 15-Feb 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-033E 327 007-02052E Notice of Motion E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal To request that the Tribunal issue an order. 19-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-02052E 328 007-06019E Application for Registration or Appointment E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario 08-Nov 96 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-06019E 329 007-06019EINFO Registration or Appointment Requirements for New, Renewal and Reinstatement Applications E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario 10-Feb 73 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-06019EINFO 330 007-07064E Appointment of Agent for Service/Revised Appointment of Agent for Service - Form 2 - Extra-Provincial Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch Foreign 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 corporation 19-Aug 204 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07064E 331 007-07067E Application for Termination of Extra-Provincial Licence - Form 4 - Extra-Provincial Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch When 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-Jun 60 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07067E 332 007-07249E Request for Corporation Information E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch This form is completed to process a request for a corporate search product. 18-Oct 362 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07249E 333 007-07546E Acknowledge Receipt of Application E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch "To 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-Mar 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07546E 334 007-11018E Marriage Licence Application-Marriage Act-Form 3 E Government and Consumer Services ServiceOntario Office of the Registrar General 18-Feb 1327 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11018E 335 007-11022E Statement of Live Birth Form 2 E Government and Consumer Services ServiceOntario Office of the Registrar General This 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-Jan 489 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11022E 336 007-11025E Statement Of Sole Responsibility- Marriage Act E Government and Consumer Services ServiceOntario Office of the Registrar General 17-Nov 459 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11025E 337 007-11031E Requirements Respecting Marriage in Ontario E Government and Consumer Services ServiceOntario Office of the Registrar General 09-Jul 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11031E 338 007-11075E Request for Death Certificate E Government and Consumer Services ServiceOntario Office of the Registrar General 18-Jan 2375 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11075E 339 007-11076E Request for Birth Certificate E Government and Consumer Services ServiceOntario Office of the Registrar General This form is used for requesting a birth certificate 18-Apr 5892 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11076E 340 007-11078E Request for Marriage Certificate E Government and Consumer Services ServiceOntario Office of the Registrar General 18-Jan 3364 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11078E 341 007-11155E Application to Change an Adult's Name E Government and Consumer Services ServiceOntario Office of the Registrar General This form is used to apply to legally change the name of an adult in Ontario. 19-Sep 7148 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11155E 342 007-11156E Application to Change a Child's Name E Government and Consumer Services ServiceOntario Office of the Registrar General This form is used to apply to legally change the name of a child in Ontario. 19-Sep 2501 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11156E 343 007-11313E Adoption Information Disclosure Application to Register or Withdraw a No Contact Notice E Government and Consumer Services ServiceOntario Office of the Registrar General To 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-Aug 89 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11313E 344 007-11314E Adoption Information Disclosure Application to Register or Withdraw a Notice of Contact Preference E Government and Consumer Services ServiceOntario Office of the Registrar General To 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-Aug 113 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11314E 345 007-11318E Adoption Information Disclosure Application to Register or Withdraw a Disclosure Veto E Government and Consumer Services ServiceOntario Office of the Registrar General To 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-Aug 93 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11318E 346 007-11320E Request for Non-Publication in The Ontario Gazette E Government and Consumer Services ServiceOntario Office of the Registrar General 19-Sep 179 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11320E 347 007-11324E Statutory Declaration for a Change of Sex Designation on a Birth Registration of an Adult E Government and Consumer Services ServiceOntario Office of the Registrar General 19-Aug 264 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11324E 348 007-11325E Application for a Change of Sex Designation on a Birth Registration of an Adult E Government and Consumer Services ServiceOntario Office of the Registrar General 19-May 454 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11325E 349 007-11333E Statutory Declaration – By Intended Parents E Government and Consumer Services ServiceOntario Office of the Registrar General This Statutory Declaration is to be completed by Intended Parent(s) when certifying a birth using a surrogate. 17-Jan 69 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11333E 350 007-11334E Statutory Declaration – By Surrogate E Government and Consumer Services ServiceOntario Office of the Registrar General This Statutory Declaration by Surrogate is to be completed by the surrogate when the intended parent(s) are certifying a birth using a surrogate. 17-Jan 57 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11334E 351 007-11335E Statement of Live Birth Form 2 (With Three or Four Parents) E Government and Consumer Services ServiceOntario Office of the Registrar General This 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-Jan 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11335E 352 007-11341E Application to Waive ServiceOntario Fees for a Name Change and Related Certificates E Government and Consumer Services ServiceOntario Office of the Registrar General For 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 and 17-Jan 129 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11341E 353 007-11342E Request for a Name Change to a Single Name E Government and Consumer Services ServiceOntario Office of the Registrar General Use 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 chan 17-Jan 167 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11342E 354 007-11343E Request for a Birth Registration with a Single Name E Government and Consumer Services ServiceOntario Office of the Registrar General Use 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 L 17-Jan 199 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11343E 355 007-11377E Articles of Incorporation of a Co-operative with Share Capital, Form 1, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To incorporate a co-operative corporation with share capital in Ontario. 18-Oct 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11377E 356 007-11378E Articles of Incorporation of a Co-operative without Share Capital, Form 2, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To incorporate a co-operative corporation without share capital in Ontario. 18-Oct 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11378E 357 007-11379E Consent to Act as a First Director, Form 3, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch This form must be submitted along with the Articles of Incorporation when a co-operative corporation has a director that is not an incorporator. 18-Oct 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11379E 358 007-11380E Articles of Amendment, Form 7, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To amend, add, change or remove provisions set out in the Articles of Incorporation or change the corporate name for the co-operative corporation. 18-Oct 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11380E 359 007-11381E Affidavit of Solvency (Amendment), Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch An 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 authori 18-Oct 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11381E 360 007-11382E Articles of Amalgamation, Form 10, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To amalgamate two or more active Ontario co-operative corporations who wish to form one new Ontario co-operative corporation. 18-Oct 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11382E 361 007-11383E Affidavit of Solvency (Amalgamation), Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch An affidavit regarding the solvency of each of the amalgamating co-operative corporations. This form must be submitted along with the Articles of Amalgamation. 18-Oct 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11383E 362 007-11384E Articles of Dissolution, Form 11, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To 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-Oct 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11384E 363 007-11385E Articles of Dissolution, Form 12, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To 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-Oct 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11385E 364 007-11386E Articles of Continuance as a Co-operative without Share Capital, Form 15, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To 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-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11386E 365 007-11387E Articles of Continuance as a Co-operative with Share Capital, Form 14, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To 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-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11387E 366 007-11388E Restated Articles of Incorporation without Share Capital, Form 9, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To 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-Oct 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11388E 367 007-11389E Restated Articles of Incorporation with Share Capital, Form 8, Co-operative Corporations Act E Government and Consumer Services ServiceOntario Central Production and Verification Services Branch To 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-Oct 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11389E 368 007-11392E Notice of Collection of Personal Information - Applicants for Payment under Section 4 E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 11-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11392E 369 007-11393E Notice of Collection of Personal Information - Applicants for Restoration of Driver's Licence E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 18-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11393E 370 007-11394E Notice of Collection of Personal Information Applicants for Statutory Accident Benefits E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 18-Aug 48 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11394E 371 007-11395E Affidavit in Support of Application for Settlement E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 13-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11395E 372 007-11396E Application for Payment under Section 4 E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 18-Nov 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11396E 373 007-11397E Motor Vehicle Accident Claims Fund - Application for Payment under Section 7 Form 1 E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 13-Jan 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11397E 374 007-11399E Motor Vehicle Accident Claims Fund Application For Statutory Accident Benefits Form 3 E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 13-Jan 69 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11399E 375 007-11400E Motor Vehicle Accident Claims Fund Application For Payment out of the Fund of Court Ordered Costs Form 4 E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 13-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11400E 376 007-11401E Motor Vehicle Accident Claims Fund Notice of Default E Government and Consumer Services Risk Management and Insurance Services Branch Motor Vehicle Accident Claims Fund 13-Jan 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11401E 377 008-0105E Notification of Duty to Register (Sex Offender Registry) E Solicitor General Ontario Sex Offender Registry Ontario Sex Offender Registry This 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 offenc 08-Nov 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0105E 378 008-0122 Warrant for Post Mortem Examination E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 14-May 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0122 379 008-0125E Warrant to Bury the Body of a Deceased Person or Still-born E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 14-May 69 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0125E 380 008-0137E Application for Part II (Standard Procedure) Appointment E Solicitor General External Relations Operations Unit To 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-May 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0137E 381 008-0138E Approval for Part II (Standard Appointment Procedure) Application E Solicitor General External Relations Operations Unit To 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-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0138E 382 008-0139E Approval of Part III (Appointment Procedure in Urgent Circumstances) Application E Solicitor General External Relations Operations Unit To 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-May 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0139E 383 008-0140E Termination of a Part II or Part III Appointment E Solicitor General External Relations Operations Unit To be used by an appointing official to terminate an appointment pursuant to sections 23 and 24 of the Interprovincial Policing Act, 2009. 10-May 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0140E 384 008-0146E Application for Part III (Appointment Procedure in Urgent Circumstances) Appointment E Solicitor General External Relations Operations Unit To 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-May 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0146E 385 008-0147E Training Entity Identification Form - Basic Security Guard & Private Investigator Training E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Training entities must identify themselves to the ministry by completing the Training Entity Identification Form 10-Mar 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0147E 386 008-0148E Consent and Release of Liability Form Regarding Training E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Students 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-Apr 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0148E 387 008-0149E Invoice for Transportation of Dead Body E Solicitor General Office of the Chief Coroner Office of the Chief Coroner For 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-Jul 154 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0149E 388 008-0150E Invoice For Use of Facilities For Post Mortem Examination E Solicitor General Office of the Chief Coroner Office of the Chief Coroner For 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-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0150E 389 008-0151E Case Selection Data Form E Solicitor General Office of the Chief Coroner Office of the Chief Coroner For use by investigating coroners. 10-Sep 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0151E 390 008-0152E Case Selection Invoice E Solicitor General Office of the Chief Coroner Office of the Chief Coroner For use by investigating coroners. 10-Nov 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0152E 391 008-0153E Institutional Patient Death Record E Solicitor General Office of the Chief Coroner Office of the Chief Coroner As 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 Te 14-May 1600 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0153E 392 008-0168E Request for Retention of Specimens E Solicitor General Office of the Chief Coroner Forensic Pathology Unit Form 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-Mar 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0168E 393 008-0230E Post Mortem Examination Invoice E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 18-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0230E 394 008-0231E Interpreter's Invoice E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 19-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0231E 395 008-0232E Special Witness Account E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 19-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0232E 396 008-0233E Order for Payment of Court Reporter E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 19-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0233E 397 008-0270E Use of Force Report E Solicitor General External Relations Policing Standards Section To 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-Oct 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0270E 398 008-06-003E Notice of a New/Change in Branch Office (Corporation/Sole Proprietorship/Partnership Businesses) E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch 19-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-003E 399 008-06-004E Application to Replace a Security Guard and/or Private Investigator Agency Licence E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Application to Replace a Security Guard and/or Private Investigator Agency Licence 19-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-004E 400 008-06-005E Security guard and/or private investigator licence application package - Online guide to applying for a: Security guard and/or private investigator licence E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch "Application for a Security Guard and/or Private Investigator Licence " 17-Jan 2123 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-005E 401 008-06-007E Security Guard and/or Private Investigator Licence Replacement Application E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Security Guard and/or Private Investigator Licence Replacement Application 19-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-007E 402 008-06-008E Registration Form for Employers of Security Guards and/or Private Investigators E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Registration Form for Employers of Security Guards and/or Private Investigators 19-Dec 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-008E 403 008-06-009AE Agency - Request for Hearing Form E Solicitor General Private Security and Investigative Services Branch Licensing Unit 19-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-009AE 404 008-06-009E Individual - Request for Hearing Form E Solicitor General Private Security and Investigative Services Branch Licensing Unit 19-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-009E 405 008-06-010AE Change of Business Information for Licensed Security Guard and/or Private Investigator Agencies and Registered Employers E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Change of Business Information for Licensed Security Guard and/or Private Investigator Agencies and Registered Employers 19-Dec 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-010AE 406 008-06-010E Change of Information Form for a Security Guard and/or Private Investigator Licence E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Change of Information Form for a Security Guard and/or Private Investigator Licence 19-Dec 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-010E 407 008-06-011E Public Complaint Form E Solicitor General Private Security and Investigative Services Branch Licensing Unit 09-Sep 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-011E 408 008-06-012E Use of Force Report E Solicitor General Private Security and Investigative Services Branch Licensing Unit 09-Sep 76 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-012E 409 008-11-001E Form 1 - Physician Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch To support implementation of the Mandatory Blood Testing Act, 2006 11-Jan 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-001E 410 008-11-002E Form 2 - Applicant Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch To support implementation of the Mandatory Blood Testing Act, 2006 18-Jul 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-002E 411 008-11-003E Form 3 - Respondent Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch To support implementation of the Mandatory Blood Testing Act, 2006 18-Jul 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-003E 412 008-11-004E Laboratory Requisition - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 10-Dec 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-004E 413 009-0002E Eastern Ontario Development Fund - Business Stream Application and Guide E Economic Development, Job Creation and Trade Community in Transit Communities in Transition 09-Jul 55 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0002E 414 009-0003E Eastern Ontario Development Fund - Regional/Sectoral Stream Application and Guide E Economic Development, Job Creation and Trade Community in Transit Communities in Transition 09-Jul 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0003E 415 009-0020E Investment Ready: Certified Site Program - Application Form E Economic Development, Job Creation and Trade Ontario Investment Office - Investors Services Branch Site Planning and Coordination Unit Complete 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-Nov 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0020E 416 009-0021E Summer Company Business Plan Template E Economic Development, Job Creation and Trade Entrepreneurship Branch Entrepreneurship and Youth Partnerships The 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 pla 19-Apr 603 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0021E 417 009-0022E Notice of Intent: Large Infrastructure E Economic Development, Job Creation and Trade Research Branch Research Program The Ontario Research Fund – Research Infrastructure - provides research institutions with funding to help support infrastructure needs such as modern facilities and equipment. 16-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0022E 418 009-00236E Accessibility Compliance Reporting Form – 2019 (Designated Public Sector and Government organizations only) E Seniors and Accessibility Accessibility for Ontarians with Disabilities Division AODA Compliance and Enforcement Branch Organizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form. 19-Apr 524 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-00236E 419 009-00237E Accessibility Compliance Reporting Form – 2020 (Business or Non-profit and Government organizations only) E Seniors and Accessibility Accessibility for Ontarians with Disabilities Division AODA Compliance and Enforcement Branch Organizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form. 20-Jan 783 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-00237E 420 009-0023E Large Infrastructure Application E Economic Development, Job Creation and Trade Research Branch Research Program The Ontario Research Fund – Research Infrastructure - provides research institutions with funding to help support infrastructure needs such as modern facilities and equipment. 19-Oct 413 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0023E 421 009-0025E Feedback on the Proposed Revised Customer Service Standard E Economic Development, Job Creation and Trade Accessibility Directorate of Ontario Standards Policy and Compliance Branch / Accessibility Policy Unit The 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 peo 14-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0025E 422 009-0026E Early Researcher Awards Round 15 Application E Economic Development, Job Creation and Trade Research Branch Research Talent and Awards The 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-May 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0026E 423 009-0032E Social Impact Bond Idea Program Registration E Economic Development, Job Creation and Trade Open for Business Office of Scocial Enterprise Ontario is launching a call for proposals for Social Impact Bond ideas. 14-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0032E 424 009-0034E Youth Skills Connections Industry Stream Phase I Application E Economic Development, Job Creation and Trade Entrepreneurship Branch Entrepreneurship Partnerships Support applications to the Youth Skills Connections programs 14-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0034E 425 009-0035E Youth Skills Connections Community Stream Phase I Application E Economic Development, Job Creation and Trade Entrepreneurship Branch Entrepreneurship Partnerships Support applications to the Youth Skills Connections programs 14-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0035E 426 009-0036E Submission Template for High School Entrepreneurship Outreach program E Economic Development, Job Creation and Trade Entrepreneurship Branch Youth Partnerships The 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-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0036E 427 009-0039E Expression of Interest E Economic Development, Job Creation and Trade Corporate Services Branch Accessibility Innovation Showcase The 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 Expres 17-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0039E 428 009-0041E Accessibility Innovation Showcase – Volunteer Application E Economic Development, Job Creation and Trade Corporate Services Branch Accessibility Innovation Showcase Applications 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 thi 17-Aug 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0041E 429 009-0047E Sample Return to Work Process and Plan E Economic Development, Job Creation and Trade Accessibility Directorate of Ontario Outreach & Strategic Initiatives This 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 opinion 16-Jan 90 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0047E 430 009-0048E Sample Accommodation Process and Plan E Economic Development, Job Creation and Trade Accessibility Directorate of Ontario Outreach & Strategic Initiatives This 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 opinion 16-Jan 226 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0048E 431 009-0049E Youth Skills Connections Industry Partnerships - Eligibility Checklist E Economic Development, Job Creation and Trade Entrepreneurship Branch Youth Skills Connections Fund: Industry Partnerships This 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-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0049E 432 009-0051E "Appendix ""A"" Ontario Investment and Trade Centre (OITC) WiFi access registration form" E Economic Development, Job Creation and Trade Corporate Services Branch Accessibility Innovation Showcase Terms of use of Ontario Investment and Trade Centre (OITC) wireless network. 16-Feb 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0051E 433 009-0053E Appendix “B” Ontario Investment and Trade Centre Fire and Emergency Evacuation Procedures E Economic Development, Job Creation and Trade Corporate Services Branch Accessibility Innovation Showcase "Emergency Procedures (Provided with reservation confirmation)" 16-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0053E 434 009-0055E Entrepreneurship Learning Stream Eligibility Checklist E Economic Development, Job Creation and Trade Entrepreneurship Branch Youth Partnerships This 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-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0055E 435 009-0058E Social Enterprise Demonstration Fund Program Guidelines and Call for Proposals E Economic Development, Job Creation and Trade Social Enterprise Branch Social Enterprise Demonstration Fund Program Guidelines and Call for Proposals (for the SEDF) 17-Oct 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0058E 436 009-0059E Ontario Network of Entrepreneurs (ONE) Social Enterprise Partnership E Economic Development, Job Creation and Trade Social Enterprise Branch ONE Social Enterprise Partnerships Program Guidelines and Call for Expressions of Interest 16-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0059E 437 009-0060E Entrepreneurship Learning Stream (ELS) Application E Economic Development, Job Creation and Trade Entrepreneurship Branch Youth Partnerships Entrepreneurship Learning Stream (ELS) Application Form 17-Nov 82 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0060E 438 009-0063E Organization Profile Update Form (All Organizations) E Seniors and Accessibility Accessibility for Ontarians with Disabilities Division AODA Compliance and Enforcement Branch Organizations 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 AODA 18-Nov 124 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0063E 439 009-0064E Social Enterprise Procurement And Investment Readiness Fund E Economic Development, Job Creation and Trade Entrepreneurship and Start-up Services Branch Social Enterprise Unit To 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-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0064E 440 009-0104-11-01 Doing Business Immigration Seminar Registration Form E Economic Development, Job Creation and Trade Ontario Investment Office - Investors Services Branch Business Immigration Section 01-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0104-11-01 441 009-0153E Appointing or Cancelling a Representative E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch Applicant or employer uses this form to appoint a representative for the application or to remove a representative from an application. 18-Dec 72 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0153E 442 009-0161E Change of Personal Information E Economic Development, Job Creation and Trade Program Management and Business Services Branch Program Development Unit Applicant uses this form to inform of changes in personal info, i.e. address change, name change, family change, etc. 18-Jul 198 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0161E 443 009-0233E Ontario Immigrant Nominee Program Employer Job Offer Streams Employer Form E Economic Development, Job Creation and Trade Ontario Immigrant Nominee Program Delivery Branch Ontario Immigrant Nominee Program Delivery Branch This 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-Jun 5976 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0233E 444 010-3003E Private School Inspection Report E Education Field Services Branch Private School and International Education The 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 recommen 18-Oct 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3003E 445 010-3041E Statement of Medical Exemption E Education Early Years & Child Care Policy Branch Early Years Policy Unit To allow individuals to apply for medical exemptions for immunizations 16-May 322 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3041E 446 010-3042E Statement of Conscience or Religious Belief E Education Early Years & Child Care Policy Branch Early Years Policy Unit To allow individuals to apply for religious/conscience exemptions for immunizations 16-May 827 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3042E 447 010-3043E Notice of Administrative Penalty - Application for Review E Education Child Care Quality Assurance and Licensing Branch Enforcement Unit "Under 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 o" 16-Apr 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3043E 448 010-3064E Reciprocal Education Approach Written Notice for Eligible Students to Attend an Eligible First Nation School E Education Indigenous Education Office Strategic Policy & Intergovernmental Relations To provide written notice to school boards for students wishing to attend a First Nation school under REA 19-Aug 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3064E 449 010-3065E Reciprocal Education Approach Written Notice for Eligible Students to Attend a School of a School Board E Education Indigenous Education Office Strategic Policy & Intergovernmental Relations To provide written notice to school boards for students wishing to attend a school of a school board under REA 19-Aug 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3065E 450 010-37-0355E Premier's Awards for Teaching Excellence Nomination Forms E Education Communications Branch Communications Branch 10-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-0355E 451 010-37-0373E "Premier's Awards for Accepting Schools – Nomination Form " E Education Safe and Healthy Schools Branch Safe Schools Unit To 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-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-0373E 452 010-37-3022E Premier's Awards for Accepting Schools – Letter of Support Template E Education Safe and Healthy Schools Branch Safe Schools Unit To 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-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-3022E 453 010-52-0147E Notice of Intention to Operate a Private School (NOI) E Education Field Services Branch Private School and International Education Requirement 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 for 19-Apr 122 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-52-0147E 454 010-52-0997E School Year Calendar E Education Field Services Branch Field Services Branch (FSB) indicates instructional school days 10-Oct 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-52-0997E 455 010-63-0112E Annual Education Plan Grades 7 to 12 E Education Student Success Policy Branch Student Success Policy Branch Apr-99 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-63-0112E 456 010-63-1970E Work Education Agreement E Education Student Success Policy Branch Student Success Policy Branch The 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 prior 16-Jul 71 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-63-1970E 457 011-0001 Application For Electricity Distribution License E Energy, Northern Development and Mines Ontario Energy Board Planning and Business Services The purpose of this form is to collect information to determine whether the Applicant will be granted a licence to distribute electricity. 05-Jul 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0001 458 011-0006E Ontario Small Waterworks Assistance Program Part 3 E Energy, Northern Development and Mines Infrastructure Policy Branch Infrastructure Policy Branch 10-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0006E 459 011-0022 Application for Ontario's Home Energy Audit Grant (Program) E Energy, Northern Development and Mines Renewables and Energy Efficiency Energy Efficiency and Innovative Technology Application 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.o 11-Apr 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0022 460 011-0027 Application for Ontario's Home Energy Audit Grant (Program) E Energy, Northern Development and Mines Renewables and Energy Efficiency Energy Efficiency and Innovative Technology Application 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 grant 11-Apr 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0027 461 011-0031E Smart Grid Fund Application E Energy, Northern Development and Mines Transmission and Distribution Policy Branch Smart Grid Fund Submit 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 e 18-Feb 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0031E 462 011-0036E "Municipal Energy Plan Program (""MEP Program"") Application Form" E Energy, Northern Development and Mines Energy Efficiency and Innovative Technology Municipal Energy Plan Program The 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 be 14-Apr 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0036E 463 011-0037E Municipal Energy Plan Program Application Form Energy Plan Related Initiatives Funding E Energy, Northern Development and Mines Energy Efficiency and Innovative Technology Municipal Energy Plan Program The 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 be 14-Apr 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0037E 464 011-0044E Smart Grid Fund Application – Demonstration Projects E Energy, Northern Development and Mines Distribution and Agency Policy Branch Smart Grid Fund The 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. T 18-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0044E 465 011-0045E Smart Grid Fund Application - Modernization Plans E Energy, Northern Development and Mines Distribution and Agency Policy Branch Smart Grid Fund The 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. T 18-May 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0045E 466 012-0031E Director Letter Confirming Exemption from Licence and Permit Requirements for a Water Extermination E Environment, Conservation and Parks Operations Divisions Operations Division Pursuant 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 requirem 12-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-0031E 467 012-1147E Request for Approval Under S. 35( I) of Local Air Quality Regulation for a Site-Specific Standard E Environment, Conservation and Parks Standards Development Branch Local Air Quality "This 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-Jul 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1147E 468 012-1328 Waste Audit Summary-ICI Establishments E Environment, Conservation and Parks Waste Management Policy Branch Divisional Administration and Finance Section Tool to assist industry with compliance 02-Feb 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1328 469 012-1328A Waste Audit Summary-Construction & Demolition Projects E Environment, Conservation and Parks Waste Management Policy Branch Divisional Administration and Finance Section Tool to assist industry with compliance 02-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1328A 470 012-1806 Well Record Request Individual Well Record – Form A E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This 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-Aug 98 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1806 471 012-1840E Risk Assessment Pre-submission E Environment, Conservation and Parks Standards Development Branch Ecological Standards Preparing 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 property 19-Nov 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1840E 472 012-1868E Out-of-Province Permission Letter for List of Out-of-Province Eligible Laboratories E Environment, Conservation and Parks Laboratory Services Branch Laboratory Services Branch For Labs outside Ontario to apply to test Drinking Water in Ontario 10-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1868E 473 012-1876E Invoice for Fees - Drinking Water Testing Licence E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch "Invoice 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-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1876E 474 012-1881E Application for Director's Permission to Use Alternate Analytical Methods E Environment, Conservation and Parks Safe Drinking Water Branch Laboratory Licensing and Compliance Unit Application for Director's Permission to Use Alternate Analytical Methods 16-Nov 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1881E 475 012-1987 Well Contractor Licence Application - Form 1 - Ontario Water Resources Act E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This 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-Aug 111 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1987 476 012-1988 Well Contractor Licence Renewal Application - Form 3 - Ontario Water Resources Act E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This 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 W 19-Aug 216 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1988 477 012-1989 Well Technician Licence Renewal Application - Form 6 - Ontario Water Resources Act E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This 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. Ontari 19-Aug 196 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1989 478 012-1990 Application for an Appointment to Take an Examination - Form 7 - Ontario Water Resources Act E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This 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/business 19-Aug 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1990 479 012-1993 Well Technician Licence Application - Form 4 - Ontario Water Resources Act E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This 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-Aug 150 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1993 480 012-1995 Application for Assistant Well Technician Identification Card - Form 8 - Ontario Water Resources Act E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Administrative Services This form is for licensed well contractors and their assistant technicians (not sooner than after four months of employment with the well contractor) interested in applying for or renewing an Assistant Well Technician Identification Card, which expires 36 19-Aug 85 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1995 481 012-2001E Registration and Laboratory Services Notification E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch "Registration 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-Apr 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2001E 482 012-2002E "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) " E Environment, Conservation and Parks Drinking Water Programs Branch Information Management and Business Solutions "In 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-Aug 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2002E 483 012-2015E Applications Respecting: Drinking Water Works Permits and Municipal Drinking Water Licences E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section Drinking Water Works Permits and Municipal Drinking Water Licences 16-Apr 72 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2015E 484 012-2016E Application for Fragmentation or Relief from Regulatory Requirements Drinking Water Systems E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section Application for Fragmentation or Relief from Regulatory Requirements 17-Jul 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2016E 485 012-2062 Municipal Utility Monitoring Program (MUMP) - Mechanical Plants - R1 and R2 E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Business Services Section "All 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-Mar 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2062 486 012-2063 Municipal Utility Monitoring Program (MUMP) - Lagoons - S1 and S2 E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Business Services Section "All 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-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2063 487 012-2074E Renewable Energy Approval Application E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services 17-Dec 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2074E 488 012-2089E Environmental Activity and Sector Registry (EASR) Solar Facility Notification Form E Environment, Conservation and Parks Client Services and Permissions Branch Customer Services Approved by Director (MOECC) for the purposes of section 5 (1) of O. Reg. 350/12. 18-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2089E 489 012-2095E Renewable Energy Approval - Municipal / Local Authority Consultation E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services 14-Aug 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2095E 490 012-2099E Terms of Reference Summary for the Environmental Assessment Website E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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 A 17-Nov 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2099E 491 012-2102E Environmental Assessment Summary for the Environmental Assessment Website E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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 on 15-Apr 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2102E 492 012-2103E Statement of Completion – Waste Management Projects E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2103E 493 012-2104E Statement of Completion – Electricity Projects E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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-Dec 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2104E 494 012-2105E Statement of Completion – Transit Projects E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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-Apr 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2105E 495 012-2106E Statement of Completion – Transit Projects – Additional Proponent Information E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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-Apr 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2106E 496 012-2107E Toxics Living List Nomination E Environment, Conservation and Parks Program Management Branch Toxics Reduction Program This 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-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2107E 497 012-2112E Ontario Community Environment Fund (OCEF) E Environment, Conservation and Parks Operations Integration Branch Operational Services Unit The 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, resear 14-Oct 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2112E 498 012-2115E Generator Registration Report E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Hazardous Waste Information Unit Form used to register for the generation of waste by a company. 19-Oct 96 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2115E 499 012-2120E Inspection of Soil - Pest Assessment Report E Environment, Conservation and Parks Standards Development Branch Pesticides Management Section To purchase Class 12 pesticide following the completion of an inspection of soil 16-Feb 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2120E 500 012-2121E List of Class 12 Pesticides Submission E Environment, Conservation and Parks Standards Development Branch Pesticides Management Section To submit name and information of each Class 12 pesticide that vendor intends to offer for sale or transfer 15-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2121E 501 012-2122E Integrated Pest Management (IPM) Written Declaration E Environment, Conservation and Parks Standards Development Branch Pesticides Management Section To complete and submit a written declaration if the purchaser is not a licensed treated seed vendor. 15-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2122E 502 012-2123E Sales and Transfer Report - Treated Seed Vendor E Environment, Conservation and Parks Standards Development Branch Pesticides Management Section To monitor the sale and transfer of Class 12 pesticides in the province of Ontario. 18-Sep 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2123E 503 012-2124E Custom Seed Treater - Record of Seed Treating Service E Environment, Conservation and Parks Standards Development Branch Pesticides Management Section To monitor the frequency of seed treating services in the province of Ontario. 16-Mar 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2124E 504 012-2125E Minister's Award for Environmental Excellence E Environment, Conservation and Parks Environmental Innovations Branch Environmental Innovations Branch The 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-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2125E 505 012-2126E Inspection of a Crop - Pest Assessment Report E Environment, Conservation and Parks Standards Development Branch Pesticides Management Section Necessary 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-Jun 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2126E 506 012-2128E Request for a Copy of an Environmental Compliance Approval E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services Information 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-Jan 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2128E 507 012-2130E Examination Registration E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete 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-Jun 2195 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2130E 508 012-2131E Change of Address Notification E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete this form to notify the Program Administrator of the Ontario Water Wastewater Operator Certification Program of your change of address. 16-Jan 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2131E 509 012-2132E Operator-in-Training Certificate and Licence Issuance E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete 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-Jun 273 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2132E 510 012-2133E Water Wastewater Operator Certification System User Access Request E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete this form to gain access to the Water Wastewater Operator Certification System (WWOCS). 16-Jan 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2133E 511 012-2134E Municipal Residential Drinking Water Subsystem and Wastewater Facility Classification E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete 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-Jan 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2134E 512 012-2135E Drinking Water Certificate and Wastewater Licence Renewal Application E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete this form to request the renewal of a drinking water operator, water quality analyst or wastewater operator certificate/licence. 17-Jun 700 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2135E 513 012-2136E Drinking Water Certificate and Wastewater Licence Application E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence. 17-Jun 478 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2136E 514 012-2138E Identity Verification and Attestations E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project This 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-Nov 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2138E 515 012-2139E Business Relationship Disclosure E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project This 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: T 17-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2139E 516 012-2140E Request to Add a New Facility or Change Facility Information E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project This 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 Co 17-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2140E 517 012-2141E Request to Change or Add Account Representatives/Account Viewing Agents E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project This 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 Co 17-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2141E 518 012-2142E Change of Ownership E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project This 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 ownership 17-Nov 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2142E 519 012-2144E Registration as a Voluntary Participant in the Cap and Trade Program E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project This 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 Cha 18-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2144E 520 012-2145E Freedom of Information Request Payment E Environment, Conservation and Parks Information Management and Access Branch Freedom of Information Office To facilitate credit card payment for FOI requests 16-May 106 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2145E 521 012-2146E Freedom of Information Request E Environment, Conservation and Parks Information Management and Access Branch Freedom of Information Office To facilitate FOI requests 16-Nov 260 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2146E 522 012-2147E Notification Form for Drinking Water Testing Research And Method Development E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch The 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-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2147E 523 012-2148E Laboratory Services Notification E Environment, Conservation and Parks Laboratory Services Branch Quality Management Filled 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-Feb 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2148E 524 012-2149E Drinking Water System Profile Information E Environment, Conservation and Parks Drinking Water Programs Branch Information Management and Business Solutions The 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-Feb 161 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2149E 525 012-2151E Declaration of Licensed Engineering Practitioner and Notice of Completion E Environment, Conservation and Parks Drinking Water Programs Branch Information Management and Business Solutions Declaration of Licensed Engineering Practitioner and Notice of Completion 20-Jan 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2151E 526 012-2152E Drinking Water Laboratory Testing Licence E Environment, Conservation and Parks Safe Drinking Water Branch Laboratory Licensing and Compliance Unit Drinking Water Testing License 16-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2152E 527 012-2153E Schedule C – Director's Directions for Operational Plans (Subject System Description Form) E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section This 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 subsect 16-Mar 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2153E 528 012-2154E General Application form to Register to the Technical Standards Registry E Environment, Conservation and Parks Standards Development Branch Local Air Quality "This is a form that is to be submitted by a company requesting to be registered on the Technical Standards Registry - Air Pollution." 16-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2154E 529 012-2155E Foundries- Industry Standard Supplemental Application Form E Environment, Conservation and Parks Standards Development Branch Local Air Quality This 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-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2155E 530 012-2156E Forest Products- Industry Standard Supplemental Application Form E Environment, Conservation and Parks Standards Development Branch Local Air Quality This 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-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2156E 531 012-2157E Pulp and Paper- Industry Standard Supplemental Application Form E Environment, Conservation and Parks Standards Development Branch Local Air Quality "This 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-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2157E 532 012-2158E Great Lakes Protection Act, 2015 – Public Request to Minister E Environment, Conservation and Parks Land and Water Policy Branch Great Lakes Under 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 provi 16-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2158E 533 012-2160E Director Approved Continuing Education Reassessment and Instructor Assessment Application E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete this form to request the reassessment and re-approval of Director approved continuing education training or to add/remove an instructor from a course 16-Oct 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2160E 534 012-2164E Notice of the Storage of Subject Waste E Environment, Conservation and Parks Operations Divisions Program Services Unit This 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-Oct 113 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2164E 535 012-2165E Primary Noise Screening Method E Environment, Conservation and Parks Environmental Approvals Branch Business Services 18-Jul 78 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2165E 536 012-2166E Secondary Noise Screening Method E Environment, Conservation and Parks Environmental Approvals Branch Business Services 18-Jul 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2166E 537 012-2167E Application for Permit to Take Water E Environment, Conservation and Parks Operations Divisions Program Services Unit Form to apply for a Permit to Take Water 17-May 347 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2167E 538 012-2168E Odour Screening Report E Environment, Conservation and Parks Standards Development Branch Technologies Standards Section To determine if, and what, complementary odour documentation is required by a proponent registering on the Air Emissions EASR. 17-Mar 48 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2168E 539 012-2171E Toxic Substance Reduction Planner Application E Environment, Conservation and Parks Program Management Branch Certification, Training and Client Services Complete this form to request Toxic Substance Reduction Planner training, examination, licensing, or licence renewal. 17-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2171E 540 012-2193E Well Record - Regulation 903 E Environment, Conservation and Parks Environmental Monitoring and Reporting Branch Water Well Business Unit 20-Jan 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2193E 541 012-2194E Compromised Impartiality Assessment E Environment, Conservation and Parks Program Planning and Implementation Branch Greenhouse Gas Emissions Reduction Project "This 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-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2194E 542 012-2195E Verification Statement for Specified GHG Activities and Production Parameters E Environment, Conservation and Parks Program Planning and Implementation Branch Greenhouse Gas Emissions Reduction Project "This 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 w" 18-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2195E 543 012-2196E Verification Statement for Electricity Importation, Natural Gas Distribution or Petroleum Products Supply E Environment, Conservation and Parks Program Planning and Implementation Branch Greenhouse Gas Emissions Reduction Project "This 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" 18-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2196E 544 012-2198E Capped Participant Attestation Under Sections 12(2) and (6) of Ontario Regulation 143/16 E Environment, Conservation and Parks Cap and Trade Branch Registration and Emissions Reporting Services This 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-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2198E 545 012-2202E Record of Watermains Authorized as a Future Alteration – Form 1 E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section 18-Aug 78 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2202E 546 012-2203E Record of Minor Modifications or Replacements to the Drinking Water System – Form 2 E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section 18-Aug 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2203E 547 012-2204E Record of Addition, Modification or Replacement of Equipment Discharging a Contaminant of Concern to the Atmosphere – Form 3 E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section 18-Aug 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2204E 548 012-2205E Offset Initiative Registration Application in the Cap and Trade Program Under Ontario Regulation 539/17 Ontario Offset Credits E Environment, Conservation and Parks Climate Change Programs Branch Climate Change Program Delivery The 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-May 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2205E 549 012-2206E Part II Order Request E Environment, Conservation and Parks Environment Assessment & Approval Branch Environment Assessment & Approval Branch Form 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-Nov 144 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2206E 550 012-2210E Mining Sites - Industry Standard Supplemental Application E Environment, Conservation and Parks Client Services and Permissions Branch Business Services Purpose 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-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2210E 551 012-2213E Ontario Greenhouse Gas Emissions Performance Standards (EPS) Program – Facility Registration Form E Environment, Conservation and Parks Financial Instruments Branch Registration and Emissions Reporting Services To 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 prog 19-Sep 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2213E 552 012-2214E Ontario Emissions Performance Standards (EPS) Program – Facility Re-Registration Form E Environment, Conservation and Parks Financial Instruments Branch Registration and Emissions Reporting Services To facilitate the re-registration of a facility into the Ontario Greenhouse Gas Emissions Peformance Standards program. 19-Dec 2 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2214E 553 012-4021E Statement of Completion - Environmental Assessment Requirements for Electricity Projects E Environment, Conservation and Parks Environment Assessment & Approval Branch Environment Assessment & Approval Branch Proponents 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 indiv 11-Sep 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-4021E 554 012-4444E Notice of Adverse Test Results and Issue Resolution (Schedule 16) E Environment, Conservation and Parks Safe Drinking Water Branch Director’s Office Filled out by all regulated DWS, this form communicates adverse test results and issue resolution to the ministry for all drinking water parameters. 18-Aug 203 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-4444E 555 012-5385E Drinking Water System Categorization Questionnaire E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch Through 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-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5385E 556 012-5386E Drinking Water System Profile Information E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch Upon 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-Jan 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5386E 557 012-5387E Laboratory Services Notification E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch Filled 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-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5387E 558 012-5388E Notice of Completion of an Engineering Evaluation Report for Existing System E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch To 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 Declar 06-Jan 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5388E 559 012-5389E Notice of Completion of an Engineering Evaluation Report for New or Altered System E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch To 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-Jan 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5389E 560 012-5391E Notice of Exemption from Treatment Equipment E Environment, Conservation and Parks Drinking Water Programs Branch Information Management and Business Solutions 1) 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 i 16-Aug 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5391E 561 012-5392E Well Technican's Notice E Environment, Conservation and Parks Drinking Water Programs Branch Information Management and Business Solutions This 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 su 16-Aug 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5392E 562 012-5393E Advice to the Director of Posting (Warning) Notice(s) E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch This 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-Aug 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5393E 563 012-5560E Notice of Point of Entry Disclosure for Your Drinking Water Users E Environment, Conservation and Parks Drinking Water Programs Branch Information Management and Business Solutions The 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 cat 16-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5560E 564 012-6272E Notice of Lead Exceedance Test Results Schools, Private Schools and Day Nurseries (O. Reg. 243/07) E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch To report drinking water exceedances and corrective actions as required under O. Reg. 243/07 18-Jan 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-6272E 565 012-6609E Request for Regulatory Relief From Lead Sampling Requirements E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section This 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 and 16-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-6609E 566 012-7976E Emergency Generator Checklist Supplement to Application for Approval EPA, s.9 E Environment, Conservation and Parks Environment Assessment & Approval Branch Environment Assessment & Approval Branch The 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-Nov 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-7976E 567 012-8199E Written Summary Form for Basic Comprehensive Certificates of Approval (Air & Noise) and Environmental Compliance Approvals (Air & Noise) E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services Basic 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-Dec 58 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-8199E 568 012-8551E Environmental Compliance Approval Application E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services 19-May 693 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-8551E 569 012-9166E Director Notification Alterations to a Drinking Water System E Environment, Conservation and Parks Safe Drinking Water Branch Approvals and Licensing Section "This 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 water" 16-Nov 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-9166E 570 013-0009 Authorizing or Cancelling a Representative E Finance Advisory, Objections, Appeals and Services Branch Client Services Branch Used to authorize a representative to deal with the Ministry of Finance on behalf of the taxpayer or to cancel a previously issued authorization. 18-Sep 1473 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0009 571 013-0052E Schedule 1 – Multiple Accounts E Finance Advisory, Objections, Appeals and Services Branch Employer Health Tax (EHT) A Multiple Account Employer must complete and submit this schedule with the Annual Return of the employer's designated account. 13-Jan 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0052E 572 013-0108E Guide - International Fuel Tax Agreement (IFTA) Application for IFTA Registration E Finance Advisory, Objections, Appeals and Services Branch International Fuel Tax Agreement 15-Mar 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0108E 573 013-0146E Waiver of Time Limit for Issuing Reassessments - Corporations Tax Act E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Online 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-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0146E 574 013-0166E Application for International Fuel Tax Agreement (IFTA) Registration E Finance Advisory, Objections, Appeals and Services Branch International Fuel Tax Agreement For client to apply for registration as an interjurisdictional carrier under the International Fuel Tax Agreement 18-Mar 148 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0166E 575 013-0169E Addendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and Shareholder E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax Addendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and Shareholder 16-Jul 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0169E 576 013-0198E Annual Return Guide Gross Revenue Charge (GRC) E Finance Advisory, Objections, Appeals and Services Branch Corporate Services The 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-Sep 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0198E 577 013-0231Q 2001 CT8 Corporations Tax Return / Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual 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 taxati 14-May 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231Q 578 013-0231R 2002 CT8 Corporations Tax Return / Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment. 19-Jan 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231R 579 013-0231S 2003 CT8 Corporations Tax Return / Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment. 14-May 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231S 580 013-0231T 2004/2005 CT8 Corporations Tax Return / Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment. 19-Jan 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231T 581 013-0231U 2006 CT8 Corporations Tax Return / Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment. 19-Jan 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231U 582 013-0234 Guide for Completing the IFTA Quarterly Tax Return E Finance Advisory, Objections, Appeals and Services Branch International Fuel Tax Agreement 15-Mar 106 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0234 583 013-0241R 2000 CT23 Corporations Tax and Annual Return / Guide # 1000 (2000) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 14-May 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241R 584 013-0241S 2001 CT23 Corporations Tax and Annual Return / Guide # 1000 (2001) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 19-Jan 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241S 585 013-0241T 2002 CT23 Corporations Tax and Annual Return / Guide # 1000 (2002) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 19-Jan 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241T 586 013-0241U 2003 CT23 Corporations Tax and Annual Return / Guide # 1000 (2003) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 19-Jan 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241U 587 013-0241V 2004/2005 CT23 Corporations Tax and Annual Return / Guide # 1000 (2004/2005) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 19-Jan 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241V 588 013-0241W 2006 CT23 Corporations Tax and Annual Return / Guide # 1000 (2006) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 19-Jan 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241W 589 013-0241X 2007 CT23 Corporations Tax and Annual Return / Guide # 1000 (2007) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for corporations with permanent establishments in Ontario. 19-Jan 110 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241X 590 013-0248E Application for Rebate of the Ontario Portion of the Harmonized Sales Tax (HST) for First Nations E Finance Advisory, Objections, Appeals and Services Branch Harmonized Sales Tax Refund 19-Dec 1235 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0248E 591 013-0252E Application for Registered Charities Tax Rebate E Finance Audit Branch Land Taxes To apply for a Registered Charities Tax Rebate on Land Taxes. 13-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0252E 592 013-0253E Application for Tax Certificate E Finance Audit Branch Land Taxes To 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-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0253E 593 013-0254E Application for Tax Adjustment E Finance Audit Branch Land Taxes To apply for a Tax Adjustment. 13-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0254E 594 013-0255E Application for Refund E Finance Audit Branch Land Taxes To apply for a Tax Refund. 13-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0255E 595 013-0256E Authorization for Pre-Authorized Debit Plan (PAD) E Finance Audit Branch Land Taxes "To 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-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0256E 596 013-0257E Application for a Deferral of PropertyTaxes for Low-Income Seniors or Low-Income Persons with Disabilities E Finance Audit Branch Land Taxes To apply for a Deferral of PropertyTaxes for Low-Income Seniors or Low-Income Persons with Disabilities 13-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0257E 597 013-0258E Application for Tax Rebate Vacancies in Commercial and Industrial Buildings E Finance Audit Branch Land Taxes To apply for Tax Rebate Vacancies in Commercial and Industrial Buildings 15-May 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0258E 598 013-0265 Application for Certificate of Exemption for First Nations Individuals E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax "To 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-Feb 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0265 599 013-0276E Application and Declaration for the Exemption of Land Transfer Tax Pursuant to Ontario Regulation 70/91 E Finance Audit Branch Land Taxes 08-Nov 51 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0276E 600 013-0300E Ontario Land Transfer Tax Refund Affidavit for First-Time Purchasers of Eligible Homes E Finance Audit Branch Land Taxes Allows taxpayers to manually claim the Ontario Land Transfer Tax first-time home buyers refund with respect to resale and newly-constructed homes. 18-Jul 752 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0300E 601 013-0316E Notice of Revocation of Waiver - Corporations Tax Act E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Online 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-May 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0316E 602 013-0329 Ontario Innovation Tax Credit (OITC) Claim Form and Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax The 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-00 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329 603 013-0329E Ontario Innovation Tax Credit (OITC) Claim Form and Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax The 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-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329E 604 013-0329F Ontario Innovation Tax Credit (OITC) Claim E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329F 605 013-0393E Ontario CT Schedule 24 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0393E 606 013-0449E Land Transfer Tax Affidavit E Finance Audit Branch Land Taxes Mandatory 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 La 18-Apr 312 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0449E 607 013-0460E Claim Form for Capital Tax Elimination for Manufacturing and Resource Activities E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 activ 14-May 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0460E 608 013-0477E Ontario CT Schedule 44 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Where 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 pro 14-May 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0477E 609 013-0504E Application to Register for Manufacturer, Wholesaler, Dyer, Importer, Exporter and Interjurisdictional Transporter - Gasoline Tax Act and/or Fuel Tax Act E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax 18-Mar 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0504E 610 013-0505E Application to Register for Importer, Exporter and Interjurisdictional Transporter - Gasoline Tax Act and/or Fuel Tax Act E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax 18-Aug 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0505E 611 013-0507E Application to Register for a Fuel Acquisition Permit - Fuel Tax Act E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 18-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0507E 612 013-0517E Application to Register as a Railway Transporter- Fuel Tax Act E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0517E 613 013-05181 The Motor Vehicle Accident Claims Fund E Finance Financial Services Commission of Ontario Automobile Insurance Division Sep-93 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-05181 614 013-0518E Application to Register as a Propane Retailer - Gasoline Tax Act E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Jul 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0518E 615 013-0519E Application to Register for Fuel Distributor - Fuel Tax Act E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax 18-Mar 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0519E 616 013-0526E Application to Register Raw Leaf Tobacco E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0526E 617 013-0546E Application for Refund Tax Exempt Usage (TEU) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax 17-Apr 120 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0546E 618 013-0547E Application for Refund Tax Exempt Sales (TES) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax 18-Aug 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0547E 619 013-0548E Application for Refund Bad Debt (BDT) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax 18-Aug 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0548E 620 013-0549E Application for Refund Auxiliary Power Take Off (PTO) Equipment (PTO activity prior to July 1, 2017) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax 18-Mar 102 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0549E 621 013-0550E Application for Refund Loss of Product (PRL) / Overpayment of Tax E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax 18-May 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0550E 622 013-0609E GUIDE Mining Tax Return Guide E Finance Audit Branch Mining Tax 07-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0609E GUIDE 623 013-0644E Application for Refund of Gasoline Tax Through a Collector - GT257N E Finance Advisory, Objections, Appeals and Services Branch Client Services Branch This 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-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0644E 624 013-0679E Investor/Lender Disclosure Statement For Brokered Transactions E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Mortgage Brokers 09-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0679E 625 013-0693E Guide to the Requirements to Evidence NIL Value of Consideration for Conveyances Involving Trusts - LT 106 E Finance Audit Branch Land Taxes 08-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0693E 626 013-0741E Application and Undertaking for the Deferral of Land Transfer Tax E Finance Audit Branch Land Taxes 13-Jan 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0741E 627 013-0775E Return on The Acquisition of a Beneficial Interest in Land E Finance Audit Branch Land Taxes Mandatory 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-Apr 219 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0775E 628 013-0792E Declaration and Allocation for the Mining Tax Exemption for Remote Mines E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax For 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-May 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0792E 629 013-0793 Declaration and Allocation for the Mining Tax Exemption for Non Remote Mines E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax For 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 Mining 14-May 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0793 630 013-0794 Calculation of Profit Eligible for the Mining Tax Exemption for New Mine or Major Expansion of Existing Mine E Finance Audit Branch Mining Tax 12-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0794 631 013-0798E Calculation of Profit Eligible for the Mining Tax Exemption for New Remote Mine and Profit from a Remote Mine E Finance Audit Branch Mining Tax 12-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0798E 632 013-0799E Renewal Form - Investor/Lender Disclosure Statement for Brokered Mortgage on Renewal E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Mortgage Brokers 09-Jan 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0799E 633 013-0929 Importation of Cigarettes and Other Tobacco Products Schedule - 8S E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax For client to report imports of tobacco products 08-May 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0929 634 013-0940E Ontario Book Publishig Tax Credit (OBPTC) Claim E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This form is to be used when claiming an Ontario book publishing tax credit. 14-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0940E 635 013-10016E 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 Act E Finance Audit Branch Land Taxes To allow qualifying entities to report and remit land transfer tax liability pursuant to O. Reg 343/18. 18-May 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10016E 636 013-10028E Pre-Authorized Debit (PAD) Payor Agreement E Finance Account Management and Collections Branch Collections Operations Making 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 set 19-Aug 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10028E 637 013-10056PE Form 1, Summons to a Witness E Finance Ontario Securities Commission Ontario Securities Commission Every 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-Nov 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10056PE 638 013-10057PE Form 2, Affidavit of Service E Finance Ontario Securities Commission Ontario Securities Commission The 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-Nov 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10057PE 639 013-10063PE Form 8, Summons to a Witness Before a Person Designated Under Section 31 of the Act E Finance Ontario Securities Commission Ontario Securities Commission Form 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-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10063PE 640 013-10090PE Form 37, Report by a Registered Owner of Securities Beneficially Owned by an Insider E Finance Ontario Securities Commission Ontario Securities Commission Form 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-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10090PE 641 013-10091PE Form 38, Report Under Section 117 of the Act E Finance Ontario Securities Commission Ontario Securities Commission Every 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-Nov 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10091PE 642 013-10092PE Form 39, Endorsement of Warrant E Finance Ontario Securities Commission Ontario Securities Commission Form 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-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10092PE 643 013-107-MV-000-61 Application for Payment out of the Fund of Court Ordered Costs E Finance Financial Services Commission of Ontario Automobile Insurance Division 02-Apr 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-107-MV-000-61 644 013-1155E Sworn Statement for the Transfer of a Used Motor Vehicle in the Province of Ontario E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax Transfer of a Used Motor Vehicle in ON 14-Jun 315 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1155E 645 013-1157E Sworn Statement for a Family Gift of a Used Motor Vehicle in the Province of Ontario E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax Family Gift for a Used Motor Vehicle 14-Apr 7392 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1157E 646 013-1159E Motor Vehicle Appraisal Record - Used Vehicle Information Program E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax Used for Appraising a Vehicle 19-May 343 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1159E 647 013-1181E Application for Refund of Ontario Retail Sales Tax for Motor Vehicles Purchased Privately E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax Application for Refund of Ontario Retail Sales Tax for Motor Vehicles Purchased Privately 19-Apr 292 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1181E 648 013-1204E Initial Family Business Affidavit - LT100 E Finance Audit Branch Land Taxes 18-Jul 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1204E 649 013-1205E Affidavit, regarding the Exemption for the Conveyance or Disposition of Farmed Land E Finance Audit Branch Land Taxes 18-Jul 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1205E 650 013-1206E Affidavit Re Conveyance to Family Business Corporation - LT101 E Finance Audit Branch Land Taxes 18-Jul 58 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1206E 651 013-1246E Notice of Appeal - Various Acts E Finance Objections and Appeals Branch Objections and Appeals To file an appeal 16-Sep 50 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1246E 652 013-1330E Surtax on Canadian-Controlled Private Corporations E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1330E 653 013-1332E Instructions and Working Copy for the Retail Sales Tax Triple Return E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax A worksheet to assist in completing the RST triple Return. To be kept by the taxpayer. 08-Apr 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1332E 654 013-1336E Paid-Up Capital: Loans and Advances E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule provides a breakdown of the total loans and advances included in paid-up capital. 14-May 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1336E 655 013-1337E Share of Total Assets- Partnerships/Joint Ventures E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule provides the calculation of a corporation's share of partnership / joint venture total assets. 14-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1337E 656 013-1349E Eligible Investments - Partnerships/Joint Ventures E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule provides the calculation of a corporation's share of partnership / joint venture eligible investments for the investment allowance. 14-May 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1349E 657 013-1351E Paid-Up Capital- Partnerships/Joint Ventures E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule provides the calculation of a corporation's share of partnership / joint venture paid- up capital. 14-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1351E 658 013-1352E Corporate Minimum Tax- Associated Corporations E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1352E 659 013-1399 2000 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401 (2000) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements. 19-Jan 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399 660 013-1399B 2001 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401A (2001) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements. 19-Jan 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399B 661 013-1399C 2002 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401B (2002) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements. 19-Jan 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399C 662 013-1399D 2003 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401C (2003) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements. 19-Jan 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399D 663 013-1399E 2004/2005 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401D (2004/2005) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for smaller corporations with permanent establishments in Ontario and meeting specific requirements. 19-Jan 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399E 664 013-1399F 2006 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401E (2006) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Annual corporate tax return for smaller corporations with permanent establishments in Ontario and meeting specific requirements. 19-Jan 60 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399F 665 013-1473E Ontario Current Cost Adjustment (OCCA) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax To be completed when claiming the Ontario current cost adjustment for pollution control equipment. 06-Mar 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1473E 666 013-1477E Total Assets - Other Adjustments E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This supplemental schedule itemizes other adjustments in calculating total assets for capital tax purposes. 14-May 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1477E 667 013-1478E Total of Other Items Not Allowed by Ontario but Allowed Federally E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This supplemental schedule itemizes other deductions not allowed by Ontario but allowed federally in calculating net income / loss for Ontario purposes. 14-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1478E 668 013-1480E Taxable Capital of Associated Corporations (Schedule CT22) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1480E 669 013-1487E Total of Other Deductions Allowed by Ontario E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This supplemental schedule itemizes other deductions allowed by Ontario not previously deducted in calculating net income/loss for Ontario purposes. 14-May 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1487E 670 013-1488E Paid-Up Capital - Other Reserves E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule itemizes reserves not allowed as a deduction for income tax which must be included in the calculation of paid-up capital. 14-May 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1488E 671 013-1490E Ontario Charitable Donations and Gifts Schedule 2 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is to be completed when claiming a deduction for charitable donations and gifts for Ontario purposes. 14-May 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1490E 672 013-1498E Ontario Political Election Contributions - Schedule 2A E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1498E 673 013-1499E Ontario Summary of Dispositions of Capital Property Schedule 6 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1499E 674 013-1502E Ontario Capital Cost Allowance Schedule 8 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is to be completed to calculate Ontario capital cost allowance. 14-May 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1502E 675 013-1508E Ontario Cumulative Eligible Capital Deduction Schdeule 10 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is to be completed to calculate the deduction for Ontario cumulative eligible capital. 14-May 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1508E 676 013-1510E Ontario Continuity of Reserves Schedule 13 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is to be completed to provide a continuity of all reserves claimed which are allowed for tax purposes. 14-May 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1510E 677 013-1511E Ontario Manufacturing and Processing Profits Credit Schedule 27 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1511E 678 013-1512E Ontario Research and Developement Super Allowance Schedule 160 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax To be completed when claiming the Ontario research and development super allowance. 14-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1512E 679 013-1513E General Allocation Schedule 5 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is to be completed by corporations that have permanent establishments in more than one jurisdiction. 14-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1513E 680 013-1532E Ontario Foreign Tax Credit E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is to be completed when claiming an Ontario foreign tax credit on investment income from jurisdictions outside Canada. 14-May 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1532E 681 013-1534E Ontario Capital Gains Refund Schedule18 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax To 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-May 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1534E 682 013-1537E Ontario Exploration Expenses Schedule 12 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Schedule 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 expe 14-May 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1537E 683 013-1539E Taxable Capital of Associated Corporations Schedule CT21 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1539E 684 013-1546E Application to a Financial Institution to Withdraw or Transfer Money form an Ontario Locked-in Account - Form 5 E Finance Financial Services Commission of Ontario Pension Division 09-Jan 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1546E 685 013-1572 2000 MCCR Annual Return and Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 173 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1572 686 013-1626E 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 6 E Finance Financial Services Commission of Ontario Pension Division 09-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1626E 687 013-1780E Actuarial Information Summary E Finance Financial Services Commission of Ontario Pension Division Aug-99 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1780E 688 013-1794E Instructions for completing a Summary of Contributions / Revised Summary of Contributions (Form 7) E Finance Financial Services Commission of Ontario Pension Division Jun-00 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1794E 689 013-1795E Summary of Contributions/ Revised Summary of Contributions-Form 7 E Finance Financial Services Commission of Ontario Pension Division Jun-00 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1795E 690 013-1821E Debt Retirement Charge (DRC) Return E Finance Advisory, Objections, Appeals and Services Branch Debt Retirement Charge Program 12-Feb 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1821E 691 013-1822E Debt Retirement Charge (DRC) Program - Registration E Finance Advisory, Objections, Appeals and Services Branch Debt Retirement Charge Program 13-Jan 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1822E 692 013-1823E Debt Retirement Charge (DRC) - Exemption Certificate E Finance Advisory, Objections, Appeals and Services Branch Debt Retirement Charge Program 13-Jan 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1823E 693 013-1833E Request for Registration E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Use this registration form to request an account with the Ministry of Finance. 14-May 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1833E 694 013-1848E Response to Appeal (Form J) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1848E 695 013-1848E (INSTRUCTIONS) Instructions for Response to Appeal (Form J) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 03-Jan 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1848E (INSTRUCTIONS) 696 013-1849E Response to an Application for Mediation Form B E Finance Financial Services Commission of Ontario Dispute Resolution Branch 08-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1849E 697 013-1850E Application for Arbitration Form C E Finance Financial Services Commission of Ontario Dispute Resolution Branch 08-May 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1850E 698 013-1851E Response by Insurer to an Application for Arbitration Form E E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1851E 699 013-1852E Response to Application for Variation/Revocation (Form M) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1852E 700 013-1855E Statement of Service (Form F) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1855E 701 013-1856E Summons to Witness (Form N) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1856E 702 013-1858E Affidavit of Service for Summons to Witness (Form O) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 03-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1858E 703 013-1864E Life Insurance Agent Application E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Agents & Adjusters 01-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1864E 704 013-1872 Annual Return and EFF Declaration and Guide E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax An 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 incorp 14-May 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1872 705 013-1909E Waiver of Time Limit for Issuing Reassessments E Finance Advisory, Objections, Appeals and Services Branch Employer Health Tax (EHT) Waive time limits for assessments and reassessments under Employer Health Tax 13-May 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1909E 706 013-1910E Notice of Revocation of Waiver E Finance Advisory, Objections, Appeals and Services Branch Employer 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-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1910E 707 013-1926E Notice Of Objection - Ontario Guaranteed Annual Income Act E Finance Objections and Appeals Branch Objections and Appeals To file an objection 16-Sep 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1926E 708 013-1957E Application for Vendor Permit-Insurance and Benefits Plans E Finance Advisory, Objections, Appeals and Services Branch Business Operation Services Registering a Business for purposes of Retail Sales Tax on the Insurance and Benefits Plans 15-Feb 135 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1957E 709 013-1963E Application for Tobacco Retail Dealer's Permit E Finance Advisory, Objections, Appeals and Services Branch Corporate Services Effective 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 retai 18-May 114 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1963E 710 013-1970 2001 CT23 Corporations Tax and Annual Return and CT8 Corporations Tax Return - 2001/2002 Update Form E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1970 711 013-1974E Application for Mediation Form A E Finance Financial Services Commission of Ontario Dispute Resolution Branch 08-May 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1974E 712 013-1975E Reply by the Applicant for Arbitration (Form G) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 03-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1975E 713 013-1976E Notice of Appeal (Form I) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 08-May 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1976E 714 013-1976E (INSTRUCTIONS) Instructions for Notice of Appeal (Form I) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 08-May 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1976E (INSTRUCTIONS) 715 013-1977E Application for Variation/Revocation Form L E Finance Financial Services Commission of Ontario Dispute Resolution Branch 03-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1977E 716 013-1977E (INSTRUCTION) Instruction for Application for Variation/Revocation (Form L) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 08-May 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1977E (INSTRUCTION) 717 013-2001E Change of Address E Finance Advisory, Objections, Appeals and Services Branch Imaging and Revenue Processing Used by Ministry of Finance clients to notify the ministry of a change of address. 15-Sep 483 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2001E 718 013-2009E 2001 CT 23 Short-Form Corporations Tax and Annual Return - 2001/2002 Update Form E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2009E 719 013-2083E Ontario Scientific Research and Experimental Development Expenditures CT23 Schedule 161 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This schedule is used to calculate Ontario Scientific Research and Experimental Development Expenditures (SR & ED). 08-Feb 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2083E 720 013-2093E Guide for Gross Revenue Charge (GRC) Instalment Instructions E Finance Advisory, Objections, Appeals and Services Branch Gross Revenue Charge (GRC) 17-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2093E 721 013-2260E Schedule 2 Associated Employers Exemption Allocation E Finance Advisory, Objections, Appeals and Services Branch Employer 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-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2260E 722 013-2262E Associated Employers Exemption Allocation E Finance Advisory, Objections, Appeals and Services Branch Employer 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 t" 18-Dec 304 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2262E 723 013-2272E How to complete your Employer Health Tax (EHT) Return E Finance Advisory, Objections, Appeals and Services Branch Employer Health Tax (EHT) 18-Dec 1001 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2272E 724 013-2274 Guide for Completing the Tobacco Tax Non - Collector Wholesaler Return – TT101A E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2274 725 013-2276 Guide for Completing the Tobacco Tax Return – TT101S E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 17-Jun 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2276 726 013-2279 Guide Tobacco Tax Interjurisdictional Transporter Return - TT103 E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 17-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2279 727 013-2286E Adjustment Schedule TT15 E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax For clients to report any adjustments to their tax liability 08-May 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2286E 728 013-2290E Guide for Completing the Application for Refund Summary and Schedule 22 TEU - Vehicle Testing or Export Out Of Ontario in Fuel Tanks of Vehicles E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2290E 729 013-2408E Application for Refund of the Debt Retirement Charge (DRC) E Finance Advisory, Objections, Appeals and Services Branch Debt Retirement Charge Program 13-Jan 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2408E 730 013-2413E 2003 Capital Tax Election of Associated Group Agreement for Allocation of $5,000,000 Exemption E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E 731 013-2413E-2004 2004 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 ye 14-May 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2004 732 013-2413E-2005 2005 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 ye 14-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2005 733 013-2413E-2006 2006 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 ye 14-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2006 734 013-2413E-2007 2007 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 ye 14-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2007 735 013-2413E-2008 2008 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 ye 14-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2008 736 013-2448E Fuel and Gasoline Manufacturer Return E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax "If 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 reportin" 11-Aug 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2448E 737 013-2494E Cooperative Education Tax Credit (CETC) - CT Schedule 113 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax The 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-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2494E 738 013-2495E Apprenticeship Training Tax Credit (ATTC) - CT Schedule 114 E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax Complete 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-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2495E 739 013-2496E Corporate Minimum Tax (CMT) E Finance Advisory, Objections, Appeals and Services Branch Corporations Tax This 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 corpor 14-May 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2496E 740 013-2506 Affidavit in Support of Application for Settlement E Finance Financial Services Commission of Ontario Automobile Insurance Division 02-Feb 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2506 741 013-2526 Application for Insurance Corporation/Partnership Insurance Adjuster Corporation/Partnership Agent's (Other Than Life) Corporation/Partnership E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Agents & Adjusters Dec-00 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2526 742 013-2549E Application for Registration of a Pension Plan Form 1 E Finance Financial Services Commission of Ontario Pension Division 05-Jun 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2549E 743 013-2551E Application for Registration of a Pension Plan Amendment (Form1.1) E Finance Financial Services Commission of Ontario Pension Division Jun-00 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2551E 744 013-2555E Waiver of Joint and Survivor Pension Form 3 E Finance Financial Services Commission of Ontario Pension Division 05-Jun 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2555E 745 013-2556E Waiver of Pre-Retirement Death Benefit Form 4 E Finance Financial Services Commission of Ontario Pension Division 05-Jun 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2556E 746 013-2557E Instructions for Completing the Standardized Wind up Report for Defined Contribution Pension Plans E Finance Financial Services Commission of Ontario Pension Division 02-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2557E 747 013-2592E Request for Hearing Financial Hardship Proceeding( Before the Financial Services Tribunal) - Instructions and Form 1.1 E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2592E 748 013-2606E Form D Agreement to Neutral Evaluation at the Commission (Fax-back Form) E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2606E 749 013-2654E Audit Exemption Resolution Form for Co-ops with Between 16 and 50 Members E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Mortgage Brokers 02-Feb 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2654E 750 013-2655 Superintendent of Financial Services - Summons to a Witness Before the Superintendent - Form 1(b) E Finance Financial Services Commission of Ontario Financial Services Tribunal 01-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2655 751 013-2656 Superintendent of Financial Services-Summons to a Witness Before the Superintendent - Form 1(a) E Finance Financial Services Commission of Ontario Financial Services Tribunal 01-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2656 752 013-2672 Superintendent's Response Financial Hardship Proceeding (Before the Financial Services Tribunal) (Form 1.2) E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2672 753 013-2673E Joint Statement for Neutral Evaluation at the Commission (Fax-Back Form) - Form H E Finance Financial Services Commission of Ontario Dispute Resolution Branch 01-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2673E 754 013-2684E Offering Statement Template for Start Up Share Capital Cooperative E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Mortgage Brokers 01-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2684E 755 013-2687E Offering Stetement Template for Loan Capital Cooperative E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Mortgage Brokers 01-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2687E 756 013-2688E Offering Statement Template for Share Capital Cooperatives E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Mortgage Brokers 01-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2688E 757 013-2702 Form 3(b) - Summons to a Witness Before the Financial Services Tribunal E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2702 758 013-2705 Form 3(a) - Summons to a Witness Before the Financial Services Tribunal E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2705 759 013-2707E Financial Services Commission of Ontario - Reporting Form (Revised) Monthly Report - United Nations Suppression of Terrorism Regulations E Finance Financial Services Commission of Ontario Licensing & Compliance Division - Deposit Institution 07-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2707E 760 013-2709E Wind up Report for Defined Contribution Pension Plans E Finance Financial Services Commission of Ontario Pension Division 02-Jan 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2709E 761 013-2710E Liability for Damage to Non-owned Automobiles and Drive Other Automobiles - Named Persons Endorsement (O.E.F. 82) E Finance Financial Services Commission of Ontario Automobile Insurance Division 01-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2710E 762 013-2720E Open Lot Theft Endorsement – Customers' Automobiles (O.E.F. 75) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2720E 763 013-2721E Open Lot Theft Endorsement – Owned Automobiles (O.E.F. 74) E Finance Financial Services Commission of Ontario Automobile Insurance Division 01-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2721E 764 013-2722E Requesting for Hearing (for hearings before the Financial Services Tribunal) (Form 1) E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2722E 765 013-2723E O.E.F. 73 ? Excluding Financed Automobile Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division Jul-90 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2723E 766 013-2727E O.E.F. 71 - Excluding Owned Automobiles Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division Jul-90 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2727E 767 013-2732E O.E.F. 72 ? Multiple Alteration Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division Jul-90 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2732E 768 013-2743E Ontario Application for Automobile Insurance Garage Form (O.A.F. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 2 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2743E 769 013-2745E Form 2 - Notice of Appeal E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2745E 770 013-2748E Form 4 - Application for Party Status (for hearings before the Financial Services Tribunal) E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2748E 771 013-2750E Applicant's Reply - Financial Hardship Proceeding (Before the Financial Services Tribunal) Form 1.3 E Finance Financial Services Commission of Ontario Financial Services Tribunal 04-Aug 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2750E 772 013-3200 Guide for completing the Application for Refund Summary and Debtor Listing - Bad Debt (BDT) - Gasoline Tax Act, Fuel Tax Act and Tobacco Tax Act E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax 13-Nov 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3200 773 013-3202 Guide for Completing the Application for Refund Summary and Schedule - Auxiliary Power Take Off Equipment (PTO activity prior to July 1, 2017) E Finance Account Management and Collections Branch Specialty Accounting Unit 19-Jan 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3202 774 013-3206 Guide for Completing the Application for Refund Summary and Schedule 1-PRL - Loss of Product/Overpayment of Tax - Gasoline, Propane and Aviation Fuel E Finance Account Management and Collections Branch Specialty Accounting Unit 19-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3206 775 013-3207 Guide for Completing the Application for Refund Summary and Clear Fuel Schedule 2 PRL - Loss of Product/Overpayment of Tax E Finance Account Management and Collections Branch Specialty Accounting Unit 19-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3207 776 013-3208 Guide for Completing the Application for Refund Summary and Schedule 3 PRL - Loss of Product/Overpayment of Tax E Finance Account Management and Collections Branch Specialty Accounting Unit 19-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3208 777 013-3214 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 Use E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3214 778 013-3215 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 Use E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3215 779 013-3216 Guide for Completing the Application for Refund Summary and Schedule 3 TES - Tax Exempt Sales – Export to Quebec E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3216 780 013-3217 Guide for Completing the Application for Refund Summary and Schedule 4 TES - Tax Exempt Sales – Export to Quebec E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3217 781 013-3218 Guide for Completing the Application for Refund Summary and Schedule 5 TES - Tax Exempt Sales – Export Out of Ontario (Excluding Quebec) E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3218 782 013-3219 Guide for Completing the Application for Refund Summary and Schedule 6 TES - Tax Exempt Sales – Export Out of Ontario (Excluding Quebec) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3219 783 013-3220 Guide for Completing the Application for Refund Summary and Schedule 7 TES - Tax Exempt Sales to Consumers E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3220 784 013-3221 Guide for Completing the Application for Refund Summary and Schedule 8 TES - Tax Exempt Sales to Registered Consumers Holding a Fuel Acquisition Permit E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3221 785 013-3222 Guide for Completing the Application for Refund Summary and Schedule 9 TES - Tax Exempt Sales – Export Out of Ontario E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 13-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3222 786 013-3223 Guide for Completing the Application for Refund Summary and Schedule 10 TES - Tax Exempt Sales – Export Out of Ontario E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3223 787 013-3224 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 Kerosene E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3224 788 013-3225 Guide for Completing the Application for Refund Summary and Schedule 12 TES - Tax Exempt Sales – Export Out of Ontario E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3225 789 013-3226 Guide for Completing the Application for Refund Summary and Schedule 13 TES - Tax Exempt Sales to Visiting Armed Forces E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3226 790 013-3227 Guide for Completing the Application for Refund Summary and Schedule 14 TES - Tax Exempt Sales to Visiting Armed Forces E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3227 791 013-3228 Guide for Completing the Application for Refund Summary and Schedule 15 TES - Tax Exempt Sales to Visiting Armed Forces E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3228 792 013-3230 Guide for Completing the Application for Refund Summary and Schedule 1 TEU - Allowance to Retailers - Gasoline E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3230 793 013-3231 Guide for Completing the Application for Refund Summary and Schedule 2 TEU - Ambient Sales E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3231 794 013-3232 Guide for Completing the Application for Refund Summary and Schedule 3 TEU - Ambient Sales E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 10-Mar 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3232 795 013-3233 Guide for Completing the Application for Refund Summary and Schedule 4 TEU - Ambient Temperature Allowance - Gasoline E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3233 796 013-3234 Guide for Completing the Application for Refund Summary and Schedule 5 TEU - Ambient Temperature Allowance E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3234 797 013-3235 Guide for Completing the Application for Refund Summary and Schedule 6 TEU - Unlicenced Equipment E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3235 798 013-3236 Guide for Completing the Application for Refund Summary and Schedule 7 TEU - Boat Rentals E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3236 799 013-3237 Guide for Completing the Application for Refund Summary and Schedule 8 TEU - Vehicle Testing or Export Out Of Ontario in the Fuel Tanks of Vehicles E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3237 800 013-3238 Guide for Completing the Application for Refund Summary and Schedule 9 TEU - Aircraft E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3238 801 013-3239 Guide for Completing the Application for Refund Summary and Schedule 10 TEU - Railway Locomotives E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3239 802 013-3240 Guide for Completing the Application for Refund Summary and Schedule 11 TEU - Boats Used In Business Operations E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3240 803 013-3241 Guide for Completing the Application for Refund Summary and Schedule 12 TEU - Rental or Sale of Unlicenced Equipment E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3241 804 013-3242 Guide for Completing the Application for Refund Summary and Schedule 13 TEU - Unlicensed Equipment E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3242 805 013-3243 Guide for Completing the Application for Refund Summary and Schedule 14 TEU - Tax Paid Purchases Delivered On A Reserve E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3243 806 013-3244 Guide for Completing the Application for Refund Summary and Schedule 15 TEU - Firefighter Training E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3244 807 013-3245E Foreign Diplomat - Gasoline Schedule 16 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and Schedule E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax The 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, di 11-Feb 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3245E 808 013-3246E Foreign Diplomat - Propane Schedule 17 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and Schedule E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax The 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 dep 11-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3246E 809 013-3247E Foreign Diplomat - Clear Fuel Schedule 18 - TEU, Fuel Tax Act - Guide for Completing the Application for Refund Summary and Schedule E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax The 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 depo 11-Feb 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3247E 810 013-3248E Foreign Diplomat - Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and Schedule E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax The 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 ba 11-Feb 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3248E 811 013-3249 Guide for Completing the Application for Refund Summary and Schedule 20 TEU - Emergency Stopover In Ottawa - Aviation Fuel E Finance Advisory, Objections, Appeals and Services Branch Gasoline Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3249 812 013-3432 Guide for Completing the Fuel Acquisition Permit Holder Return FT814 E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3432 813 013-3435 Guide for Completing the Fuel Tax Interjurisdictional Transporter Return FT819 E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3435 814 013-3436 Guide for Completing the Fuel Tax Railway Return FT826 E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3436 815 013-3437E Tobacco Products Inventory Report E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax This form is used whenever tobacco tax rates are changed as a result of a budget amendment. 17-Apr 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3437E 816 013-3445E Application for Refund - Bad Debt (BDT) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax Used 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 uncolle 19-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3445E 817 013-3446E Application for Refund - Summary Loss of Product (PRL) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax, Tobacco Tax Used 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 b 19-Jan 121 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3446E 818 013-3448 Guide for Completing the Application for Refund - Loss of Product (PRL) Summary and Schedule E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 19-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3448 819 013-3465E Beer Return Guide E Finance Advisory, Objections, Appeals and Services Branch Beer and Wine Taxes 19-Jun 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3465E 820 013-3466E Wine and Wine Cooler Return Guide E Finance Advisory, Objections, Appeals and Services Branch Beer and Wine Taxes This 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-Jan 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3466E 821 013-3468E Application for Refund of Retail Sales Tax on Insurance or Benefit Plan Premium E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax 18-Mar 106 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3468E 822 013-3479E Ontario Retail Sales Tax Purchase Exemption Certificate E Finance Tax Advisory Services Branch Tax Advisory Services This 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-Jan 66 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3479E 823 013-3480 Application for Small Beer Manufacturers' Tax Credit E Finance Account Management and Collections Branch Specialty Accounting Unit 18-Feb 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3480 824 013-3483E Wine and Wine Cooler Return - B - Guide (Wineries that have a Wine Boutique) E Finance Advisory, Objections, Appeals and Services Branch Beer and Wine Taxes This 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-Jan 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3483E 825 013-3490E Spirits and Spirits Cooler Return Guide E Finance Advisory, Objections, Appeals and Services Branch Beer and Wine Taxes The information in this guide will help spirits tax collectors complete the Spirits and Spirits Cooler Return and Schedule. 19-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3490E 826 013-3500 Guide for Completing the Application for Refund - Bad Debt (BDT) Summary and Schedule E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax 19-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3500 827 013-67452E Ontario Garage Automoblie Policy (O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 01-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67452E 828 013-67454E Certificate of Insurance - Ontario Garage Automobile Policy (O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67454E 829 013-67460E O.E.F. 70 Named Chauffeur Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67460E 830 013-67474E Liability for Comprehensive Damage to a Customer's Automobile Endorsement (Including Open Lot Theft) (O.E.F. 77) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67474E 831 013-67476E O.E.F. 78 Reduction of Coverage for Named Persons Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division Jul-90 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67476E 832 013-67477E O.E.F. 78A Excluded Driver Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 05-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67477E 833 013-67478E Owned Automoblie- Fire and Theft Deductible Endorsement (O.E.F. 79) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67478E 834 013-67480E O.E.F 80 Specified Owned Automobile Physical Damage Coverage (for Ontario Garage Automobile Policy O.A.P.4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67480E 835 013-67481E O.E.F. 81 Garage Family Protection Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 01-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67481E 836 013-67486E Owned Automobiles- Agreed Limit for Automobile Electronic Accessories and Equipment (O.E.F. 84) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67486E 837 013-67488E Customers' Automobiles - Fire & Theft Deductible Endorsement (O.E.F. 86) E Finance Financial Services Commission of Ontario Automobile Insurance Division 05-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67488E 838 013-9950E Affidavit re transfer between registered charities E Finance Audit Branch Land Taxes The 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 registrat 18-Jul 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9950E 839 013-9967E Retail Sales Tax and Harmonized Sales Tax Information for the Transfer of Motor Vehicles Between Related Corporations or Corporations/Shareholders E Finance Advisory, Objections, Appeals and Services Branch Retail Sales Tax This 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-Jan 57 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9967E 840 013-9980E Direct Deposit Request E Finance Advisory, Objections, Appeals and Services Branch Corporate Services Used to obtain direct deposit bank account information for refunds and rebates for certain AMCB programs. 18-Aug 590 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9980E 841 013-9983E Notice of Objection E Finance Objections and Appeals Branch Objections and Appeals To file an objection 17-Jul 355 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9983E 842 013-9986E Prescribed Information for Purposes of Section 5.0.1 Land Transfer Tax Act E Finance Audit Branch Land Taxes Effective 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 12 17-Apr 500 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9986E 843 013-9987E Guide for Completing the Application for Refund Summary and Schedule - Auxiliary Power Take Off Equipment (PTO activity on or after July 1, 2017) E Finance Account Management and Collections Branch Specialty Accounting Unit 19-Feb 85 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9987E 844 013-9988E Application for Refund Auxiliary Power Take Off (PTO) Equipment (PTO activity on or after July 1, 2017) E Finance Advisory, Objections, Appeals and Services Branch Fuel Tax, Gasoline Tax 18-Mar 249 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9988E 845 013-9990E IRREVOCABLE STANDBY LETTER OF CREDIT - TOBACCO TAX ACT E Finance Advisory, Objections, Appeals and Services Branch Corporate Services The 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 i 18-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9990E 846 013-9991E Irrevocable Standby Letter Of Credit - Fuel and Gas Tax Acts E Finance Advisory, Objections, Appeals and Services Branch Corporate Services The 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 i 18-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9991E 847 013-9992E IRREVOCABLE STANDBY LETTER OF CREDIT - LAND TRANSFER TAX E Finance Advisory, Objections, Appeals and Services Branch Corporate Services The 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-Nov 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9992E 848 013-9993E Surety Bond - Fuel and Gas Tax Acts E Finance Advisory, Objections, Appeals and Services Branch Corporate Services The 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 i 18-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9993E 849 013-9994E SURETY BOND - TOBACCO TAX ACT, R.S.O. 1990 c. T.10, as amended E Finance Advisory, Objections, Appeals and Services Branch Corporate Services The 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 i 18-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9994E 850 013-FSCO-AA2 Reporting Forms Regarding Life Agents E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Agents & Adjusters Jan-98 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-FSCO-AA2 851 013-FSCO-AA3 Notice of Termination of Agent Sponsorship E Finance Financial Services Commission of Ontario Licensing & Compliance Division-Agents & Adjusters Jan-98 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-FSCO-AA3 852 013-OCF-10/59 Election of Income Replacement, Non-Earner of Caregiver Benefit (OCF-10/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-10/59 853 013-OCF-11A Designated Assessment Referral (OCF-11A) E Finance Financial Services Commission of Ontario Automobile Insurance Division Aug-99 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-11A 854 013-OCF-11B Summary Report (OCF-11B) E Finance Financial Services Commission of Ontario Automobile Insurance Division Aug-99 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-11B 855 013-OCF-12 Activities of Normal Life (OCF-12) E Finance Financial Services Commission of Ontario Automobile Insurance Division Aug-99 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-12 856 013-OCF-13 Declaration of Post-Accident Income and Benefits (OCF-13) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-13 857 013-OCF-14 Permission to Disclose Health Information to the Designated Assessment Centre (OCF-14) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-14 858 013-OCF-17/59 Notice of Stoppage of Weekly Benefits and Request for Assessment (OCF-17/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-17/59 859 013-OCF-18/59 Treatment Plan (OCF-18/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 08-Jan 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-18/59 860 013-OCF-19/59 Application for Determination of Catastrophic Impairment (OCF-19/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-19/59 861 013-OCF-2/59 Employer's Confirmation of Income (OCF-2/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-2/59 862 013-OCF-20/59 Catastrophic Impairment Determination and Request for Assessment (OCF-20/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-20/59 863 013-OCF-3/59 Disability Certificate (OCF-3/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 04-Nov 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-3/59 864 013-OCF-4 Death and Funeral Benefits Application (OCF-4) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-4 865 013-OCF-5 Permission to Disclose Health Information (OCF-5) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-5 866 013-OCF-6 Application for Expenses (OCF-6) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-6 867 013-OCF-9/59 Explanation of Benefits Payable by Insurance Company (OCF-9/59) E Finance Financial Services Commission of Ontario Automobile Insurance Division 03-Oct 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-9/59 868 013-PI1509 Annual Information Return (Form 2) (AFP Form) E Finance Financial Services Commission of Ontario Pension Division 04-Mar 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-PI1509 869 013-PI1513 Pension Benefits Guarantee Fund Assessment Certificate (Form 2.1) (AFP Form) E Finance Financial Services Commission of Ontario Pension Division 04-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-PI1513 870 014-0005-54E Certificate of Death E Health and Long-Term Care Hospitals Branch Hospitals Branch Certificate 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-Apr 118 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0005-54E 871 014-0350-93 Forms Order Request E Health and Long-Term Care Supply Chain and Facilities Branch Supply Chain and Facilities Branch Used by Ministry clients to order forms from OSS Distribution. 17-Jun 436 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0350-93 872 014-0403-67E Application for Authorizer Status E Health and Long-Term Care Assistive Devices Assistive Devices Application for Authorizer Status 16-Sep 209 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0403-67E 873 014-0406-67E Authorizer Agreement with the Assistive Devices Program E Health and Long-Term Care Assistive Devices Assistive Devices The 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 indi 14-Jul 243 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0406-67E 874 014-06-5040E Long-Term Care Home Inspection Report Request E Health and Long-Term Care Health Data Branch Health Data Unit All 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-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-06-5040E 875 014-0918-84 Remittance Advice Inquiry E Health and Long-Term Care Claim Services Branch Claims Services Form used by physicians to make inquiries regarding payment details on Remittance Advice 15-Oct 531 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0918-84 876 014-1065-41E 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 Act E Health and Long-Term Care Mental Health Mental Health 16-Feb 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1065-41E 877 014-1066-41E 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 Act E Health and Long-Term Care Mental Health Mental Health 16-Feb 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1066-41E 878 014-1088-41 Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741 E Health and Long-Term Care Mental Health Mental Health 04-Nov 192 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1088-41 879 014-1353-45 Time Card E Health and Long-Term Care Emergency Health Regulatory and Accountability Branch Emergency Health Services Land/Air To record staff working hours. 12-Jan 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1353-45 880 014-1429-67E Application for Funding for Insulin Syringes for Seniors E Health and Long-Term Care Assistive Devices Assistive Devices Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes. 18-Aug 1302 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1429-67E 881 014-1565-95E Assistive Devices Program Confirmation of Payment Instructions E Health and Long-Term Care Financial Management Ministry Support & Transaction The form is an application for direct bank deposit for vendors registered with the Assistive Devices Program. 15-May 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1565-95E 882 014-1605-41E Form 30 - Notice to Patient under Subsection 38(1) of the Act E Health and Long-Term Care Mental Health Mental Health 16-Feb 339 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1605-41E 883 014-1612-53E Form 2 - Application for Approval of X-ray Location E Health and Long-Term Care Long-Term Care Inspections Branch X-Ray Inspection Service Application for Approval of X-ray Location 18-Aug 81 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1612-53E 884 014-1782-53E Form 1 - X-ray Equipment Registration E Health and Long-Term Care Long-Term Care Inspections Branch X-Ray Inspection Service X-ray Equipment Registration 18-Aug 144 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1782-53E 885 014-1787-41 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 Act E Health and Long-Term Care Mental Health Mental Health Dec-00 97 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1787-41 886 014-1819-67E Application for Equipment Listing Wheelchairs, Positioning and Ambulation Aids E Health and Long-Term Care Assistive Devices Assistive Devices This 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 de 15-Jul 132 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1819-67E 887 014-1903-67E Statement of Support for Device Listing Wheelchairs, Positioning and Ambulation Aids E Health and Long-Term Care Assistive Devices Assistive Devices This 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 de 16-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1903-67E 888 014-1945-67E Application for Funding Ostomy Grant E Health and Long-Term Care Assistive Devices Assistive Devices The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program. 19-Aug 1074 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1945-67E 889 014-1948-95E Application for Direct Bank Payment - ADP E Health and Long-Term Care Financial Management Ministry Support & Transaction Used by clients/vendors to receive remuneration by direct deposit versus cheque. 11-Jun 222 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1948-95E 890 014-1972-41 Form 5 - Change to Informal or Voluntary Status Subsection 20(7) of the Act E Health and Long-Term Care Mental Health Mental Health 15-Dec 275 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1972-41 891 014-1977-41 Form 7 - Confirmation by Attending Physician of Continued Involuntary Status under Subsection 48(12) of the Act E Health and Long-Term Care Mental Health Mental Health 15-Dec 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1977-41 892 014-2196-67E Application for Funding Mobility Devices E Health and Long-Term Care Assistive Devices Assistive Devices Application for Funding Mobility Devices 19-Nov 2863 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2196-67E 893 014-2203-64E Toronto Clients Requisition for Biological Supplies (for use in M postal code areas only) E Health and Long-Term Care Public Health Public Health - Disease Control Service "Used by Toronto Clients to order Biological Supplies from Ontario Government Pharmaceutical and Medical Supply Service. " 18-Nov 389 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2203-64E 894 014-2352-88E Application for Rehabilitation Incentive Grant E Health and Long-Term Care Northern Health Programs Northern Health Programs "Application 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-Jul 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2352-88E 895 014-2451-67E First Time Application for Funding Home Oxygen Therapy E Health and Long-Term Care Assistive Devices Assistive Devices Used by first-time applicants to apply for funding for home oxygen therapy. 19-Aug 339 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2451-67E 896 014-2772-87E Special Authorization (Allergen) E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch Used for obtaining authorization for allergen exact as an ODB benefit 19-Jun 166 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2772-87E 897 014-2784-87E Drug Benefit Claim Submission Form E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch Used by pharmacies for submitting claims 19-Jun 75 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2784-87E 898 014-2860-69E Application for Reimbursement by The Province E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division Application used by Homemaker and Nurses to request reimbursement from the Province for services provided. 09-Jan 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2860-69E 899 014-2973-04E 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 Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 126 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2973-04E 900 014-2975-04E 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. E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 91 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2975-04E 901 014-2976-04E 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. E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 17-Sep 144 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2976-04E 902 014-2977-04E Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act. E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2977-04E 903 014-2978-04E 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. E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2978-04E 904 014-2980-04E Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act. E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2980-04E 905 014-2981-04E Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act. E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 109 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2981-04E 906 014-3060-97E Requisition for ODB Approved Non-Prescription Drugs E Health and Long-Term Care Supply Chain and Facilities Branch Ontario Government Pharmacy/Procurement Used by Long-Term Care Homes in Ontario to requisition approved non-prescription drugs from OGPMSS. 18-Sep 190 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3060-97E 907 014-3143-04 New Accused Information Sheet E Health and Long-Term Care Public Health Agencies Ontario Review Board 05-Dec 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3143-04 908 014-3183-67E Application for Funding Limb Prostheses E Health and Long-Term Care Assistive Devices Assistive Devices Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees. 19-Nov 97 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3183-67E 909 014-3224-67E Application for Funding Hearing Devices E Health and Long-Term Care Assistive Devices Assistive Devices Application used to determine eligibility for funding by ADP for Hearing Devices. 19-Nov 576 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3224-67E 910 014-3232-04E 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 Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 13-Nov 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3232-04E 911 014-3234-04 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 Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board Mar-99 65 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3234-04 912 014-3237-04 Consent and Capacity Board Information Sheets E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 05-Dec 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3237-04 913 014-3264-54E Hospital Chronic Care Co-payment Form E Health and Long-Term Care Hospitals Branch Hospitals Branch Calculation of Chronic Care Co-Payments for use by hospital staff, patients, and families. 18-Dec 129 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3264-54E 914 014-3266-54E Application for Reduction of Assessed Co-payment Fees E Health and Long-Term Care Acute Services Division Acute Services This 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-Jun 50 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3266-54E 915 014-3296-64E Non-Reusable Vaccine(spoiled or expired) Return Record - Toronto Clients E Health and Long-Term Care Public Health Public Health - Disease Control Service Used by Toronto clients to return non-reusable vaccines (spoiled or expired)to the Ontario Government Pharmaceutical and Medical Supply Service 19-May 79 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3296-64E 916 014-3324E-53 Appointment of Radiation Protection Officer E Health and Long-Term Care Long-Term Care Inspections Branch X-Ray Inspection Service 18-Aug 80 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3324E-53 917 014-3437-67E Application for Funding of Changes/Modifications/New Options to ADP Approved Devices E Health and Long-Term Care Assistive Devices Assistive Devices This 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 de 16-May 57 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3437-67E 918 014-3693-87E Application for Trillium Drug Program (TDP) E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch For ODB recipients to apply Trillium Drug Program 19-Dec 14866 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3693-87E 919 014-3715-82E Seasonal Agricultural Workers Registration for Ontario Health Coverage E Health and Long-Term Care Operational Support and Analysis Operational Support and Analysis Form used to register specific migrant farm workers for OHIP number 13-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3715-82E 920 014-3750-84 Organ and Tissue Donor Registration E Health and Long-Term Care Claim Services Branch Claims Services Form completed by clients to record their wishes for organ/tissue donation 16-Aug 154 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3750-84 921 014-3760-41 Form 45 - Community Treatment Order E Health and Long-Term Care Mental Health Mental Health Dec-00 78 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3760-41 922 014-3761-41 Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act E Health and Long-Term Care Mental Health Mental Health Dec-00 65 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3761-41 923 014-3764-41 Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8)) E Health and Long-Term Care Mental Health Mental Health Dec-00 62 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3764-41 924 014-3766-41 Form 50 - Confirmation of Rights Advice E Health and Long-Term Care Mental Health Mental Health 19-Apr 102 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3766-41 925 014-3777-41E Form 16 - Application to the Board to Review a Patient's Involuntary Status under Subsection 39(1) of the Act E Health and Long-Term Care Mental Health Mental Health 16-Feb 115 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3777-41E 926 014-3780-41 Community Treatment Order (CTO) Information Record E Health and Long-Term Care Mental Health Mental Health Dec-00 51 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3780-41 927 014-3829-41E Homes for Special Care (HSC) Licence Inspection Report E Health and Long-Term Care Mental Health Mental Health 12-Aug 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3829-41E 928 014-3889-22E Clinician Aid A - Patient Request for Medical Assistance in Dying E Health and Long-Term Care Strategic Policy Branch Strategic Policy – Medical Assistance in Dying "The 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 prac" 19-Jun 1151 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3889-22E 929 014-3889-84E Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit Request E Health and Long-Term Care Claim Services Branch Claims Services Physicians complete form to indicate their preference on how malpractice reimbursement will be sent to them. 19-Oct 545 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3889-84E 930 014-3890-22E Clinician Aid B - (Primary) “Medical Practitioner” or “Nurse Practitioner” Medical Assistance in Dying Aid E Health and Long-Term Care Strategic Policy Branch Strategic Policy – Medical Assistance in Dying The 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 as 19-Jun 220 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3890-22E 931 014-3891-22E "Clinician Aid C - (Secondary) ""Medical Practitioner"" or ""Nurse Practitioner"" Medical Assistance in Dying Aid" E Health and Long-Term Care Strategic Policy Branch Strategic Policy – Medical Assistance in Dying Complete 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 sh 19-Jun 210 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3891-22E 932 014-4282-64E Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2019/2020 Universal Influenza Immunization Program (UIIP) E Health and Long-Term Care Public Health Public Health - Disease Control Service Prequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine. 19-May 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4282-64E 933 014-4298-82 Health Card Complex Renewal E Health and Long-Term Care Operational Support and Analysis Operational Support and Analysis To 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 61 16-Nov 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4298-82 934 014-4323-04 Notice of Withdrawal E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 04-Jul 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4323-04 935 014-4344-64E Influenza Vaccine Order Form for the Universal Influenza Immunization Program E Health and Long-Term Care Public Health Public Health - Disease Control Service Eligibility Criteria for Trivalent Inactivated Influenza Vaccine. 19-Aug 148 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4344-64E 936 014-4351-04E Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4351-04E 937 014-4352-04E Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4352-04E 938 014-4353-04E Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4353-04E 939 014-4354-04E Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4354-04E 940 014-4372-64E Universal Influenza Immunization Program Reimbursement Form E Health and Long-Term Care Public Health Public Health - Disease Control Service Vaccine utilization invoice form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program. 20-Jan 85 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4372-64E 941 014-4385-87 Blocking Access to Your Drug and Pharmacy Service Information E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch 16-Nov 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4385-87 942 014-4387-87 Unblocking Access to Your Drug and Pharmacy Service Information E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch 16-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4387-87 943 014-4392-67E Application for Funding Breast Prosthesis Grant E Health and Long-Term Care Assistive Devices Assistive Devices Used by clients to apply for funding for a silicone breast prosthesis(es) 19-Aug 217 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4392-67E 944 014-4420-84 Health Claim E Health and Long-Term Care Claim Services Branch Claims Services 06-Feb 216 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4420-84 945 014-4421-84 Reciprocal Claim E Health and Long-Term Care Claim Services Branch Claims Services Claim card used by physicians to receive reimbursement for reciprocal claims 06-Feb 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4421-84 946 014-4422-84 Laboratory Requisition - Requisitioning Physician / Practitioner E Health and Long-Term Care Laboratories and Genetics Branch Laboratories and Genetics 19-Jan 1665 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4422-84 947 014-4423-87 Notification for Change of Information for Trillium Drug Program E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch Pre-renewal notice to TDP Clients 18-May 159 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4423-87 948 014-4446-67E Application for Funding Insulin Pumps and Supplies for Children E Health and Long-Term Care Assistive Devices Assistive Devices Used by clients to request funding assistance for Insulin Pumps and Supplies for Children 19-Aug 64 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4446-67E 949 014-4455-64E Universal Influenza Immunization Program Pharmacy Form E Health and Long-Term Care Public Health Public Health - Disease Control Service Vaccine utilization report form for influenza immunization clinics through the Universal Influenza Immunization Program. 20-Jan 329 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4455-64E 950 014-4462-97E Pharmacy Return Authorization for Resalable Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs) E Health and Long-Term Care Supply Chain and Facilities Branch Ontario Government Pharmacy/Procurement Use 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 o 13-Nov 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4462-97E 951 014-4463-97E Pharmacy Requisition for Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs) E Health and Long-Term Care Supply Chain and Facilities Branch Ontario Government Pharmacy/Procurement Use 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-Sep 82 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4463-97E 952 014-4471-44E Restricting Access to Patient Records In theOntario Laboratories Information System E Health and Long-Term Care Laboratory Services Ontario 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-Aug 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4471-44E 953 014-4473E-67 Prior Testing Disclosure - Manual Wheelchair E Health and Long-Term Care Assistive Devices Assistive Devices This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs. 17-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4473E-67 954 014-4474E-67 Prior Testing Disclosure - Powered Mobility Devices E Health and Long-Term Care Assistive Devices Assistive Devices This form is used by Manufacturers to report testing of Powered Mobility Devices 19-Dec 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4474E-67 955 014-4475E-67 Prior Testing Disclosure - Ambulation Aids E Health and Long-Term Care Assistive Devices Assistive Devices This form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids 19-Dec 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4475E-67 956 014-4478-84 Adjustment E Health and Long-Term Care Claim Services Branch Claims Services online form to be available to providers and to Regional Operations staff on a permanent basis on the internet 07-Mar 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4478-84 957 014-4495-97E OGPMSS Requisition for Medical Supplies E Health and Long-Term Care Supply Chain and Facilities Branch Ontario Government Pharmacy/Procurement Use 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-Oct 131 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4495-97E 958 014-4508-67E Insulin Pump Product Evaluation E Health and Long-Term Care Assistive Devices Assistive Devices Used to evaluate Insulin pumps 15-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4508-67E 959 014-4509-67E Application for Equipment Listing Insulin Pumps E Health and Long-Term Care Assistive Devices Assistive Devices Use by vendor/manufacturer to apply for equipment listing insulin pumps. 12-Oct 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4509-67E 960 014-4537-67E Application for Funding Insulin Pumps and Supplies for Adults E Health and Long-Term Care Assistive Devices Assistive Devices Application used to determine elegibility for funding by ADP for insulin pumps and supplies 19-Aug 456 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4537-67E 961 014-4551-87E Application and Consent for the Inherited Metabolic Diseases (IMD) Program E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch For physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program. 19-Sep 62 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4551-87E 962 014-4564-85E Application for Consent to Transfer a Licence E Health and Long-Term Care Health Service Branch Independent Health Facilities Transfer of ownership of independent health facilities (IHF) licence. 14-Aug 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4564-85E 963 014-4574-64E Vaccine Cold Chain Maintenance Inspection Report E Health and Long-Term Care Public Health Public Health - Disease Control Service Used by public health units when conducting cold chain maintenance inspections in premises that store publicly funded vaccines. 19-May 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4574-64E 964 014-4575-64E Vaccine Cold Chain Incident Exposure/Wastage Report E Health and Long-Term Care Public Health Public Health - Disease Control Service Used by public health units to report vaccine cold chain incidents and wasted or exposed vaccine. 19-May 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4575-64E 965 014-4578-64E Laboratory Services Notification (LSN) E Health and Long-Term Care Public Health Food Safety And Safe Water Unit The 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 wat 17-Aug 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4578-64E 966 014-4579-64E Notice to Operate or Reopen a Small Drinking Water System E Health and Long-Term Care Public Health Food Safety And Safe Water Unit The 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 the 17-Aug 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4579-64E 967 014-4580-64E Notice of Adverse Test Results and Issue Resolution E Health and Long-Term Care Public Health Food Safety And Safe Water Unit The 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 qual 17-Aug 79 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4580-64E 968 014-4589-64E Response to Adverse Drinking Water Quality Incidents - Issue E Health and Long-Term Care Public Health Public Health This form is completed by Public Health Boards when MOH site is down. 17-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4589-64E 969 014-4590-64E Response to Adverse Drinking Water Quality Incidents - Resolve E Health and Long-Term Care Public Health Public Health This form is completed by Public Health Boards when MOH site is down. 17-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4590-64E 970 014-4598-67 PAP Device Evaluation Form E Health and Long-Term Care Assistive Devices Assistive Devices 15-Nov 71 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4598-67 971 014-4603-82E Change your home address E Health and Long-Term Care Operational Support and Analysis Operational Support and Analysis "Change 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 Transpo" 09-Sep 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4603-82E 972 014-4618-67E Application for Equipment Listing - Pressure Modification Devices E Health and Long-Term Care Assistive Devices Assistive Devices 12-Aug 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4618-67E 973 014-4619-67E Statement of Support for Device Listing - Pressure Modification Devices E Health and Long-Term Care Assistive Devices Assistive Devices 12-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4619-67E 974 014-4620-67E Manufacturer Checklist - Request for ADP Listing of Pressure Modification Devices E Health and Long-Term Care Assistive Devices Assistive Devices 12-Aug 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4620-67E 975 014-4637-67E Application for Rehabilitation Assessor/Fitter/Dispenser Status E Health and Long-Term Care Assistive Devices Assistive Devices "Application for Rehabilitation Assessor/Fitter/Dispenser Status " 11-Mar 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4637-67E 976 014-4638-67E Authorizer Application - Attachment B E Health and Long-Term Care Assistive Devices Assistive Devices Authorizer Application - Attachment B 16-Sep 113 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4638-67E 977 014-4645-87E Respiratory Syncytial Virus (RSV) Prophylaxis for High Risk Infants Program Enrolment E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch To provide healthcare practitioners a standard form to enroll their patients in this program based on listed clinical criteria. 19-Sep 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4645-87E 978 014-4652-87E Request for Myozyme® E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch 17-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4652-87E 979 014-4658-67E Application for Funding Ocular Prostheses E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Ocular Prostheses 19-Nov 103 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4658-67E 980 014-4717-87E Submission of Patient Evidence E Health and Long-Term Care Drug Programs Policy and Strategy Branch Drug Programs Policy and Strategy To 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-Apr 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4717-87E 981 014-4723-87E Submission of Patient Evidence Patient Advocacy Groups - Registration Form E Health and Long-Term Care Drug Programs Policy and Strategy Branch Drug Programs Policy and Strategy To 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-Apr 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4723-87E 982 014-4727-88E Application for Northern and Rural Recruitment and Retention Initiative E Health and Long-Term Care Northern Health Programs Northern Health Programs Application for physicians to apply for HFO Northern and Rural Recruitment & Retention Program 15-Oct 71 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4727-88E 983 014-4767-69E-LHIN Application for Determination of Eligibility for Long-Term Care Home Admission (LHIN) E Health and Long-Term Care Licensing and Policy Aging and Long-Term Care Unit To 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 th 17-May 306 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4767-69E-LHIN 984 014-4768-69E-LHIN Health Assessment - Local Health Integration Network (LHIN) E Health and Long-Term Care Licensing and Policy Aging and Long-Term Care Unit To 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-May 656 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4768-69E-LHIN 985 014-4777-87E Request for Zavesca® - Niemann Pick Type C (NPC) E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch To facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC). 17-Jun 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4777-87E 986 014-4791-67E Application for Funding Enteral Feeding Pump and Supplies E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Enteral Feeding Pump and Supplies 19-Aug 582 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4791-67E 987 014-4792-67E Application for Funding Ventilator Equipment and Supplies E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Ventilator Equipment and Supplies 19-Aug 131 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4792-67E 988 014-4793-67E Application for Funding - Respiratory Equipment & Supplies E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Respiratory Equipment & Supplies 19-Aug 820 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4793-67E 989 014-4803-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Resident with a Notice of Assessment and Transitioning to new Government Benefit(s) E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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-May 70 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4803-69E 990 014-4804-69E Application for Reduction in Long-Term Care Home Basic Accommodation Resident Receiving ODSP Form E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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-May 124 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4804-69E 991 014-4805-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule A: Spouse Dependant E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 reque 16-May 62 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4805-69E 992 014-4806-69E Long-Term Care Home Application for Rate Reduction - Schedule B: Child Dependant E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 reque 19-May 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4806-69E 993 014-4807-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule C: Continuation of Previous Dependant Deduction E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 notif 16-May 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4807-69E 994 014-4808-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Resident With a Notice of Assessment (NOA) E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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-May 238 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4808-69E 995 014-4809-69E Application for Reduction in Long-Term Care Home Basic Accommodation - Resident Without Notice of Assessment (NOA) E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division "To 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-May 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4809-69E 996 014-4810-99E 2020/2021 Re-Entry Program Information E Health and Long-Term Care Health Workforce Planning Branch Health Workforce Planning and Programs Unit Instruction sheet is to provide information about the purpose of the program, its eligibility requirement, application procedure and return of service requirement. 19-Oct 184 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4810-99E 997 014-4811-99E Application to Re-enter Postgraduate Medical Training - Specialty of Interest and Location of Training E Health and Long-Term Care Health Workforce Planning Branch Health Workforce Planning and Programs Unit The 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-Oct 87 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4811-99E 998 014-4812-99E Application to Re-enter Postgraduate Medical Training E Health and Long-Term Care Health Workforce Planning Branch Health Workforce Planning and Programs Unit The Application Form collects information from applicants regarding their contact information, medical practice and education history. 19-Oct 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4812-99E 999 014-4815-69E Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident Eligibly E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 d 10-Dec 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4815-69E 1000 014-4816-69E Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident without NOA E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 d 10-Dec 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4816-69E 1001 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) E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 d 11-May 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4817-69E 1002 014-4818-69E Long-Term Care Home Support Document List - Resident Receiving ODSP E Health and Long-Term Care Corporate and Direct Services Division Long Term Care Division To 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 d 10-Dec 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4818-69E 1003 014-4819-67E Application for Funding Orthotic Devices E Health and Long-Term Care Assistive Devices Assistive Devices Used by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses 19-Nov 500 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4819-67E 1004 014-4820-67E Application for Funding Maxillofacial Intraoral Prostheses E Health and Long-Term Care Assistive Devices Assistive Devices For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses. 19-Nov 96 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4820-67E 1005 014-4821-67E Application for Funding Maxillofacial Extraoral Prostheses E Health and Long-Term Care Assistive Devices Assistive Devices For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses. 19-Aug 78 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4821-67E 1006 014-4823-67E Application for Funding Pressure Modification Devices E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Pressure Modification Devices 19-Nov 307 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4823-67E 1007 014-4824-67E Application for Funding Visual Aids E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Visual Aids 19-Nov 216 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4824-67E 1008 014-4825-67E Application for Funding Communication Aids E Health and Long-Term Care Assistive Devices Assistive Devices Used to apply for Funding for Communication Aids 19-Nov 236 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4825-67E 1009 014-4846-87E Request for Aldurazyme® E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease 16-Feb 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4846-87E 1010 014-4853-44E Reinstating Access to Information in the Ontario Laboratories Information System (OLIS) E Health and Long-Term Care Laboratory Services Ontario 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-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4853-44E 1011 014-4858-87E Request for Ilaris® (canakinumab) E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch Application for drug funding 17-Jun 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4858-87E 1012 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) E Health and Long-Term Care Public Health Public Health - Disease Control Service User 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-May 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4871-64E 1013 014-4872-88E Application for Northern Physician Retention Initiative E Health and Long-Term Care Northern Health Programs Northern Health Programs Application form completed by physicians to apply to Northern Physician Retention Initiative for financial incentives. 19-Dec 1693 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4872-88E 1014 014-4874-77E PPLBP Application, Income Declaration, Income Confirmation, Notification of Birth/Adoption Statement/ Stillbirth E Health and Long-Term Care Negotiations Pregnancy and Parental Leave Benefit Program PPLBP forms gather necessary information to help determine the applicant eligibility for the program. 19-Dec 604 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4874-77E 1015 014-4882-83E Oral and Maxillofacial Rehabilitation Program (OMRP) Application E Health and Long-Term Care Profiles Analysis Services Profiles Analysis Services Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility. 14-Aug 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4882-83E 1016 014-4885-84E Change of Address for Health Care Professionals E Health and Long-Term Care Claim Services Branch Claims Services 13-Nov 467 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4885-84E 1017 014-4890-84E Request for Access to Personal Claims History (PCH) Information by Individual or Individual's Substitute Decision Maker E Health and Long-Term Care Claim Services Branch Claims Services Receive information required to process Personal Claims History information requests from individuals or individual's substitute decision makers. 19-Nov 1527 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4890-84E 1018 014-4891-84E Third Party Request for Personal Claims History Information E Health and Long-Term Care Claim Services Branch Claims Services Form authorizes the ministry to disclose an individual's personal claims history information directly to a third party. 14-Feb 96 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4891-84E 1019 014-4895-64E Statement of Medical Exemption – Immunization of School Pupils Act E Health and Long-Term Care Public Health Public Health A 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-Aug 870 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4895-64E 1020 014-4896-64E Notice of Transfer from a School - Immunization of School Pupils Act E Health and Long-Term Care Public Health Public Health Notice of Transfer from a School - Immunization of School Pupils Act 13-Aug 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4896-64E 1021 014-4897-64E Statement of Conscience or Religious Belief – Immunization of School Pupils Act E Health and Long-Term Care Public Health Public Health A 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 Pu 17-Jul 2285 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4897-64E 1022 014-4900-85E Physician Independent Health Facility (IHF) Affiliation Authorization E Health and Long-Term Care Independent Health Facilities Independent Health Facilities 14-Aug 65 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4900-85E 1023 014-4901-97E Requisition for Naloxone E Health and Long-Term Care Supply Chain and Facilities Branch Ontario Government Pharmacy/Procurement Requisition for Naloxone 18-Oct 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4901-97E 1024 014-4906-87E Fabry Disease Enzyme Replacement Therapy (Agalsidase) Assessment E Health and Long-Term Care Drug Programs Policy and Strategy Branch Drug Programs Policy and Strategy Application form for drug therapy for Fabry disease 15-Jul 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4906-87E 1025 014-4907-87E Fabry Disease Enzyme Replacement Therapy (Agalsidase) Renewal E Health and Long-Term Care Drug Programs Policy and Strategy Branch Drug Programs Policy and Strategy Renewal form dor drug therapy for Fabry disease 15-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4907-87E 1026 014-4908-87E Initial Request for Compassionate Review Policy E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch To help physicians to submit requests for drug funding for their ODB-eligible patients under the Compassionate Review Policy. 15-May 134 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4908-87E 1027 014-4917-67E Vendor Registration Application E Health and Long-Term Care Assistive Devices Assistive Devices The 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-May 92 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4917-67E 1028 014-4918-57E Request for Rights Advice Mental Health Inpatient E Health and Long-Term Care Psychiatric Patient Advocate Office Psychiatric Patient Advocate Office Used 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 assigned 16-May 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4918-57E 1029 014-4919-57E Request for Rights Advice Community Treatment Order (CTO) E Health and Long-Term Care Psychiatric Patient Advocate Office Psychiatric Patient Advocate Office Used 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-Mar 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4919-57E 1030 014-4929-87E Trillium Drug Program Application Signature Request E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch "The ""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 yea" 18-Jun 438 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4929-87E 1031 014-4930-87E Request to Remove a Household Member(s) from the Trillium Drug Program E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch 18-Jun 167 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4930-87E 1032 014-4931-87E Annual Deductible Re-Assessment Request E Health and Long-Term Care Drug Programs Delivery Branch Ontario Drug Benefit MOHLTC form for Trillium Drug Program (TDP) Households to request a re-assessment of their TDP Household's deductible. 19-Jul 92 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4931-87E 1033 014-4940-87E Exceptional Access Program (EAP) Request OxyNEO (Oxycodone Hydrochloride Controlled Release) Tablets E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch The 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-Jun 336 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4940-87E 1034 014-4941-87E Exceptional Access Program (EAP) Request Fragmin (Dalteparin Sodium) Therapy E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch The 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-Jun 86 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4941-87E 1035 014-4942-87E Exceptional Access Program (EAP) Request Innohep (Tinzaparin Sodium) Therapy E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch The 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-Jun 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4942-87E 1036 014-4943-87E Exceptional Access Program (EAP) Request Lovenox (Enoxaparin Sodium) Therapy E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch The 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-Jun 64 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4943-87E 1037 014-4951-87E Respiratory Syncytial Virus (RSV) Prophylaxis for High-Risk Infants Program Synagis® Order Form for Single or Multiple Infants E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch To provide healthcare practitioners a standard form to order palivizumab for patients enrolled in the program. 16-Oct 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4951-87E 1038 014-4953-64E Healthy Smiles Ontario – Application E Health and Long-Term Care Public Health Public Health Main 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 o 15-Dec 3250 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4953-64E 1039 014-4954-64E Public Health Unit Requisition for Specimen Shipping Supplies E Health and Long-Term Care Public Health Infectious Diseases Policy and Programs Public Health Unit requisition for specimen shipping supplies for rabies testing 14-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4954-64E 1040 014-4955-64E Healthy Smiles Ontario – Authorizing or Cancelling a Representative E Health and Long-Term Care Public Health Public Health Paper 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 pro 15-Dec 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4955-64E 1041 014-4956-64E Healthy Smiles Ontario – Change of Information E Health and Long-Term Care Public Health Public Health Paper 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 re 15-Dec 304 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4956-64E 1042 014-4963-84E Request for Prior Approval for Full Payment of Insured Out-of-Province (OOP) Health Services (in another province/territory) E Health and Long-Term Care Claim Services Branch Health Services 15-Sep 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4963-84E 1043 014-4971-67E Vendor Agreement E Health and Long-Term Care Assistive Devices Assistive Devices The 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 indi 15-Aug 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4971-67E 1044 014-5023-67E Power Dynamic Positioning Devices - Justification for Funding Chart E Health and Long-Term Care Assistive Devices Assistive Devices 19-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5023-67E 1045 014-5024-41E Form 4A - Certificate of Continuation E Health and Long-Term Care Mental Health Mental Health 15-Dec 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5024-41E 1046 014-5025-41E Form 51 - Application to the Board for Section 41.1 Orders under Subsection 39(6) of the Act E Health and Long-Term Care Mental Health Mental Health 15-Dec 54 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5025-41E 1047 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 Act E Health and Long-Term Care Mental Health Mental Health 15-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5026-41E 1048 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 Act E Health and Long-Term Care Mental Health Mental Health 15-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5027-41E 1049 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 Act E Health and Long-Term Care Mental Health Mental Health 15-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5028-41E 1050 014-5036-64E Healthy Smiles Ontario - Ontario Works First Nations Verification Form E Health and Long-Term Care Public Health Public Health First 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-Aug 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5036-64E 1051 014-5037-67E Renewal of Funding Home Oxygen Therapy E Health and Long-Term Care Assistive Devices Assistive Devices Used to renew funding for home oxygen therapy. 19-Aug 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5037-67E 1052 014-5048-45E AEMCA Examination Application E Health and Long-Term Care Emergency Health Regulatory and Accountability Branch Certification and Patient Care Standards The 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-Oct 382 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5048-45E 1053 014-5050-67E Vendor Registration Application - Home Oxygen Therapy E Health and Long-Term Care Assistive Devices Assistive Devices The 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-Sep 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5050-67E 1054 014-5052-45E AEMCA Examination Withdrawal and Refund Application E Health and Long-Term Care Emergency Health Regulatory and Accountability Branch Certification and Patient Care Standards The 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-Oct 63 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5052-45E 1055 014-5053-20E Tobacconist Registration E Health and Long-Term Care Health Improvement Policy and Programs Branch Specialty Store Registration For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration. 19-Dec 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5053-20E 1056 014-5055-67E Authorizer Registration Change Request E Health and Long-Term Care Assistive Devices Assistive Devices To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program 18-Jan 98 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5055-67E 1057 014-5056-87E Information Available to Health Care Providers through the Digital Health Drug Repository E Health and Long-Term Care Drug Programs Delivery Branch Drug 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-Feb 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5056-87E 1058 014-5059-20E Warrant - Regulation 572, Health Protection and Promotion Act E Health and Long-Term Care Health Promotion Health Promotion 17-Apr 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5059-20E 1059 014-5063-67E Addendum for Ventilator Equipment and Supplies Application Form E Health and Long-Term Care Assistive Devices Assistive Devices Addendum for Ventilator Equipment and Supplies Application 19-Aug 75 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5063-67E 1060 014-5068-39E Health and Well-Being Grant Program Statement of Interest E Health and Long-Term Care Healthy Living Policy and Program Branch Health Improvement Policy and Programs Unit Statement of Interest application form for the Health and Well-Being Grant Program 17-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5068-39E 1061 014-5069-39E Health and Well-Being (HWB) Grant Program Full Project Proposal Application Form - Evaluation E Health and Long-Term Care Healthy Living Policy and Program Branch Health Improvement Policy and Programs Unit 18-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5069-39E 1062 014-5069-87E Drug Benefit Claim Reversal Form E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch Used by pharmacies for submitting claims or reversals 19-Jun 641 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5069-87E 1063 014-5070-39E Health and Well-Being Grant Program Project Proposal Application Form – Training E Health and Long-Term Care Healthy Living Policy and Program Branch Health Improvement Policy and Programs Unit 18-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5070-39E 1064 014-5071-39E Health and Well-Being (HWB) Grant Program Full Project Proposal Application Form - Community Development E Health and Long-Term Care Healthy Living Policy and Program Branch Health Improvement Policy and Programs Unit 18-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5071-39E 1065 014-5095-87E Consent to the Ministry of Health and Long-Term Care's Disclosure and Collection of Personal Health E Health and Long-Term Care Drug Programs Delivery Branch Ontario Drug Benefit MOHLTC 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-Jul 150 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5095-87E 1066 014-5109-20E Specialty Vape Store Registration E Health and Long-Term Care Health Improvement Policy and Programs Branch Specialty Store Registration For retailers that primarily sell vapour products to apply for a specialty vape store registration. 19-Dec 262 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5109-20E 1067 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 Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5132-04E 1068 014-5133-04E Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5133-04E 1069 014-5134-04E Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5134-04E 1070 014-5135-04E Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services Act E Health and Long-Term Care Public Health Agencies Consent and Capacity Board 19-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5135-04E 1071 014-5486-92E Invoice Summary - Homes for Special Care E Health and Long-Term Care Accounting Policy and Financial Reporting Branch Accounting Policy and Financial Reporting Branch The 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-May 60 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5486-92E 1072 014-6427-1787-41 Form 1 + Form 42 - Mental Health Act E Health and Long-Term Care Mental Health Mental Health This 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-May 312 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6427-1787-41 1073 014-6427-41 Form 1 - Application by Physician for Psychiatric Assessment E Health and Long-Term Care Mental Health Mental Health Dec-00 179 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6427-41 1074 014-6428-41 Form 2 - Order for Examination under Section 16 E Health and Long-Term Care Mental Health Mental Health Dec-00 73 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6428-41 1075 014-6429-41 Form 3 - Certificate of Involuntary Admission E Health and Long-Term Care Mental Health Mental Health Dec-00 142 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6429-41 1076 014-6430-41 Form 4 - Certificate of Renewal E Health and Long-Term Care Mental Health Mental Health Dec-00 88 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6430-41 1077 014-6437-41E Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the Act E Health and Long-Term Care Mental Health Mental Health 16-Feb 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6437-41E 1078 014-6615-53E Form 3 - X-ray Equipment and Shielding Specifications E Health and Long-Term Care Long-Term Care Inspections Branch X-Ray Inspection Service X-ray Equipment and Shielding Specifications 18-Aug 61 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6615-53E 1079 014-9998E-82 Ontario Health Insurance Plan (OHIP) Document List E Health and Long-Term Care Operational Support and Analysis Operational Support and Analysis This is accompaniment to Registration for OHIP & Change of Information forms. Lists acceptable ID documents when applying for Ontario health coverage. 16-Jan 2930 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-9998E-82 1080 016-0006 Schedule A - List of Employees (Certification) -- Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0006 1081 016-0007 Schedule C - List of Employees (Termination ) --Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0007 1082 016-0007A Employer's Report of Injury/Disease - Form 7 E Labour Workplace Safety and Insurance Board Creative Services 01-Oct 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0007A 1083 016-0008 Schedule A -List of Employees (Certification) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0008 1084 016-0008A Health Professional's Report - Form 8 E Labour Workplace Safety and Insurance Board Creative Services 01-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0008A 1085 016-0009 Schedule B - List of Employees E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0009 1086 016-0010 Schedule C - List of Employees (Termination) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0010 1087 016-0069E Notice of Diving Operations E Labour Occupational Health and Safety Branch Construction Health and Safety Program This form is used by employers to notify the Ministry of Labour prior to the start of a diving operation in Ontario. 14-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0069E 1088 016-0070E Notice of Trench Work E Labour Occupational Health and Safety Branch Construction Health and Safety Program This 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-May 83 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0070E 1089 016-0071E Notice of Window Cleaning Work E Labour Occupational Health and Safety Branch Construction Health and Safety Program This 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-May 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0071E 1090 016-0072E Notice of Asbestos Removal Work E Labour Occupational Health and Safety Branch Construction Health and Safety Program This 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-May 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0072E 1091 016-0073E Notice of Mining Activities E Labour Occupational Health and Safety Branch Mining Health and Safety Program This 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 been 12-Apr 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0073E 1092 016-0074E Notice of the Operation of a Test Drill E Labour Occupational Health and Safety Branch Mining Health and Safety Program This 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-Apr 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0074E 1093 016-0075E Notice of Magazine or Use of Explosives E Labour Occupational Health and Safety Branch Mining Health and Safety Program This 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 explosives 12-May 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0075E 1094 016-0076E Notice of a Reportable Incident E Labour Occupational Health and Safety Branch Mining Health and Safety Program This 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-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0076E 1095 016-0077E Notice for Tunnels, Shafts, Caissons and Cofferdams E Labour Occupational Health and Safety Branch Construction Health and Safety Program This form is used by employers to notify the Ministry of Labour before beginning construction work on a tunnel, shaft, caisson or cofferdam. 12-May 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0077E 1096 016-0078E Notice of Diesel-Powered Equipment E Labour Occupational Health and Safety Branch Mining Health and Safety Program This 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-May 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0078E 1097 016-0079E Asbestos Work Report E Labour Occupational Health and Safety Branch Health Care and Occupational Medicine Unit This 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 submit 12-May 99 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0079E 1098 016-0080E Notice of use of a suspended work platform system E Labour Occupational Health and Safety Branch Occupational Health and Safety If 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 f 17-Jan 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0080E 1099 016-0200E Request for Information - Non-Union Employee Applicant E Labour Pay Equity Commission Pay Equity Commission The Non-Union Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office 12-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0200E 1100 016-0201E Request for Information - Union/Employer Questionnaire E Labour Pay Equity Commission Pay Equity Commission The Union/Employer Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office. 12-May 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0201E 1101 016-0202E Request for Information - Represented Employee Questionnaire E Labour Pay Equity Commission Pay Equity Commission The Represented Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office. 12-May 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0202E 1102 016-0203E Request for Information - Employee Reprisal Questionnaire E Labour Pay Equity Commission Pay Equity Commission The Employee Reprisal Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office. 12-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0203E 1103 016-0208E Application for Review Services E Labour Pay Equity Commission Pay Equity Commission "The 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-Mar 54 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0208E 1104 016-0275E Hoist Operator's Medical Certificate E Labour Occupational Health and Safety Branch Occupational Health and Safety Amendments 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-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0275E 1105 016-0279E Crane Operator's Medical Certificate E Labour Occupational Health and Safety Branch Occupational Health and Safety Amendments 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-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0279E 1106 016-0283E Consent to Disclose Personal Information Complaints and Work Refusals E Labour Occupational Health and Safety Branch Occupational Health and Safety Complaints 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 Sectio 13-Jun 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0283E 1107 016-0287E Application for Employment E Labour Occupational Health and Safety Branch Industrial Health and Safety Program Application 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-Mar 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0287E 1108 016-0288E Application for Employment - Construction E Labour Occupational Health and Safety Branch Construction Health and Safety Program 15-Feb 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0288E 1109 016-0289E Application for Employment - Mining E Labour Occupational Health and Safety Branch Mining Health and Safety Program 15-Feb 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0289E 1110 016-1000E Registration of Constructors and Employers Engaged in Construction E Labour Occupational Health and Safety Branch Construction Health and Safety Program Each 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-Sep 4079 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1000E 1111 016-1552E Form 1 - Notice of Termination of Employment under Subsection 58 (2) of The Employment Standards Act, 2000 E Labour Employment Practices Branch Employment Standards Program For 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-Dec 550 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1552E 1112 016-1909E Notice of Requirement to Achieve and Maintain Pay Equity E Labour Pay Equity Commission Pay Equity Commission This 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-Oct 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1909E 1113 016-1910E Notice of Inability to Achieve Pay Equity E Labour Pay Equity Commission Pay Equity Commission As 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 o 12-Oct 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1910E 1114 016-1911E Certificate of Posting E Labour Pay Equity Commission Pay Equity Commission Certificate of Posting 12-Oct 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1911E 1115 016-1931E Training Program Assessment for Workers E Labour Training and Awareness Branch Health and Safety Training Administration and Certification Unit Training 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 Regu 14-May 2115 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1931E 1116 016-1932E Training Program Assessment for Supervisors E Labour Training and Awareness Branch Health and Safety Training Administration and Certification Unit Training 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-May 352 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1932E 1117 016-1933E Record Keeping Template E Labour Training and Awareness Branch Health and Safety Training Administration and Certification Unit The 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-May 537 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1933E 1118 016-1934E Knowledge Check for Supervisors E Labour Training and Awareness Branch Health and Safety Training Administration and Certification Unit Knowledge 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-May 178 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1934E 1119 016-1935E Knowledge Check for Workers E Labour Training and Awareness Branch Health and Safety Training Administration and Certification Unit Knowledge 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-May 415 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1935E 1120 016-1938E Multi-workplace Joint Health and Safety Committee Self-evaluation Checklist E Labour Occupational Health and Safety Branch Industrial Health and Safety Program This 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 Safety 14-Sep 89 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1938E 1121 016-1950E Working at Heights Training Provider Application E Labour Health and Safety Program Administration and Certification Unit Occupational Health and Safety Training Programs This 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 th 14-Dec 105 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1950E 1122 016-1963E Joint Health and Safety Committee (JHSC) Certification Training Provider Application E Labour Health and Safety Program Administration and Certification Unit Occupational Health and Safety Training Programs The 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-Sep 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1963E 1123 016-1964E Joint Health and Safety Committee (JHSC) Certification Training Program Extension or Exemption Request E Labour Health and Safety Program Administration and Certification Unit Occupational Health and Safety Training Programs The 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 Refre 18-Nov 296 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1964E 1124 016-1965E Request for Voluntary Withdrawal of Application or Training Program E Labour Health and Safety Program Administration and Certification Unit Occupational Health and Safety Training Programs The 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 submitt 15-Oct 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1965E 1125 016-1966E Child Performers Claim Form E Labour Employment Practices Branch Employment Standards Program To 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-Feb 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1966E 1126 016-1973E Application for Employment - Employment Standards Officer E Labour Operations Branch Operations Integration & Coordination Unit The form is required for candidates to apply to the Employment Standards Officer job posting from August 28 - September 29, 2017. 18-Apr 6186 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1973E 1127 016-1975E Application for Employment Occupational Health and Safety Inspector - Industrial E Labour Occupational Health and Safety Branch Industrial Health and Safety Program Application 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-Feb 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1975E 1128 016-1977E Application for Employment Occupational Health and Safety Inspector - Construction E Labour Occupational Health and Safety Branch Construction Health and Safety Program Application for Employment Occupational Health and Safety Inspector - Construction 18-Apr 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1977E 1129 016-1986E Self-Assessment Questionnaire for Candidates Interested in an Employment Standards Officer Position E Labour Occupational Health and Safety Branch Construction Health and Safety Program Before 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-Dec 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1986E 1130 016-1997E Self-Assessment Questionnaire for Candidates Interested in an Occupational Health and Safety Inspector Position E Labour Occupational Health and Safety Branch Industrial Health and Safety Program "Self-Assessment Questionnaire for Candidates Interested in an Occupational Health and Safety Inspector Position " 16-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1997E 1131 016-2010E Application for Registration with the Radiation Protection Service E Labour Occupational Health and Safety Branch Radiation Protection Service If 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-Mar 104 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2010E 1132 016-2011E Application for Review of Permanent X-ray Location E Labour Occupational Health and Safety Branch Radiation Protection Service If 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 Mini 18-Mar 87 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2011E 1133 016-2018E Application for Employment Occupational Health and Safety Inspector - Mining E Labour Occupational Health and Safety Branch Construction Health and Safety Program Application for Employment Occupational Health and Safety Inspector - Mining 19-Feb 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2018E 1134 016-2019E Request for Appointment of Conciliation Officer E Labour Dispute Resolution Services Dispute Resolution Services Branch A 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 Ac 19-Jan 130 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2019E 1135 016-2020E Request for Appointment of Single Arbitrator Under Section 49 (Expedited Arbitration) E Labour Dispute Resolution Services Dispute Resolution Services Branch A 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-Jan 69 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2020E 1136 016-2021E Request for Appointment of Single Arbitrator Under Section 53.0.1 (Expedited Arbitration) E Labour Dispute Resolution Services Dispute Resolution Services Branch A 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-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2021E 1137 016-2022E Request for Appointment of Arbitrator/Chair/Nominee Under Section 48 E Labour Dispute Resolution Services Dispute Resolution Services Branch A 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-Jan 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2022E 1138 016-2023E Request for Appointment of Single Arbitrator Under Section 53 E Labour Dispute Resolution Services Dispute Resolution Services Branch A 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-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2023E 1139 016-2024E Application for Approval as an Arbitrator E Labour Dispute Resolution Services Dispute Resolution Services Branch This 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-Jan 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2024E 1140 016-2026E File a workplace health and safety complaint E Labour Operations Division Occupational Health and Safety Contact Centre Complete 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-Nov 1197 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2026E 1141 016-5086E Electric Vehicle Chargers Ontario (EVCO) Program Application E Transportation Transportation Policy Branch Sustainable and Innovative Transportation Office Application for the Electric Vehicle Chargers Ontario program 15-Dec 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-5086E 1142 016-C-10E Notice to Responding Party and/or Affected Party of Application Regarding Unlawful Strike or Lock-out E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-10E 1143 016-C-11E Notice to Responding Party and/or Affected Party of Application for Interim Order E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-11E 1144 016-C-12E Notice to Responding Party and/or Affected Party of Application under Section 96 of the Act (Unfair Labour Practice) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-12E 1145 016-C-13E Notice to Responding Party and/or Affected Party of Application for Consent to Institute Prosecution E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-13E 1146 016-C-14E Notice to Union and Employer of Application under Section 74 of the Act (Union's Duty of Fair Representation) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-14E 1147 016-C-15E Notice to Union of Application under Section 75 of the Act (Union's Duty of Fair Referral) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-15E 1148 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 Act E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-16E 1149 016-C-17E Notice to Responding Party and/or Affected Party of Application for Religious Exemption E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-17E 1150 016-C-18E Notice to Responding Party and/or Affected Party of Application Concerning Work Assignment (Jurisdictional Dispute) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-18E 1151 016-C-19E Notice to Responding Party and/or Affected Party of Application under Part IV of the Crown Employees Collective Bargaining Act, 1993 E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-19E 1152 016-C-20E Notice to Responding Party and/or Affected Party of Application Regarding Employee Status E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-20E 1153 016-C-21E Notice to Responding Party and/or Affected Party of Application Regarding Failure to Comply with Terms of Settlement E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-21E 1154 016-C-22E Notice to Responding Party and/or Affected Party of Application Concerning Failure to Furnish Financial Statement E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-22E 1155 016-C-23E Notice to Responding Party and/or Affected Party of Application Concerning Inadequate Financial Statement E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-23E 1156 016-C-24E Notice of Request for Reconsideration E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-24E 1157 016-C-25E Notice to Responding Party and/or Affected Party of Application under Section 77 of the Act (Colleges Collective Bargaining Act) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-25E 1158 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-26E 1159 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-27E 1160 016-C-28E Notice to Employer and/or Affected Party of Application under Section 174 of the Act (Unlawful Reprisal) (Environmental Protection Act) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-28E 1161 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-29E 1162 016-C-2E Notice to Employees of Application for Certification E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-2E 1163 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-30E 1164 016-C-31E Notice to Responding Party and/or Affected Party of Application under the Act E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-31E 1165 016-C-32E Notice to Employer of Application for Certification, Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-32E 1166 016-C-33E Notice to Employees of Application for Certification, Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-33E 1167 016-C-34E Notice to Union of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-34E 1168 016-C-35E Notice to Employer of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-35E 1169 016-C-36E Notice to Employees of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-36E 1170 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-37E 1171 016-C-38E Notice of Responding Party and/or Affected Party of Referral of Grievance to Arbitration (Construction Industry) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-38E 1172 016-C-39E Notice to Responding Party and//or Affected Party of Application for Accreditation, Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-39E 1173 016-C-3E Notice to Union of Application for Termination of Bargaining Rights under Section 63 of the Act E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-3E 1174 016-C-40E Notice to Responding Party and/or Affected Party of Application Concerning Sector Dispute in the Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-40E 1175 016-C-41E Notice to Responding Party and/or Affected Party of Application under the Ambulance Services Collective Bargaining Act, 2001 E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-41E 1176 016-C-43E Notice to Responding Party and/or Affected Party of Notice of Jurisdictional Dispute in the Construction Industry E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-43E 1177 016-C-4E Notice to Employer of Application for Termination of Bargaining Rights under Section 63 of the Act E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-4E 1178 016-C-5E Notice to Employees of Applicatin for Termination of Bargaining Rights under Section 63 of the Act E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-5E 1179 016-C-6E Notice to Responding Party and/or Affected Party of Application for Rights of Access E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-6E 1180 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-7E 1181 016-C-8E Notice to Responding Parties and/or Affected Party of Application for Declaration Concerning Status of Successor Trade Union E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-8E 1182 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) E Labour Ontario Labour Relations Board Ontario Labour Relations Board 02-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-9E 1183 016-JPO-001E Contractor Registration Application for Specialized Work E Labour Ontario-Quebec Jobs Protection Office Ontario-Quebec Jobs Protection Office This 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-Jan 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-001E 1184 016-JPO-002E Worker Registration Application Specialized for Work E Labour Ontario-Quebec Jobs Protection Office Ontario-Quebec Jobs Protection Office This 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-Jan 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-002E 1185 016-JPO-003E Contractor Registration Application Trade Activities E Labour Ontario-Quebec Jobs Protection Office Ontario-Quebec Jobs Protection Office This 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-Jan 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-003E 1186 016-JPO-004E Worker Registration Application for Trade Activities E Labour Ontario-Quebec Jobs Protection Office Ontario-Quebec Jobs Protection Office This 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-Jan 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-004E 1187 016-MOL-ES-002E Employment Standards Claim Kit E Labour Employment Practices Branch Employment Standards Program Employment standards are enforced under the Employment Standards Act, 2000 (ESA), which sets out the minimum standards that employers and employees must follow. 18-Jan 3606 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-002E 1188 016-MOL-ES-016E Employment Protection for Foreign Nationals Claim Form E Labour Employment Practices Branch Employment Standards Program 19-Apr 43 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-016E 1189 016-MOL-ES-024E Notification of Compliance E Labour Employment Practices Branch Employment Standards Program 16-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-024E 1190 016-MOL-ES-039E Severance Pay Worksheet E Labour Employment Practices Branch Employment Standards Program Use this worksheet to calculate the amount of severance pay your employer may owe you. 18-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-039E 1191 016-MOL-ES-040E Public Holiday Pay Worksheet E Labour Employment Practices Branch Employment Standards Program Use this worksheet to calculate the amount of public holiday pay your employer may owe you. 18-Jun 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-040E 1192 016-MOL-ES-041E Termination Pay Worksheet E Labour Employment Practices Branch Employment Standards Program Use this worksheet to calculate the amount of termination pay your employer may owe you. 18-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-041E 1193 016-MOL-ES-047E Notification of Section 112 Settlement Form E Labour Employment Practices Branch Employment Standards Program The 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-Nov 109 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-047E 1194 016-MOL-ES-048E Section 112 Terms of Settlement E Labour Employment Practices Branch Employment Standards Program The 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-Nov 65 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-048E 1195 017-0104E Tenant's Motion to Void an Eviction Order for Arrears of Rent E Municipal Affairs and Housing Ontario Rental Housing Tribunal Ontario Rental Housing Tribunal 02-Jun 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0104E 1196 017-0106E Request to Re-open an Application E Municipal Affairs and Housing Ontario Rental Housing Tribunal Ontario Rental Housing Tribunal 02-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0106E 1197 017-0107E Request to Review an Order E Municipal Affairs and Housing Ontario Rental Housing Tribunal Ontario Rental Housing Tribunal 07-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0107E 1198 017-10550P Notice of Extension of Campaign Period – Form 6 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To 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-Apr 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10550P 1199 017-10551P Notice of Registration - Third Party - Form 7 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To 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-Apr 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10551P 1200 017-10552P Financial Statement - Auditor's Report Third Party - Form 8 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To 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-Apr 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10552P 1201 017-10554PE Declaration of Identity – Form 9 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section "To 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-Apr 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10554PE 1202 017-2006E Form 1 – Request for Fence-Viewers
Line Fences Act, subsection 4 (1), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2006E 1203 017-2007E Form 2 – Clerk's Notice to Parties (Dispute)
Line Fences Act, subsection 4 (2), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2007E 1204 017-2008E Form 3 – Clerk's Notice to Fence-Viewers (Dispute)
Line Fences Act, subsection 4 (2), O Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2008E 1205 017-2009E Form 4 – Award
Line Fences Act, subsection 8 (1), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2009E 1206 017-2010E Form 5 - Owner's Notice of Appeal from Fence-Viewers' Award
Line Fences Act, subsection 10 (1), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2010E 1207 017-2011E Form 6 – Affidavit of Service of Notice of Appeal
Line Fences Act, subsection 10 (1), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2011E 1208 017-2012E Form 7 – Clerk's Notice to Parties (Certification)
Line Fences Act, subsection 11 (8), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2012E 1209 017-2013E Form 8 – Clerk's Notice to Fence-Viewers (Certification)
Line Fences Act, subsection 11 (8), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2013E 1210 017-2014E Form 9 – Certification of Default (Work Not Done)
Line Fences Act, subsection 12 (1) (a), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2014E 1211 017-2015E Form 10 – Certification of Default (Payment Not Made)
Line Fences Act, clause 12 (1) (b), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2015E 1212 017-2016E Form 11 – Treasurer's Notice of Amount Owed to Municipality by Defaulting Owner
Line Fences Act, subsection 12 (8), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2016E 1213 017-2017E Form 12 – Determination with Directions
Line Fences Act, subsection 13 (6), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2017E 1214 017-2018E Form 13 – Decision of Fence-Viewers Where No Award, Certificate, etc. is Made
Line Fences Act, subsection 14 (1), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2018E 1215 017-2019E Form 14 – Agreement
Line Fences Act, section 16, O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2019E 1216 017-2020E Form 15 – Agreement (Where One Party is a Municipality or Local Board)
Line Fences Act, subsection 23 (3), O. Reg. 127/14 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 15-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2020E 1217 017-2021E Form 1 - Award
Line Fences Act, R.R.O. 1990, Reg. 716 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 13-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2021E 1218 017-2022E Form 2 - Notice of Appeal from Fence-Viewer's Award
Line Fences Act, R.R.O. 1990, Reg. 716 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 13-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2022E 1219 017-2023E Form 3 - Certificate of Default (Work Not Done)
Line Fences Act, R.R.O. 1990, Reg. 716 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 13-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2023E 1220 017-2024E Form 4 - Agreement
Line Fences Act, R.R.O. 1990, Reg. 716 E Municipal Affairs and Housing Municipal Programs and Analytics Branch Program Administration 13-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2024E 1221 017-2028E Form to be forwarded for approval of an Adopted Official Plan or Plan Amendment E Municipal Affairs and Housing Municipal Programs and Analytics Branch Information and Analysis Unit This 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-Mar 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2028E 1222 017-2029E Application for Consent E Municipal Affairs and Housing Municipal Programs and Analytics Branch Information and Analysis Unit This 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-Mar 59 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2029E 1223 017-2030E Application to Amend or Revoke a Minister's Zoning Order E Municipal Affairs and Housing Municipal Programs and Analytics Branch Information and Analysis Unit This form is to be used for applications to amend or revoke a Minister's zoning order (MZO). 17-Mar 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2030E 1224 017-2031E Application for Matching Education Property Tax Assistance E Municipal Affairs and Housing Municipal Programs and Analytics Branch Municipal Programs and Outreach Unit This form is to be used by municipalities to apply to the Province of Ontario's Brownfields Financial Tax Incentive Program. 16-Jul 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2031E 1225 017-2032E Annual Progress Report Brownfields Financial Tax Incentive Program E Municipal Affairs and Housing Municipal Programs and Analytics Branch Municipal Programs and Outreach Unit This form is to be used by municipalities to provide annual progress reports under the Province of Ontario's Brownfields Financial Tax Incentive Program. 16-Jul 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2032E 1226 017-2034E Application for Validation Order E Municipal Affairs and Housing Municipal Programs and Analytics Branch Information and Analysis Unit This 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-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2034E 1227 017-2035E Application for Approval of a Plan of Subdivision and Condominium E Municipal Affairs and Housing Municipal Programs and Analytics Branch Information and Analysis Unit This 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-Mar 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2035E 1228 017-2036E Application for amendment to the Parkway Belt West Plan E Municipal Affairs and Housing Municipal Programs and Analytics Branch Information and Analysis Unit This 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-Mar 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2036E 1229 017-2100E Places to Grow Implementation Fund Application E Municipal Affairs and Housing Ontario Growth Secretariat Partnerships and Consultation The form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund. 16-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2100E 1230 017-2233E Endorsement of Nomination - Form 2 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section 18-Apr 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2233E 1231 017-2234E Disaster Recovery Assistance for Ontarians: Application Form for Homeowners and Tenants E Municipal Affairs and Housing Municipal Programs and Analytics Branch Municipal Programs and Outreach Unit Disaster 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 eligibl 19-Mar 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2234E 1232 017-2235E Disaster Recovery Assistance for Ontarians: Application Form for Small Businesses, Farms and Not-For-Profit Organizations E Municipal Affairs and Housing Municipal Programs and Analytics Branch Municipal Programs and Outreach Unit Disaster 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 eligibl 19-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2235E 1233 017-2236E Disaster Recovery Assistance for Ontarians: Request for Reconsideration E Municipal Affairs and Housing Municipal Programs and Analytics Branch Municipal Programs and Outreach Unit 19-Jul 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2236E 1234 017-9499P Nomination Paper - Form 1 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To 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-Apr 60 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9499P 1235 017-9502P Appointment for Voting Proxy – Form 3 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To 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-Apr 52 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9502P 1236 017-9503P Financial Statement - Auditor's Report Candidate - Form 4 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To be completed by every candidate in a municipal or school board election. Must be filed with the municipal clerk. 18-Apr 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9503P 1237 017-9504P Financial Statement – Subsequent Expenses Form 5 E Municipal Affairs and Housing Local Government Policy Branch Municipal Governance Policy Section To 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 b 18-Apr 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9504P 1238 017-S2E Motion to Set Aside an Ex Parte Order E Municipal Affairs and Housing Ontario Rental Housing Tribunal Ontario Rental Housing Tribunal 02-Jun 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-S2E 1239 017-S3E Landlord's Motion to Set Aside an Order to Void E Municipal Affairs and Housing Ontario Rental Housing Tribunal Ontario Rental Housing Tribunal 02-Jun 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-S3E 1240 018-0178E Avoidance Alternatives Form for activities that may require an overall benefit permit under clause 17(2)(c) of the Endangered Species Act E Natural Resources and Forestry Species at Risk Branch Species at Risk Program The 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 req 12-Feb 83 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0178E 1241 018-0179E Application for an overall benefit permit under clause 17(2)(c) of the Endangered Species Act E Natural Resources and Forestry Species at Risk Branch Species at Risk Program This 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), Avoidance 12-Feb 85 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0179E 1242 018-0180E Information Gathering Form for activities that may affect species or habitat protected under the Endangered Species Act E Natural Resources and Forestry Species at Risk Branch Species at Risk Program The 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) o 12-Feb 128 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0180E 1243 018-0181E Land Stewardship and Habitat Restoration Program (LSHRP) Application 2015/16 E Natural Resources and Forestry Integration Branch Program Services Section - Incentives and Agreements Unit 14-Sep 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0181E 1244 018-0233E Private Gas Well Licence Application E Natural Resources and Forestry Integration Branch Petroleum Operations This form only to be used for the licensing of existing wells. 12-Jul 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0233E 1245 018-0235E Well Evaluation Private Gas Well Incentive Program E Natural Resources and Forestry Integration Branch Program Coordination Section 12-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0235E 1246 018-0427E Notice of Possession E Natural Resources and Forestry Integration Branch Information Coordination Section This 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 Ontari 13-Jul 43 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0427E 1247 018-0428E Notice of Butternut Impact Form E Natural Resources and Forestry Integration Branch Information Coordination Section This 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 butte 13-Jul 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0428E 1248 018-0433E Notice of Activity Form to Register for Activities on Public Land and Shore Lands under the Public Lands Act E Natural Resources and Forestry Integration Branch Program Coordination Section This 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.O 13-Dec 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0433E 1249 018-0434E Application for Aquaculture-Related Licences for Community Hatcheries E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section This 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-Jul 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0434E 1250 018-0446E Elk Seal Transfer Application E Natural Resources and Forestry Species Conservation Policy Branch Fish and Wildlife Services Branch This form documents a group applicant's request to transfer his/her elk seal to another hunter in the group. 14-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0446E 1251 018-0447E Adult Moose Validation Tag Transfer Application E Natural Resources and Forestry Species Conservation Policy Branch Fish and Wildlife Services Branch This form documents a group applicant's request to transfer his/her moose validation tag to the designated alternate in the group. 14-Jul 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0447E 1252 018-0448E Ice Hut Registration E Natural Resources and Forestry Integration Branch Program Coordination Section This 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/icefishing 14-Jul 217 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0448E 1253 018-0451E Examiner Reports E Natural Resources and Forestry Integration Branch Petroleum Operations The 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 admi 19-Feb 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0451E 1254 018-0456E Ontario FireRanger Employment Application Form E Natural Resources and Forestry Aviation, Forest Fire & Emergency Services Science and Technology/Integrated Services Section Being 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 p 17-Dec 1505 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0456E 1255 018-0457E Seasonal or Temporary Employment Application Form E Natural Resources and Forestry Aviation, Forest Fire & Emergency Services Science and Technology/Integrated Services Section Being 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 managemen 15-Feb 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0457E 1256 018-0469E Licence to Collect Fish for Scientific Purposes – Mandatory Collection Report E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section There 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. R 16-Sep 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0469E 1257 018-0470E Kids' Fish Art Contest - Entry Form E Natural Resources and Forestry Fish and Wildlife Services Branch Business and Integration Services Section This form is used when submitting an entry to the Kids' Fish Art Contest. 18-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0470E 1258 018-0471E Independent Electricity System Operator Feed-In Tariff 5 (IESO FIT 5) Program E Natural Resources and Forestry Natural Resources Conservation Policy Branch Resource Development Section This 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 Electri 16-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0471E 1259 018-0472E Notice of Activity Form - Aquatic Species Activities in the habitat of certain fish or mussels E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0472E 1260 018-0473E Notice of Activity Form Barn Swallow – Activities in built structures that are habitat E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0473E 1261 018-0474E Notice of Activity Form Bobolink and Eastern Meadowlark – Activities impacting 30 hectares or less of habitat E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0474E 1262 018-0475E Notice of Activity Form Chimney Swift – Activities in chimneys that are habitat E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0475E 1263 018-0476E Notice of Drainage Works E Natural Resources and Forestry Integration Branch Information Coordination Section This form is to be used to register activities that require a Notice of Drainage Works under the Endangered Species Act, 2007. 16-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0476E 1264 018-0477E Notice of Activity Form Early Exploration Mining E Natural Resources and Forestry Integration Branch Information Coordination Section This form is to be used to register activities that require a Notice of Activity, Early Exploration Mining under the Endangered Species Act, 2007. 16-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0477E 1265 018-0478E Notice of Activity Form Ecosystem protection E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0478E 1266 018-0479E Notice of Activity Form – Threats to Human Health or Safety- Activities to protect against non-imminent threats E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0479E 1267 018-0480E Notice of Activity Form Hydro-Electric Generating Stations- Operations E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0480E 1268 018-0481E Notice of Activity Form Notice of Incidental Trapping E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0481E 1269 018-0482E Notice of Activity for Newly Listed and Transition Species E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0482E 1270 018-0483E Notice of Activity Form - Pits and Quarries – Operations of an eligible pit or quarry E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0483E 1271 018-0484E Notice of Activity Form Possession for Scientific or Educational Purposes E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0484E 1272 018-0485E Notice of Activity Form - Safe Harbour E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0485E 1273 018-0486E Notice of Activity Form - Safe Harbour E Natural Resources and Forestry Integration Branch Information Coordination Section This 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-Dec 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0486E 1274 018-0487E Notice of Activity Form - Wind Facilities Operations E Natural Resources and Forestry Integration Branch Information Coordination Section This form is to be used to register activities that require a Notice of Activity, Wind Facilities Operations under the Endangered Species Act, 2007. 16-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0487E 1275 018-0488E Application Form for Cage Aquaculture Facilities in Ontario E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section The 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-Jul 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0488E 1276 018-2365E Building Construction Part 2 E Natural Resources and Forestry Integration Branch Program Coordination Section To 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-Aug 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2365E 1277 018-2366E Application to do Work on Shorelands Part 3 E Natural Resources and Forestry Integration Branch Program Coordination Section Collect information regarding work to take place on shore lands. 14-Aug 102 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2366E 1278 018-2367E Road or Trail Construction/Water Crossings Part 4 E Natural Resources and Forestry Integration Branch Program Coordination Section To provide information regarding work requested to take place for purposes of road or trail or watercrossings 14-Aug 64 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2367E 1279 018-2368E Works within a Waterbody Part 5 E Natural Resources and Forestry Integration Branch Program Coordination Section To provide information regarding work requested to take place wihtin a waterbody 14-Aug 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2368E 1280 018-2369E Application for Work Permit Part 1 E Natural Resources and Forestry Integration Branch Program Coordination Section To collect applicant/contractor information and site specific information regarding activities proposed on public land or shore lands 14-Aug 294 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2369E 1281 018-2370E Seed Purchase Order E Natural Resources and Forestry Regional Operations Division Ontario Tree Seed Plant Allows 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-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2370E 1282 018-2371E Bait Harvest Area Application E Natural Resources and Forestry Biodiversity Branch Fisheries Policy Section Mechanism 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-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2371E 1283 018-2372E Application for a Commercial Bait Licence to Deal in Bait E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Application for a Commercial Bait Licence to Deal in Bait 16-Apr 106 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2372E 1284 018-2374E Application for a Commercial Bait Licence to Harvest in Bait E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Application for a Commercial Bait Licence to Harvest in Bait 16-May 66 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2374E 1285 018-2375E Application for Transfer of a Commercial Bait Licence E Natural Resources and Forestry Biodiversity Branch Fisheries Policy Section Mechanism to transfer a commercial bait licence from one licence holder to another. 15-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2375E 1286 018-2376E Application for Change of Information Regarding Designates Listed on a Commercial Bait Licence E Natural Resources and Forestry Biodiversity Branch Fisheries Policy Section Mechanism 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 the 15-Nov 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2376E 1287 018-2377E Designate Acknowledgement for Commercial Bait Harvesting E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Designate Acknowledgement for Commercial Bait Harvesting 16-May 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2377E 1288 018-2378E Licensees Compliance Assessment Report - Aggregate Resources Act E Natural Resources and Forestry Natural Resources Conservation Policy Branch Resource Development Section Licensees 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 and 16-May 76 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2378E 1289 018-2380E Well Location Sketch - Existing Private Gas Well E Natural Resources and Forestry Integration Branch Petroleum Operations This form is used to collect spatial information to identify the exact location of a private well. 15-Mar 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2380E 1290 018-2382E Ontario Managed Forest Tax Incentive Program - Landowner Report E Natural Resources and Forestry Integration Branch Program Services Section - Incentives and Agreements Unit Must be completed to stay eligible in program. MFTIP Landowner Report must include your 19 digit property tax number 14-Apr 102 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2382E 1291 018-2383E Planning Template for Preparing a Stewardship Plan for Natural Areas E Natural Resources and Forestry Integration Branch Program Services Section - Incentives and Agreements Unit To provide eligible landowners a full package of forms 18-Nov 48 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2383E 1292 018-2390E Aggregate Permittees Compliance Assessment Report - Aggregate Resources Act E Natural Resources and Forestry Natural Resources Conservation Policy Branch Resource Development Section Permittees 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 an 16-May 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2390E 1293 018-2391E Crown Land Survey Request Form E Natural Resources and Forestry Mapping and Information Resources Office of the Surveyor General / Crown Land Surveys To request any type of crown survey plan, field notes, diary or instructions. 14-Dec 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2391E 1294 018-2392E Geographic Name Application E Natural Resources and Forestry Mapping and Information Resources Office of the Surveyor General / Crown Land Surveys To request a new name or change an existing name for a place or feature anywhere in Ontario 14-Dec 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2392E 1295 018-2400E Managed Forest Tax Incentive Program (MFTIP) - Ten-Year Application E Natural Resources and Forestry Integration Branch Program Services Section - Incentives and Agreements Unit 10 Year application for the MFTIP program 14-May 207 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2400E 1296 018-2401E Application for Crown Land E Natural Resources and Forestry Crown Forests and Lands Policy Branch Crown Lands Section Application for Crown Land 18-Dec 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2401E 1297 018-2404E Work Permit Application for Works on Shore Lands for Erosion Control E Natural Resources and Forestry Regional Operations Division Regions (Northeast, Northwest, Southern) Online registration for members of the public 20-Jan 273 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2404E 1298 018-FW1007E Head Trapper Application E Natural Resources and Forestry Species Conservation Policy Branch Wildlife Section Determines compliance of applicant with regulated licence pre-requisites, and allows for selection of most suitable applicant through evaluation of applicant's qualifications. 10-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1007E 1299 018-FW1014E Application for an Aquaculture Licence E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Provides 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 licence 18-Jul 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1014E 1300 018-FW1015E Application for a License to Collect Fish for Aquaculture E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Provides necessary information for Ministry to determine whether or not to issue a licence 18-May 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1015E 1301 018-FW1016E Application for a License to Stock Fish E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Provides 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 licence 18-Jul 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1016E 1302 018-FW1021E Application for a License to Transport Live Fish Taken from Ontario Waters E Natural Resources and Forestry Policy Division Biodiversity Branch A 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 app 15-Oct 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1021E 1303 018-FW1031E Application For a License to Collect Fish for Scientific Purposes E Natural Resources and Forestry Species Conservation Policy Branch Fisheries Section Request a licence to fish 14-Nov 59 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1031E 1304 019-0044E Application for Extension of Time to Perform and/or File Work E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section This 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-Jan 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0044E 1305 019-0239E Transfer of Unpatented Mining Claim(s) E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section When 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 SUBSCRIBI 11-Nov 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0239E 1306 019-0271E Affidavit Concerning Hazards on Mining Lands E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section When 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-Jan 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0271E 1307 019-0297E Northern Industrial Electricity Rate Program - 2017 E Northern Development and Mines Coordination and Analysis Unit Northern Industrial Electricity Rate Program An application to the Northern Industrial Electricity Rate Program 17-May 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0297E 1308 019-0298E Application for Exemption from Mining Land Tax E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section 11-Jan 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0298E 1309 019-0299E Application for an Order Opening Crown Mining Rights in Ontario E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section 11-Jan 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0299E 1310 019-0300E Application for an Order Withdrawing Crown Mining Rights in Northern Ontario E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section 11-Jan 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0300E 1311 019-0305E Notice of Project Status - Form 1 - Mining Act E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section This 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-Sep 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0305E 1312 019-0306E Notice to Require Hearing Under Part VII of the Act - Form 5 - Mining Act E Northern Development and Mines Mineral Development and Lands Branch Mine Rehabilitation, Inspection and Compliance Office This form is used by proponents to require a hearing concerning rehabilitation of mining lands under Part VII of the Mining Act. 12-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0306E 1313 019-0307E Notice of Material Change-Under the Mining Act E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section This 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-Oct 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0307E 1314 019-0311E Application for an Order Withdrawing a Site of Aboriginal Cultural Significance for the purposes of Mining Act, Section 35 E Northern Development and Mines Mineral Development and Lands Branch Mining Lands Section Lands 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 land 12-Oct 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0311E 1315 019-0312E Activity Details Report E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section 18-Oct 54 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0312E 1316 019-0313E Aboriginal Consultation Report E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section 12-Oct 49 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0313E 1317 019-0316E Bulk Sample Evaluation Report Mining Act, Section 52 E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section Personal 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 th 12-Oct 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0316E 1318 019-0317E Application for Bulk Sample Permission Mining Act, Section 52 E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section Personal 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-Oct 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0317E 1319 019-0320E Notice to Surface Rights Owner (SRO) of Intent to Submit an Exploration Plan E Northern Development and Mines Mineral Development and Lands Branch Strategic Support Unit Form 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-Jul 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0320E 1320 019-0321E Notice to Surface Rights Owner (SRO) of Intent to Apply for an Exploration Permit E Northern Development and Mines Mineral Development and Lands Branch Strategic Support Unit Form 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-Jul 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0321E 1321 019-0322E Voluntary Rehabilitation Application E Northern Development and Mines Mineral Development and Lands Branch Mineral Exploration and Development Section 12-Dec 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0322E 1322 019-0323E Northern Ontario Heritage Fund Corporation (NOHFC) Applicaton - Northern Ontario Internship Program E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation the purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0323E 1323 019-0324E Northern Business Opportunity Program - Business Expansion Projects Stream - Small Business Start-up Projects Stream - New Investment Projects Stream E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation "the purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project " 18-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0324E 1324 019-0325E Northern Business Opportunity Program - Film & Television Industry Projects Stream E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation "the purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project " 17-Oct 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0325E 1325 019-0326E Northern Innovation Program E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation "the purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project " 17-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0326E 1326 019-0327E Strategic Economic Infrastructure Program - Northern Community Capacity Building Program E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation "the purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project " 17-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0327E 1327 019-0328E Northern Ontario Crew Content E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation "the purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project " 14-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0328E 1328 019-1001E Northern Communities Investment Readiness Application and Guide E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Communities Investment Readiness Program This guide is intende to assist clients in completeing a project proposal for the Northern Communities Investment Readiness (NCIR) initiative. 18-Aug 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-1001E 1329 0209E Application for Appointing Officials E Solicitor General External Relations Public Safety Projects 14-Sep 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0209E 1330 021-0368E Application Guidelines for Determination under the Foreign Cultural Objects Immunity From Seizure Act (FCOISA) E Tourism, Culture and Sport Culture Agencies Branch Culture Agencies Unit Application 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 un 16-Oct 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0368E 1331 021-0459E One Week Survey of Public Library Use (Typical Week Survey) E Tourism, Culture and Sport Programs and Services Culture Programs Typical 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 Lib 14-Oct 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0459E 1332 021-0478E Criteria for Evaluating Archaeological Potential E Tourism, Culture and Sport Programs and Services Culture Services Unit The purpose of the checklist is to determine if a property(ies) or project area may contain archaeological resources i.e., have archaeological potential. 15-Nov 69 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0478E 1333 021-0483E REA Checklist: Consideration of Potential for Heritage Resources E Tourism, Culture and Sport Programs and Services Culture Services Unit 12-Aug 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0483E 1334 021-0484E REA Checklist: Consideration of Potential for Archaeological Resources E Tourism, Culture and Sport Programs and Services Culture Services Unit 12-Aug 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0484E 1335 021-0493E IGNITE Ontario Application Guide E Tourism, Culture and Sport Investment & Development Office Product Development & Investment Services To inform stakeholders and potential applicants about IGNITE Ontario program details and guidelines on submitting an application for the grant. 14-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0493E 1336 021-0494E Tourism Development Fund Application Guide E Tourism, Culture and Sport Tourism Division Tourism Development Fund The Tourism Development Fund supports projects that encourage three key streams: tourism investment, tourism product development and industry capacity building. 17-Jul 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0494E 1337 021-0495E Celebrate Ontario Blockbuster- Event Bid and Event Hosting Application Guide E Tourism, Culture and Sport Tourism Division Festival 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 in 18-May 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0495E 1338 021-0496E Celebrate Ontario 2019 - Application Guide E Tourism, Culture and Sport Tourism Division Festival 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 and 18-Nov 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0496E 1339 021-0500E Criteria for Evaluating Potential for Built Heritage Resources and Cultural Heritage Landscapes E Tourism, Culture and Sport Programs and Services Culture Services Unit "The purpose of the checklist is to determine if a property(ies) or project area: • is a recognized heritage property • may be of cultural heritage value" 16-Nov 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0500E 1340 021-0502E Celebrate Ontario 2017 - Frequently Asked Questions E Tourism, Culture and Sport Tourism Division Festival 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-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0502E 1341 021-0503E Criteria for Evaluating Marine Archaeological Potential E Tourism, Culture and Sport Programs and Services Heritage Program Unit Evaluating Marine Archaeological Potential 16-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0503E 1342 021-0504E Ontario 150 Community Celebration Program E Tourism, Culture and Sport Investment & Development Office Product Development & Investment Services 16-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0504E 1343 021-0510E License or Event Permit Application E Tourism, Culture and Sport Policy Branch Office of the Athletics Commissioner 17-Jan 169 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0510E 1344 021-0511E Initial and Annual Examination Form E Tourism, Culture and Sport Policy Branch Office of the Athletics Commissioner 17-Jan 83 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0511E 1345 021-0512E Report on Professional MMA Contest or Exhibition E Tourism, Culture and Sport Policy Branch Office of the Athletics Commissioner 17-Jan 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0512E 1346 021-0513E Report on Professional Boxing / Kickboxing Contest or Exhibition E Tourism, Culture and Sport Policy Branch Office of the Athletics Commissioner 17-Jan 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0513E 1347 021-0515E Celebrate Ontario Project Application Form 2018 - Multi-Year E Tourism, Culture and Sport Tourism Division Festival 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-Sep 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0515E 1348 021-0516E Celebrate Ontario Project Application Form 2018 – Single-Year E Tourism, Culture and Sport Tourism Division Festival 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-Sep 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0516E 1349 021-0517E Celebrate Ontario 2019 At a Glance E Tourism, Culture and Sport Tourism Division Festival 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-Nov 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0517E 1350 0211E Bench Warrant Form 1 E Solicitor General Office of the Chief Coroner Office of the Chief Coroner To Facilitate Coroners Act 40(3) 15-Jan 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0211E 1351 021-22-240E Project Information Form (PIF) Archaeological Fieldwork E Tourism, Culture and Sport Programs and Services Culture Programs This 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 fi 11-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-22-240E 1352 021-52-208E 2020-21 Ontario Sport Hosting Budget E Tourism, Culture and Sport Sport, Recreation and Community Programs Celebrate Ontario 2014 International Amateur Sport Hosting Program Outline event budget 19-Nov 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-52-208E 1353 022-12-1537E Application for Trade Activity Card E Training, Colleges and Universities Program Delivery Support Branch Operations Unit 06-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1537E 1354 022-12-1539E 2013 Minister's Awards for Apprenticeship Training E Training, Colleges and Universities Program Delivery Support Branch Operations Unit "This 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 mem" 13-Jun 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1539E 1355 022-12-1554E Signing Authority Guidelines For Modular Training E Training, Colleges and Universities Program Delivery Support Branch Operations Unit 06-Apr 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1554E 1356 022-12-1661E Application for Apprenticeship Training E Training, Colleges and Universities Program Delivery Support Branch Apprenticeship Unit Application for Apprenticeship Training 19-Feb 665 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1661E 1357 022-12-1666E Income Support while Attending Apprenticeship Classroom Training E Training, Colleges and Universities Program Delivery Support Branch Operations Unit The 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-Jan 318 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1666E 1358 022-12-1756E Ontario Youth Apprenticeship Program (OYAP) - Participant Application Form E Training, Colleges and Universities Program Delivery Support Branch Apprenticeship Unit "Form used to register students who are participating in the Ontario Youth Apprenticeship Program (OYAP). " 19-Feb 61 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1756E 1359 022-12-1791E Application for Access Training Delivery Agent (TDA) Subscriber E Training, Colleges and Universities Program Delivery Support Branch Operations Unit 19-Jan 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1791E 1360 022-12-1792E Inactivation/Reset Number Training Delivery - Agent Subscriber / Private Identification Number E Training, Colleges and Universities Program Delivery Support Branch Operations Unit 19-Jan 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1792E 1361 022-12-1885E Application for Apprenticeship Training Delivery Agent E Training, Colleges and Universities Program Delivery Support Branch Operations Unit Institutions, 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 a 19-Jan 90 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1885E 1362 022-13-1352E Postsecondary Student Unpaid Work Placement Workplace Insurance Claim E Training, Colleges and Universities Programs Branch Literacy and Basic Skill (LBS) Track Post secondary students who incur a serious occurance on work placements 17-Oct 573 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-13-1352E 1363 022-1993E Payment Claim / Activity Report for Ontario Labour Market Partnerships (OLMP) Agreements E Training, Colleges and Universities Programs Branch Literacy and Basic Skill (LBS) "Used by Recipients to make payment claims and to report on activities related to Ontario Labour Market Partnerships Agreements " 16-Oct 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-1993E 1364 022-1994E Payment Claim / Activity Report for Ontario Job Creation Partnerships (OJCP) Agreements E Training, Colleges and Universities Programs Branch Literacy and Basic Skill (LBS) Used by Recipients to make payment claims and to report on activities related to Ontario Job Creation Partnerships Agreements 16-Oct 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-1994E 1365 022-2938-87E Ontario Employment Assistance Services Participant Information E Training, Colleges and Universities Program Delivery Support Employment Ontario Programs 19-Jul 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-2938-87E 1366 022-3033E SkillsAdvance Ontario Employer Registration E Training, Colleges and Universities Program Delivery Support Employment Ontario Programs This 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-Oct 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3033E 1367 022-3034E Skills Advance Ontario Participant Registration E Training, Colleges and Universities Program Delivery Support Employment Ontario Programs This 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-Mar 73 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3034E 1368 022-3035E SkillsAdvance Ontario Training Placement Agreement E Training, Colleges and Universities Program Delivery Support Branch Program and Contract Alignment Unit Skills Advance Ontario 18-Jun 43 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3035E 1369 022-3045E Supported Employment Financial Support Agreement E Training, Colleges and Universities Program Delivery Support Branch Program and Contract Alignment Unit Outlines 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 t 18-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3045E 1370 022-34-1646E Ontario Graduate Scholarship Program - Summary Sheet E Training, Colleges and Universities Student Financial Assistance Branch Information Systems Unit 07-Jul 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1646E 1371 022-34-1651E Request for Assessment on Spouses' Estimated Income E Training, Colleges and Universities Student Financial Assistance Branch Information Systems Unit 07-Apr 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1651E 1372 022-34-1892E Ranked Candidates - Ontario Graduate Scholarship E Training, Colleges and Universities Student Financial Assistance Branch Information Systems Unit 09-Aug 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1892E 1373 022-58-1715E Student Contact Information Form E Training, Colleges and Universities Private Career Colleges Branch Private Career Colleges "Please complete this form if you are a student that has been affected by the closure of a private career college. " 12-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1715E 1374 022-58-1722E Administrative Monetary Penalties – Request for Review Form E Training, Colleges and Universities Private Career Colleges Branch Private Career Colleges Please 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-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1722E 1375 022-58-1807E Program Assessment Report (Distance Education) E Training, Colleges and Universities Private Career Colleges Branch Private Career Colleges In 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-Dec 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1807E 1376 022-58-1959E Private Career Colleges Branch - Instructor Qualification Form E Training, Colleges and Universities Private Career Colleges Branch Private Career Colleges 17-Apr 129 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1959E 1377 022-87-1736E Employment Service - Training Incentive Placement Agreement E Training, Colleges and Universities Programs Branch Literacy and Basic Skill (LBS) 17-Aug 234 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1736E 1378 022-87-1737E Employment Service - Training Incentive Placement Agreement for Participant on Service Provider Payroll E Training, Colleges and Universities Programs Branch Literacy and Basic Skill (LBS) 19-Apr 37 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1737E 1379 022-87-1760E Ontario College of Trades Governance Boards and Roster of Adjudicators Application E Training, Colleges and Universities Program Delivery Support Branch Apprenticeship Unit 13-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1760E 1380 022-87-1788E Literacy and Basic Skills - Exit and Follow-Up E Training, Colleges and Universities Program Delivery Support Literacy 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-May 110 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1788E 1381 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 Reimbursement E Training, Colleges and Universities Organizational & Business Excellence Branch Ontario Crown Ward Postsecondary Application Fee Reimbursement Program Application 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-Jan 118 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1790E 1382 022-87-3038E Council of the Federation Literacy Award E Training, Colleges and Universities Organizational & Business Excellence Branch Program Development Nomination form and instructions for the Council of Federation Literacy Award (Ontario) 19-Jun 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-3038E 1383 022-89-1824E-EMP5209E Sponsors Application for Funding E Training, Colleges and Universities Program Delivery Support Branch Program and Contract Alignment Unit To enable sponsor to apply to become Self Employment Coordinators 07-Mar 30 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1824E-EMP5209E 1384 022-89-1839E-EMP5335E Ontario Job Creation Partnerships – Client Application E Training, Colleges and Universities Business Systems Management Branch Ontario 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-Jun 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1839E-EMP5335E 1385 022-89-1859E-EMP5362E Application for Direct Deposit for Ontario EBSMs E Training, Colleges and Universities Business Systems Management Branch Ontario EBSM: (Employment Benefits and Support Measures) application 07-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1859E-EMP5362E 1386 022-89-1889E Application for Financial Assistance - Second Career (SC) E Training, Colleges and Universities Program Delivery Support Branch Second Career This form is completed by individuals applying to the Second Career program. 19-Apr 299 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1889E 1387 022-97-1982E Youth Job Connection and Youth Job Connection: Summer Training Incentive Placement Agreement E Training, Colleges and Universities Organizational & Business Excellence Branch Youth Job Connection and Youth Job Connection: Summer 16-Oct 84 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-97-1982E 1388 022-97-1983E Youth Job Connection and Youth Job Connection: Summer Training Incentive Placement Agreement for Participant on Service Provider Payroll E Training, Colleges and Universities Organizational & Business Excellence Branch Youth Job Connection and Youth Job Connection: Summer 16-Oct 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-97-1983E 1389 023-0127E Claim for Lien E Transportation Office Delivery Partnership Branch Contract Management Office 15-Nov 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0127E 1390 023-0128E Release of Lien E Transportation Office Delivery Partnership Branch Contract Management Office 15-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0128E 1391 023-0129E Illegal Passing of A School Bus Reporting E Transportation Safety Policy and Education Branch Road User Saftey Division 07-Feb 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0129E 1392 023-0132E Individual Vehicle Distance Records (IVDR) Forms E Transportation Projects and Change Management Branch International Registry Program 07-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0132E 1393 023-0134E RAQs Login E Transportation Office Delivery Partnership Branch Contract Management Office 07-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0134E 1394 023-0135E Road Test Booking E Transportation Contract Management and Operations Branch Licensing Services Program Road Test booking is primarily an automateds process (DABS). Form usage is very low as per Stock Management (Kingston) 02-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0135E 1395 023-0137E Commercial Vehicle Operator Record - Driver Abstract E Transportation Contract Management and Operations Branch Licensing Services Program Commercial vehicle driver record (abstract), level 1 01-May 198 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0137E 1396 023-0138E Commercial Vehicle Operator Summary - Public Abstract E Transportation Contract Management and Operations Branch Licensing Services Program Abstract or information on the company and not on the individual drivers. 02-Oct 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0138E 1397 023-0139E Used Vehicle Information Package E Transportation Licensing Services Branch Licensing Administration Office Request a uvip package 07-Mar 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0139E 1398 023-0142E Certified Plate Search - Recent Owner E Transportation Licensing Services Branch Licensing Administration Office Application for a vehicle abstract 06-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0142E 1399 023-0144E List of Excellent Carriers E Transportation Carrier Safety and Enforcement Branch Data Management Section The information on this list can be used by the public to make an informed decision when selecting/hiring a trucking/bussing operator. 02-Oct 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0144E 1400 023-0145E List of Unsatisfactory/Cancelled Carriers E Transportation Carrier Safety and Enforcement Branch Data Management Section The information on this list can be used by the public to make an informed decision when selecting/hiring a trucking/bussing operator. 02-Oct 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0145E 1401 023-0146E Commercial Vehicle Operator Record - For Carriers Only E Transportation Licensing Services Branch Licensing Administration Office Application for a level 2 carrier abstract 03-Oct 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0146E 1402 023-0147E Carrier Safety Rating Enquiry E Transportation Licensing Services Branch Licensing Administration Office 02-Oct 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0147E 1403 023-0148E Driver Licence Check E Transportation Licensing Services Branch Licensing Administration Office 02-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0148E 1404 023-0149E Copy of Collision Report E Transportation Licensing Services Branch Licensing Administration Office Request copy of a collison report 02-Jun 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0149E 1405 023-0150E Driver's Licence History Search E Transportation Licensing Services Branch Licensing Administration Office "Request copy of a driver history astract Restricted: may only be requested and delivered to the Driver)" 06-Jun 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0150E 1406 023-0152E 5-Year Statement of Driving Record E Transportation Licensing Services Branch Licensing Administration Office "Request copy of a 5 year driver record (Restricted: may only be requested and delivered to the Driver)" 06-Jun 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0152E 1407 023-0155E Vehicle Population Statistics: Annual Report E Transportation Licensing Services Branch Licensing Administration Office There is no application for this product, you can order online or submit a request via mail. 06-Jun 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0155E 1408 023-0156E Carrier Search by Name E Transportation Licensing Services Branch Licensing Administration Office To order a carrier abstract Apr-00 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0156E 1409 023-0157E Driver's Licence - Copies of Documents E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0157E 1410 023-0158E Vehicle - Copies of Documents E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0158E 1411 023-0159E Certified Driver and Vehicle Documents E Transportation Licensing Services Branch Licensing Administration Office 06-Aug 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0159E 1412 023-0160E Certified Driver's Licence History Search E Transportation Licensing Services Branch Licensing Administration Office "(Restricted: may only be requested and delivered to the Driver) " 06-Jun 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0160E 1413 023-0161E Certified 3 Year Statement of Driving Record E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0161E 1414 023-0162E Certified 5 Year Statement of Driving Record E Transportation Licensing Services Branch Licensing Administration Office (Restricted: may only be requested and delivered to the Driver) 06-Jun 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0162E 1415 023-0163E Certified Driver's Licence - Copies of Documents E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0163E 1416 023-0164E Certified Plate Search - Date Specific E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0164E 1417 023-0165E Certified Owner by Vehicle Identification Number (VIN) - Date Specific E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0165E 1418 023-0166E Certified Vehicle - Copies of Documents E Transportation Licensing Services Branch Licensing Administration Office 06-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0166E 1419 023-05004E Special Vehicle Configuration Permit Application Long Combination Vehicle (LCV) Project E Transportation Carrier Safety and Enforcement Branch Carrier Safety Policy Office 12-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05004E 1420 023-05005E LCV Origin/Destination Location Application Long Combination Vehicle (LCV) Program E Transportation Carrier Safety and Enforcement Branch Carrier Safety Policy Office 11-Feb 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05005E 1421 023-05006E LCV Origin/Destination Location - Road Authority Consent Long Combination Vehicle (LCV) Program E Transportation Carrier Safety and Enforcement Branch Carrier Safety Policy Office 11-Feb 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05006E 1422 023-05011E Change your home address E Transportation Licensing Services Branch Driver Improvement Office Change 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 Transpor 09-Sep 51 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05011E 1423 023-05016E Electric and Hydrogen Vehicle Incentive Program (EHVIP) Vehicle Eligibility Submission Form E Transportation Transportation Policy Branch Electric Vehicle Incentive Program 18-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05016E 1424 023-05017E Application for MTO Exempt Dealer Program E Transportation Program Development and Evaluation Branch Vehicle Programs Office This 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-Jan 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05017E 1425 023-05023E ServiceOntario centres which offer the full suite of EDL services and are EDL card pick-up locations E Transportation Road User Safety Division Service Management and Business Integrity Office 12-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05023E 1426 023-05045E Application for Demonstrator Vehicles with extended Mileage E Transportation Transportation Policy Branch Sustainable Transportation Policy Office The 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 limi 17-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05045E 1427 023-05060E Damage Claim Report E Transportation Risk Management and Insurance Services Branch Claims The 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 public 15-Oct 633 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05060E 1428 023-2096E Electric and Hydrogen Vehicle Incentive Program (EHVIP) Incentive Application for Individuals and Businesses E Transportation Transportation Policy Branch Electric Vehicle Incentive Program 18-Aug 61 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-2096E 1429 023-5025E Estimated Distance Declaration E Transportation Program Development and Evaluation Branch Vehicle Programs Office 14-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5025E 1430 023-5026E Established Place of Business Questionnaire E Transportation Program Development and Evaluation Branch Vehicle Programs Office Established Place of Business Questionnaire 19-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5026E 1431 023-5048E User Account E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section This 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-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5048E 1432 023-5049E Pre-Paid Account / Registrant Acknowledgment E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section This 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 up 16-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5049E 1433 023-5061E Service Provider Authorization E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section This form needs to be filled out by a Carrier registrant and the requirements indicated submitted along with the form if the Carrier wishes to designate a Service Provider (Permitting Agency) to act on their behalf of the Oversize/Overweight (O/O) Program 16-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5061E 1434 023-5075E Cycling Training Fund 2015 & 2016 - Application Guide E Transportation Transportation Policy Branch Sustainable Transportation Policy Office Application 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 Transportation 15-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5075E 1435 023-5076E Cycling Training Fund: Cycling Skills and Instructor Training Final Report E Transportation Transportation Policy Branch Sustainable Transportation Policy Office Final 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 Transportation 15-Jun 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5076E 1436 023-5077E Cycling Training Fund: Cycling Curriculum and/or Public Education Report Form (for Final Report or Annual Report) E Transportation Transportation Policy Branch Sustainable Transportation Policy Office Final 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 Transportation 15-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5077E 1437 023-5078E Commercial Vehicle Operator's Registration (CVOR) Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office CVOR registration. 19-Jul 4125 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5078E 1438 023-5083E Connecting Links Program Application E Transportation Contract Management and Operations Branch Operations Office Through 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 Transportation 19-Aug 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5083E 1439 023-5084E Automated Vehicle (AV) Pilot Application Form E Transportation Program Development and Evaluation Branch Vehicle Programs Office 18-Dec 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5084E 1440 023-5085E Application for the Manufacturer Plate Program E Transportation Program Development and Evaluation Branch Vehicle Programs Office Application for the Manufacturer Plate Program 15-Dec 108 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5085E 1441 023-5096E Electric and Hydrogen Vehicle Incentive (EHVIP) E Transportation Transportation Policy Branch Electric Vehicle Incentive Program If 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-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5096E 1442 023-5104E Appendix A to the Grants Ontario Application E Transportation Transportation Policy Branch Passenger Transportation Office "Completing this form is a mandatory requirement for applicants to the Electric School Bus Pilot Program. " 17-Aug 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5104E 1443 023-5108E Medical Condition Report E Transportation Licensing Services Branch Driver Improvement Office 19-May 1814 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5108E 1444 023-5109E Vision Report to the Registrar of Motor Vehicles E Transportation Licensing Services Branch Driver Improvement Office 19-May 161 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5109E 1445 023-AIR-01E Application to Increase Rating E Transportation Office Delivery Partnership Branch Contract Management Office 18-Dec 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-AIR-01E 1446 023-CRF-01E Contractor Registration Form (CRF) E Transportation Office Delivery Partnership Branch Contract Management Office 07-Feb 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-CRF-01E 1447 023-CWA-01E "Contractor Work Appraisal ""Qualification Purposes Only""" E Transportation Office Delivery Partnership Branch Contract Management Office 18-Dec 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-CWA-01E 1448 023-MOA-01E Memordandum of Agreement E Transportation Office Delivery Partnership Branch Contract Management Office 07-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-MOA-01E 1449 023-PH-A-041 Building And Land Use Permit E Transportation Construction and Operations Branch Construction and Operations 11-Apr 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-PH-A-041 1450 023-SR-E-127E Special Vehicle Configuration Permit Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office 07-Feb 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-127E 1451 023-SR-E-135E Letter of Clearance in Reference to the Application for Permit to Move Used Buildings on Kings Highway E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section 07-Feb 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-135E 1452 023-SR-E-205E Application for a Motor Vehicle Inspection Station Licence E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit Application for a Motor Vehicle Inspection Station Licence 19-Jul 846 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-205E 1453 023-SR-E-209E Safety Standards Certificate and Inspection Stickers Order Form E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 19-Jul 1048 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-209E 1454 023-SR-E-215 Notification of Addition to List of Directors or Corporate Officers / Notification of Termination to List of Directors or Corporate Officers E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 18-Apr 53 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-215 1455 023-SR-E-217 Garage Register - Issued Pursuant to the Highway Traffic Act E Transportation Carrier Safety and Enforcement Branch Carrier Enforcement Program Office 20-Jan 207 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-217 1456 023-SR-E-241 List of Signing Authorities E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 15-Jun 269 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-241 1457 023-SR-E-291 Structural Inspection Certificate Order Form E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 19-Jul 55 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-291 1458 023-SR-L-105A-E Oversize/Overweight Permit Application Annual Permit Only E Transportation Licensing Services Branch Licensing Administration Office Oversize/Overweight Permit Application Annual Permit Only 19-Jul 54 http://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 1459 023-SR-L-105PP-E Oversize/Overweight Permit Application Project Permit Only E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section 19-Jul 19 http://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 1460 023-SR-L-105ST-E Oversize/Overweight Permit Application - Single Trip Permit Only E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section A single trip permit is issued to facilitate an oversize/overweight move for a one way trip along for a limited time period. 17-Jan 34 http://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 1461 023-SR-LC-016E Application for Out-of-Province Requests E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office Ordering Products 12-Jul 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LC-016E 1462 023-SR-LC-112E Record Search Application (with or without address) E Transportation Licensing Services Branch Licensing Administration Office 18-Sep 2240 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LC-112E 1463 023-SR-LD-040E Declaration from a Guarantor E Transportation Licensing Services Branch Client Services Office An 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-Apr 1712 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-040E 1464 023-SR-LD-043E Commercial Vehicle Inspection Report Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office Request Commercial Vehicle Inspection Reports. 16-Jun 62 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-043E 1465 023-SR-LD-049 Application for Ontario Photo Card - Ontario Residents Only E Transportation Licensing Services Branch Client Services Office It is used for the original application, renewal, replacement and data change transactions. The form also serves as a receipt for the applicant. 14-Mar 1411 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-049 1466 023-SR-LD-050E Ontario Photo Card - Address Requirement for the Homeless or Marginally Housed Applicants E Transportation Licensing Services Branch Client Services Office In 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 Card 11-Jul 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-050E 1467 023-SR-LD-054E Application for Ontario Driver's Licence E Transportation Licensing Services Branch Client Services Office 17-Nov 563 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-054E 1468 023-SR-LD-327E Application for Search of a Motor Vehicle Accident Report Record E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office Ordering Products 18-Sep 72 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-327E 1469 023-SR-LD-433E Third Party Letter of Authorization E Transportation Licensing Services Branch Client Services Office Instructions for completing the Third Party Letter of Authorization (LOA) 19-Apr 285 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-433E 1470 023-SR-LH-112E Voluntary Termination of Commercial Vehicle Operator's Registration (CVOR) Certificate E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office Terminating CVOR certificate 15-Oct 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LH-112E 1471 023-SR-L-PR-13E International Registration Plan (IRP) Application E Transportation Program Development and Evaluation Branch Vehicle Programs Office "Form 1 - Carrier Fleet Information, Form 2 - Fleet Distance Declaration, Form 3 - Gross Vehicle Weight Schedule, Form 4 - Vehicle Information" 14-Oct 110 http://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 1472 023-SR-LV-025E Low-Speed Vehicle (LSV) Registration Declaration E Transportation Program Development and Evaluation Branch Vehicle Programs Office 17-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-025E 1473 023-SR-LV-034E Credit Card Authorization Form E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section To provide credit card authorization for MTO product/service 17-Jan 2603 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-034E 1474 023-SR-LV-040E Replacement Declaration E Transportation Licensing Services Branch Client Services Office "Complete this form when validated plate / unvalidated plate / both plates / trailer or off-road plate / motorized snow vehicle decal / accessible parking permit. " 14-Sep 1111 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-040E 1475 023-SR-LV-139E Spouse Declaration and/or Plate Transfer Declaration E Transportation Licensing and Control Branch - Planning Card Operations Office This 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 tha 15-May 2889 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-139E 1476 023-TRF-01E Tender Registration Form (TRF) E Transportation Office Delivery Partnership Branch Contract Management Office 07-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-TRF-01E 1477 024-3048E Ontario Autism Program (OAP) Behaviour Plan Budget E Children and Youth Services Policy Development and Program Design Division Ontario Autism Program Project Team If 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 provi 18-Mar 118 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=024-3048E 1478 025-0005E Agency Designation Plan and Evaluation Tool E Francophone Affairs Office of Francophone Affairs Office of Francophone Affairs This 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-Jun 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=025-0005E 1479 025-0007E Nomination Form E Francophone Affairs Office of Francophone Affairs Office of Francophone Affairs 18-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=025-0007E 1480 026-0173E Notice of a Change in Officers, Directors or Partners of Agencies that Provide Security Guard and/or Private Investigator Services E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch This 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-Dec 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0173E 1481 026-0174E Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships 19-Dec 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0174E 1482 026-0175E Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Corporations E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch "Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Corporations " 19-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0175E 1483 026-0176E Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships 19-Dec 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0176E 1484 026-0177E Application for a Security Guard and/or Private Investigator Agency Licence - Corporations E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch "Application for a Security Guard and/or Private Investigator Agency Licence - Corporations " 19-Dec 87 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0177E 1485 026-0178E Security guard and/or private investigator licence: Guarantor Information Form E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch 15-Sep 3120 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0178E 1486 026-0180E Information and Declaration/Consent for Background Check (For Officers, Directors and Partners of Security Guard and/or Private Investigator Agencies) E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Information and Declaration/Consent for Background Check (For Officers, Directors and Partners of Security Guard and/or Private Investigator Agencies) 19-Dec 100 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0180E 1487 026-0188E Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence 19-Dec 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0188E 1488 026-0189E Application to Replace a Business Registration Certificate – For Employers of Security Guards/Private Investigators E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Application to Replace a Business Registration Certificate – For Employers of Security Guards/Private Investigators 19-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0189E 1489 026-0190E Instructions for Completing the Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Instructions for Completing the Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence 19-Dec 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0190E 1490 026-0200E Notification to Coroner of Organ Retention: Disposition Request of Retained Organs E Solicitor General Ontario Forensic Pathology Service Ontario Forensic Pathology Service Notification to Coroner of Organ Retention: Disposition Request of Retained Organs 17-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0200E 1491 026-0201E Application for a Security Guard and/or Private Investigator Agency Licence – Partnerships E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Application for a Security Guard and/or Private Investigator Agency Licence – Partnerships 19-Dec 36 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0201E 1492 026-0202E Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Partnerships E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Partnerships 19-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0202E 1493 026-0204E Change of name Form for a Security Guard and/or Private Investigator Licence E Solicitor General Private Security and Investigative Services Branch Private Security and Investigative Services Branch To provide change of name service to existing licensees. 19-Dec 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0204E 1494 026-0234E Invoice for Expert Death Review Committee Members E Solicitor General Office of the Chief Coroner Forensic Pathology Unit 19-Jul 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0234E 1495 026-0251E Death Investigation Oversight Council Complaint Form E Solicitor General Death Investigation Oversight Council Death Investigation Oversight Council The 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 workin 18-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0251E 1496 026-0257E Instruction Guide to the OCC-OFPS Secure Web Form E Solicitor General Office of the Chief Coroner Office of the Chief Coroner 18-Dec 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0257E 1497 026-0260E Information to Obtain a Warrant / Telewarrant Authorizing Entry - Form 1 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-May 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0260E 1498 026-0261E Warrant Authorizing Entry - Form 2 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-May 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0261E 1499 026-0262E Information to Obtain an Order for the Production of Records - Form 3 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-May 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0262E 1500 026-0263E Order for the Production of Records - Form4 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-May 27 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0263E 1501 026-0264E Urgent Demand for Records - Form 5 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-May 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0264E 1502 026-0265E Urgent Demand for Records Report - Form 6 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-Jun 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0265E 1503 026-0266E Urgent Demand for Records Report Appendix - Notice of Request Form 6A E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-Jun 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0266E 1504 026-0267E Annual Report Template - Form 7 E Solicitor General Corrections and Community Safety Policy Branch Corrections and Community Safety Policy Branch 19-Jun 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0267E 1505 026-LE219E Criminal Record Check E Solicitor General Ontario Provincial Police Ontario Provincial Police This 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 who 18-Nov 2657 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE219E 1506 026-LE220E Vulnerable Sector Check E Solicitor General Ontario Provincial Police Ontario Provincial Police "This 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 o" 18-Nov 3019 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE220E 1507 026-LE221E Security Screening Check E Solicitor General Ontario Provincial Police Ontario Provincial Police This 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-Mar 63 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE221E 1508 026-LE238E Image(s), Audio and/or Visual Record(s) Consent, Waiver and Release of Liability E Solicitor General Ontario Provincial Police Ontario Provincial Police To 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 taken 13-Sep 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE238E 1509 026-ON00019E Guide to the OCC-OFPS Secure Web Form E Solicitor General Office of the Chief Coroner Office of the Chief Coroner Guide to the OCC-OFPS Secure Web Form 20-Jan 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-ON00019E 1510 026-PCS104 Pre-Employment Application Questionnaire - Casual Part-time Policing E Solicitor General Ontario Provincial Police Ontario Provincial Police PCS104 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 application 17-May 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-PCS104 1511 026-PCS119E Amalgamating Police Officer Application E Solicitor General Ontario Provincial Police Ontario Provincial Police The 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 each 18-Jul 82 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-PCS119E 1512 028-0001E Age-Friendly Communities Recognition Award E Seniors and Accessibility Strategic Policy and Stakeholder Relations Public Education and Awareness Unit The 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 initia 17-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=028-0001E 1513 028-0002E Fire Sprinkler Retrofit Program for Licensed Small or Rural Retirement Homes Grant Application E Seniors and Accessibility Strategic Policy Director’s Office To administer a grant based funding program for the cost of installing automatic fire sprinklers in licensed retirement homes 17-Oct 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=028-0002E 1514 0329E NOHFC Application Northern Community Capacity Building Program Event Partnership Projects E Northern Development and Mines Northern Ontario Heritage Fund Corporation Northern Ontario Heritage Fund Corporation Single stage application form to replace the existing form on the site. 17-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0329E 1515 033-0041E Energy and Water Reporting and Benchmarking (EWRB) Exemption Notice E Energy, Northern Development and Mines Conservation 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 su" 19-Mar 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0041E 1516 033-0042E EWRB Reporting Lead Contact Update E Energy, Northern Development and Mines Conservation 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 app 19-Mar 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0042E 1517 033-0048E Annual Hydro One Compensation Disclosure E Energy, Northern Development and Mines Deputy Minister's Office Deputy Minister's Office The 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-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0048E 1518 0387E Attestation for Other Persons Providing Child Care or Services to a Child in a Child Care Centre E Education Child Care Quality Assurance and Licensing Branch Program and Policy Unit This 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-Jan 100 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0387E 1519 0388E Offence Declaration for Other Persons Providing Child Care or Services to a Child in a Child Care Centre E Education Child Care Quality Assurance and Licensing Branch Program and Policy Unit This 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-Jan 144 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0388E 1520 04-0201E Non-Agricultural Source Materials (NASM) Plan Registration Form E Agriculture, Food and Rural Affairs Environmental Management Branch Agricultural Drainage Licensing Program To register agricultural operations that intend to land apply Catergory 2 non-agricultural source materials (NASM) with a low metals content. 11-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=04-0201E 1521 043-0028E Application to the Ontario-China Research and Innovation Fund (OCRIF) - Ontario Call for Proposals 2015 E Research, Innovation and Science INTERNATIONAL TRADE SOUTH AMERICA, RUSSIA/EASTERN EUROPE, ASIA PACIFIC AND MIDDLE EAST 15-Feb 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=043-0028E 1522 0439E Request to Obtain Official Copies of Crown Land Patent Records E Natural Resources and Forestry Integration Branch Land and Water Services Section Request a certified or uncertified copy of the record of the original Crown patent for a specific property 19-May 124 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0439E 1523 044-0032E Municipal Infrastructure Investment Initiative, Funding for Asset Management, Expression of Interest E Infrastructure Infrastructure Partnerships Branch Municipal Infrastructure Unit On 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 (L 12-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0032E 1524 044-0033E Municipal Infrastructure Investment Initiative, Funding for Social Housing Asset Management, Expression of Interest E Infrastructure Infrastructure Partnerships Branch Municipal Infrastructure Unit On 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 housin 12-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0033E 1525 044-0034E Municipal Infrastructure Investment Initiative Capital Program – Expression of Interest E Infrastructure Infrastructure Partnerships Branch Municipal Infrastructure Unit To 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 throu 12-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0034E 1526 044-0035E Places to Grow Implementation Fund Application E Infrastructure Ontario Growth Secretariat Partnerships and Consultation The form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund. 14-Apr 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0035E 1527 044-0037AE New Building Canada Fund Small Communities Fund (SCF) - Intake 2 - Expression of Interest (EOI) E Infrastructure Inter-governmental Policy Branch Inter-governmental Infrastructure Policy New Building Canada Fund Small Communities Fund (SCF) - Intake 2 - Expression of Interest (EOI) 15-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0037AE 1528 044-0044E Natural Gas Grant Program E Infrastructure Inter-governmental Policy Branch Municipal Infrastructure Policy Natural Gas Grant Program Application Form 17-Apr 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0044E 1529 044-0047E Surplus Property Transition Initiative Application Form E Infrastructure Community Hubs Division Surplus Property Transition Initiative These 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-Apr 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0047E 1530 044-0050E Application Form - Facilitation Program E Infrastructure Planning and Implementation Facilitation Program The 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-May 35 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0050E 1531 044-0059E Asset Management Planning Regulation (0. Reg. 588/17) Completeness Questionnaire E Infrastructure Inter-governmental Policy Branch Municipal Infrastructure Policy To 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-Aug 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0059E 1532 045-06538E Application for Licence or Registration New, Reinstatement or Renewal E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario 09-Nov 65 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06538E 1533 045-06538EINFO Application for Licence or Registration New, Reinstatement or Renewal E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario 08-Nov 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06538EINFO 1534 045-06550E Application to close a cemetery or part of a cemetery E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Cemeteries Regulation Unit "Application to request closure of a cemetery or part of a cemetery. " 12-Jun 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06550E 1535 045-12104E Application for Licence Payday Loans Act, 2008 E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario "Application for Licence Payday Loans Act, 2008 " 19-Jun 176 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-12104E 1536 045-12106E Notice of Appeal E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario To appeal an Order of Administrative Penalty imposed under the Payday Loans Act, 2008 18-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-12106E 1537 046-0002E Personal Disclosure and Conflict of Interest Form for Public Appointment Candidates E Treasury Board Secretariat Public Appointments and Agency Governance Branch Public Appointments Secretariat This 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-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-0002E 1538 046-0026E Application for Appointment to Agencies, Boards and Commissions E Treasury Board Secretariat Centre for Leadership and Learning Public Appointments Secretariat 18-Jun 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-0026E 1539 046-5191E Broader Public Sector Compensation Information Questionnaire E Treasury Board Secretariat Total Compensation Strategy Branch Broader Public Sector Compensation Policy Unit The 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 Compensat 15-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-5191E 1540 046-5200E Local Poverty Reduction Fund Funding Stream for Indigenous-led Projects Application E Treasury Board Secretariat Poverty Reduction Strategy Office Poverty Reduction Strategy Office For Indigenous communities and Indigenous-led organizations to apply to the Local Poverty Reduction Fund - Funding Stream for Indigenous-led Projects. 17-May 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-5200E 1541 047-2229E Residential Tenancy Agreement (Standard Form of Lease) E Municipal Affairs and Housing Market Housing Branch Residential Tenancies Unit This 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-Jan 45977 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=047-2229E 1542 05039E Electric Vehicle Charging Incentive Program (EVCIP) - New Electric Vehicle Charger Application Form E Transportation Transportation Policy Branch Sustainable Transportation Policy Office The 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-May 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=05039E 1543 0506E Application to Register Tobacco Products E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 18-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0506E 1544 0511E Application to Register for Interjurisdictional Transporter E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 13-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0511E 1545 0515E Application to Register for a Wholesaler's Permit E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 18-Mar 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0515E 1546 0518E Marine Archaeology Licence Application E Tourism, Culture and Sport Culture Agencies Branch Culture Agencies Unit "Application for individuals/companies to conduct marine archaeological surveys. Both consulting and non-consulting projects. Archaeology, Marine, Licence, Underwater" 18-May 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0518E 1547 0521E Application to Register for Transit Permit E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 13-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0521E 1548 05245E Notice of Appeal (for appeal of an Order of Administrative Penalty under the Collection and Debt Settlement Services Act) E Government and Consumer Services Consumer Protection Ontario Business Process Modernization Branch Notice of Appeal?(for appeal of an Order of Administrative Penalty under the Collection and Debt Settlement Services Act) 18-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=05245E 1549 081-10022E-OF Sidewalk Artist/Busker Permit Application E Municipality - City of Toronto Municipal Licensing and Standards Licensing Services "Application for musicians and performers (buskers) wishing to perform on City of Toronto sidewalks. " 12-Aug 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=081-10022E-OF 1550 081-10023E-OF Temporary Fireworks Permit Application E Municipality - City of Toronto Municipal Licensing and Standards Licensing Services Application for any person wishing to sell fireworks in the City of Toronto. 10-Sep 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=081-10023E-OF 1551 09-0011E Ontario Research Fund – Research Excellence Round 9 - Notice of Intent E Research, Innovation and Science Research and Innovation Division Economic Development and Innovation Directorate Notice 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 Mi 17-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-0011E 1552 09-0012E Ontario Research Fund – Research Excellence Round 10 Application E Research, Innovation and Science Research and Innovation Division Economic Development and Innovation Directorate Application 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 appli 19-May 101 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-0012E 1553 09-174E Ontario – Quebec Health Study Program E Training, Colleges and Universities French-Language Priorities Branch French-Language Continued Learning Unit To 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-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-174E 1554 11315E Application for Post Adoption Birth Information Under Section 48.1 or 48.2 of the Vital Statistics Act E Government and Consumer Services ServiceOntario Office of the Registrar General To 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-May 348 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E 1555 11315E-A Adoption Information Disclosure, Adopted Person's Guide to Completing and Submitting an Application for Post Adoption Birth Information E Government and Consumer Services ServiceOntario Office of the Registrar General To 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-May 363 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E-A 1556 11315E-B Adoption Information Disclosure, Birth Parent's Guide for Completing and Submitting an Application for Post Adoption Birth Information E Government and Consumer Services ServiceOntario Office of the Registrar General To 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-May 110 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E-B 1557 11327E Application for a Change of Sex Designation on a Birth Registration of a Child (17 years of age and under) E Government and Consumer Services ServiceOntario Office of the Registrar General Application for a Change of Sex Designation on a Birth Registration of a Child (17 years of age and under) 19-May 92 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11327E 1558 11328E Statutory Declaration for a Change of Sex Designation on a Birth Registration of a Child E Government and Consumer Services ServiceOntario Office of the Registrar General Declaration for a Change of Sex Designation on a Birth Registration of a Child 19-Aug 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11328E 1559 11329E Consent for a Change of Sex Designation on a Birth Registration of a Child E Government and Consumer Services ServiceOntario Office of the Registrar General Consent for a Change of Sex Designation on a Birth Registration of a Child 14-Dec 104 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11329E 1560 11330E Notice of Change of Sex Designation on a Birth Registration of a Child E Government and Consumer Services ServiceOntario Office of the Registrar General Notice of Change of Sex Designation on a Birth Registration of a Child 14-Dec 46 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11330E 1561 11351E Settling Debt - What You Need To Know E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario Ontario's Collection and Debt Settlement Services Act requires this to be the first page of any debt settlement/credit counselling contract. 17-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11351E 1562 11352E Repaying Debt And Credit Counselling - What You Need To Know E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario Ontario's Collection and Debt Settlement Services Act requires this to be the first page of any debt settlement/credit counselling contract. 17-Jan 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11352E 1563 11353E Consumer-Initiated Calls: Water Heater Contracts E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario Ontario'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-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11353E 1564 11354E Unsafe Or Recalled Water Heaters - What You Need To Know E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario Ontario'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-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11354E 1565 11355E Water Heater Contracts - What You Need To Know E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario Ontario's Consumer Protection Act requires this to be the first page of any door-to-door contract for a water heater. 17-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11355E 1566 11356E Water heater contract mandatory statement - when the 20-day cooling-off period does apply E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario 17-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11356E 1567 11357E Water heater contract mandatory statement - when the 20-day cooling-off period does not apply E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario 17-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11357E 1568 130-7540-1016 Oaths and Affirmations of Office and Allegiance E OPS Internal Administration Forms HR Policy and Planning Branch Policy and Strategic Planning Every 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-Nov 41 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1016 1569 130-7540-1055E Conflict of Interest Declaration for Public Servants (Ministry Employees, Public Body Employees/Appointees and Ontario Provincial Police Employees - Civilian and Uniform) E OPS Internal Administration Forms HR Policy and Planning Branch Policy and Strategic Planning For 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-Mar 101 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1055E 1570 130-7540-1097E Disclosure of Wrongdoing for Public Servants and Former Public Servants (Ministry and Public Body) E OPS Internal Administration Forms HR Policy and Planning Branch Policy and Strategic Planning For disclosure of wrongdoing for public servants including ministry employees, ministers' office and public body employees/appointees. 14-Oct 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1097E 1571 130-7540-1107E Post-service Activity Conflict of Interest Form for Current and Former Public Servants (Ministry, Public Body and Ontario Provincial Police) E OPS Internal Administration Forms HR Policy and Planning Branch Policy and Strategic Planning To be used by current/former ministry employees, current/former public body employees/appointees requesting a determination from their ethics executive regarding the application of the conflict of interest rules to a post-service to a post-service activit 19-Mar 98 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1107E 1572 130-7540-1539E Access or Correction Request E OPS Internal Administration Forms Freedom of Information and Protection of Privacy Freedom of Information and Protection of Privacy To help requesters get access to government records using the Freedom of Information and Protection of Privacy Act or to correct their personal information 19-Dec 1037 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1539E 1573 14-5054-64E Form 3 – Notification of New Active – Leprosy (Hansen's Disease) E Health and Long-Term Care Public Health Infectious Diseases Policy and Programs 17-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=14-5054-64E 1574 16-MOL-ES-034E Regular Pay Worksheet E Labour Employment Practices Branch Employment Standards Program Use this worksheet to calculate the amount of pay your employer may owe you if you weren't paid for work you performed. 18-Jan 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-034E 1575 16-MOL-ES-035E Vacation Pay Worksheet E Labour Employment Practices Branch Employment Standards Program Use this worksheet to calculate the amount of vacation pay your employer may owe you. 18-Jan 51 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-035E 1576 16-MOL-ES-036E Unauthorized Deductions Worksheet E Labour Employment Practices Branch Employment Standards Program Use 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-Jan 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-036E 1577 16-MOL-ES-037E Overtime Pay Worksheet E Labour Employment Practices Branch Employment Standards Program Use this worksheet to calculate the amount of overtime pay your employer may owe you. 18-Jan 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-037E 1578 16-MOL-ES-038E Minimum Wage Worksheet E Labour Employment Practices Branch Employment Standards Program Use 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-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-038E 1579 1960E Health and Safety Checklist E Labour Training and Awareness Branch Health and Safety Training Administration and Certification Unit The 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 are 16-Feb 1051 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=1960E 1580 2018-024-0378E Form 2: Follow-up Report to Child Abuse Register E Children and Youth Services Child Welfare Secretariat Child Welfare This form is completed by a children's aid society to provide additional information regarding child abuse that has been verified by the society. 18-Mar 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2018-024-0378E 1581 2097E Great Lakes Guardian Community Fund - Application 2015 E Environment, Conservation and Parks Program Planning and Implementation Branch Program Development 15-Aug 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2097E 1582 2159 Renewable Energy Approval Site Plan Approval and Buidling Permit Request E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services This 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 municipali 16-Apr 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2159 1583 2172E Report of a Waste Audit - Large Construction and Demolition Projects E Environment, Conservation and Parks Policy and Program Division Resource Recovery Policy Branch This 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-Apr 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2172E 1584 2173E Report of a Waste Reduction Work Plan - Large Construction and Demolition Projects E Environment, Conservation and Parks Policy and Program Division Resource Recovery Policy Branch This 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-Apr 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2173E 1585 2174E Report of a Waste Audit - Industrial, Commercial and Institutional Establishments E Environment, Conservation and Parks Policy and Program Division Resource Recovery Policy Branch This 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-Apr 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2174E 1586 2175E Report of a Waste Reduction Work Plan - Industrial, Commercial and Institutional Establishments E Environment, Conservation and Parks Policy and Program Division Resource Recovery Policy Branch This 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-Apr 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2175E 1587 2178 Request Under s. 20(4) to have the Sch. 3 Standards Apply in Advance of the Data Required by LAQR E Environment, Conservation and Parks Regional/District Offices West Central Region This 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 Regulation 17-Jun 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2178 1588 2179 Notification of Exceedance - Local Air Quality Regulation E Environment, Conservation and Parks Regional/District Offices West Central Region This 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 EPA 17-Jun 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2179 1589 2180 Request Approval Under para 3 s.11(1) LAQR for a Plan for Combined Assessment of Modelled & Measured E Environment, Conservation and Parks Regional/District Offices West Central Region This 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 of 17-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2180 1590 2181 Request for Approval Under s.13(1) of LAQR for Use of Site Specific Meterological data E Environment, Conservation and Parks Regional/District Offices West Central Region This 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 EPA 17-Jun 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2181 1591 2182 Request for Notice Under s.7(1) of Local Air Quality Reg for Use of a Specified Dispersion Model E Environment, Conservation and Parks Regional/District Offices West Central Region This 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 EPA 17-Jun 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2182 1592 2188E Ontario CITSS Cross-Jurisdiction Users Form E Environment, Conservation and Parks Program Management Branch Greenhouse Gas Emissions Reduction Project "This 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 agent" 17-Jun 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2188E 1593 2189E Drinking Water Information - O. Reg. 243/07 E Environment, Conservation and Parks Safe Drinking Water Branch Safe Drinking Water Branch Register a facility, update or revoke an existing registration, or provide notice of reduce lead sampling. 17-Dec 57 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2189E 1594 2190E Ethanol and Greener Diesel Reporting E Environment, Conservation and Parks Operations Divisions Program Services Unit "For annual reporting from the regulated community under greener fuels regulations. greener diesel, ethanol in gasoline, greener fuels" 18-Nov 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2190E 1595 2199E Notice of Registration of Tax Arrears Certificate E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2199E 1596 2200E Statutory Declaration Regarding Sending of Notice of Registration of Tax Arrears Certificate E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2200E 1597 2201E Final Notice of Registration of Tax Arrears Certificate Under Section 373 of the Act E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2201E 1598 2202E Statutory Declaration Regarding Sending of Final Notice E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2202E 1599 2203E Payment into Court – Statement of Facts E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2203E 1600 2204E Sale of Land by Public Tender E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2204E 1601 2205E Tender to Purchase E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2205E 1602 2206E Sale of Land by Public Auction E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2206E 1603 2207E Mining Act Information E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section This 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-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2207E 1604 2208E Notice of Readvertisement E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section This 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-Jan 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2208E 1605 2209E Notice of Registration of Tax Arrears Certificate E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section This 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-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2209E 1606 2210E Statutory Declaration Regarding Sending of Notice of Registration of Tax Arrears Certificate E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2210E 1607 2211E Final Notice of Registration of Tax Arrears Certificate Under Section 344 of the Act E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2211E 1608 2212E Statutory Declaration Regarding Sending of Final Notice E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2212E 1609 2213E Payment into Court – Statement of Facts E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2213E 1610 2214E Sale of Land by Public Tender E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2214E 1611 2215E Tender to Purchase E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 31 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2215E 1612 2216E Sale of Land by Public Auction E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2216E 1613 2217E Notice of Readvertisement E Municipal Affairs and Housing Municipal Finance Policy Branch Tax and Revenue Policy Section "This 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-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2217E 1614 2945E Canada-Ontario Job Grant (COJG) Participant Registration E Training, Colleges and Universities Program Delivery Support Canada-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 request 19-Mar 131 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2945E 1615 2946E Canada-Ontario Job Grant (COJG) Placement Agreement E Training, Colleges and Universities Program Delivery Support Branch Job Connect Program The 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 e 16-Oct 56 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2946E 1616 2947E Canada-Ontario Job Grant (COJG) Employer Registration for Consortium E Training, Colleges and Universities Program Delivery Support Branch Job Connect Program The Employer Registration for Consortium form captures information about the consortium, participating employer, type of business and how many individuals it employs. 19-Mar 57 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2947E 1617 2948E Canada-Ontario Job Grant Employer/Consortium Application Form E Training, Colleges and Universities Program Delivery Support Branch Delivery 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 consortiu 17-Feb 47 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2948E 1618 2953E Canada-Ontario Job Grant (COJG) Training Agreement E Training, Colleges and Universities Program Delivery Support Branch Program and Contract Alignment Unit For use by Canada-Ontario Job Grant (COJG) Service Providers when entering into training agreements with approved Employers 19-May 130 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2953E 1619 3002E Child Care Centre Licensing Manual E Education Child Care Quality Assurance and Licensing Branch Program and Policy Unit To provide information about legislative and regulatory requirements for licensed child care centres. 16-Dec 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3002E 1620 3004E Employment Ontario Employer Registration Form E Training, Colleges and Universities Program Delivery Support Employment Ontario Programs "The 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-Jun 373 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3004E 1621 3006E Employment Ontario Participant Registration Form E Training, Colleges and Universities Program Delivery Support Employment Ontario Programs "This 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 J" 19-Mar 1108 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3006E 1622 3038E Offence Declaration E Education Child Care Quality Assurance and Licensing Branch Program and Policy Unit This form is intended for use by child care licensees to meet provincial requirements for offence declarations. 16-Sep 391 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3038E 1623 3042E Declaration of Representative E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service 19-Sep 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3042E 1624 3043E Notice of Motion E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service To request that the Tribunal issue an order. 19-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3043E 1625 3044E Request for an Adjournment E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service 19-Sep 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3044E 1626 3045E Summons to a Witness E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service 19-Sep 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3045E 1627 3046E Notice of Motion E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Automobile Accident Benefits Service To request that the Tribunal issue an order. 18-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3046E 1628 3047E Request for an Adjournment E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 19-Aug 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3047E 1629 3048E REQUEST TO WITHDRAW AN APPLICATION E Attorney General Safety, Licensing Appeals and Standards Tribunals Ontario Licence Appeal Tribunal 16-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3048E 1630 3107 Form Support Guides - English (ISO Package - 2 PARTS - Booklet and Pad) E Children, Community and Social Services Family Responsibility Office Family Responsibility Office 12-Jan 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3107 1631 3257E OAP Clinical Supervisor Attestation Form E Children, Community and Social Services Children with Special Needs Branch Children with Special Needs Branch To confirm the professionals clinically supervising behavioural services in the Ontario Autism Program meet the program's qualification requirements. 19-May 198 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3257E 1632 3259E Ontario Autism Program Registration Form E Children, Community and Social Services Children with Special Needs Branch Children with Special Needs Branch This form allows families with children and youth with autism to register for the Ontario Autism Program. 19-May 3787 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3259E 1633 3769-41E Form 48 - Application to Board to Review Community Treatment Order (s.39.1(1) and Notice to Board by Physician of Need E Health and Long-Term Care Mental Health Mental Health 16-Feb 75 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3769-41E 1634 4611-45E Paramedic Labour Mobility Application E Health and Long-Term Care Emergency Health Regulatory and Accountability Branch Certification and Patient Care Standards Application 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 equivalency 19-Nov 83 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4611-45E 1635 4872 Supporting 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.9 E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services This 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-Nov 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4872 1636 4967-47E Pharmacists Worksheet E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs Must be completed for every MedsCheck; pharmacists must have professional notes and/or a worksheet when conducting a MedsCheck. 16-Jul 205 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4967-47E 1637 4968-47E Personal Medication Record E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs Using 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-Jul 165 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4968-47E 1638 4969-47E Diabetes Education Checklist E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs The 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 Dia 16-Jul 53 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4969-47E 1639 4970-47E Diabetes Education Patient Take Home Summary E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs The 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 Dia 16-Jul 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4970-47E 1640 4974-47E Patient Take Home Summary E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs Pharmacists 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-Jul 64 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4974-47E 1641 4975-47E MedsCheck Patient Acknowledgement of Professional Pharmacy Service E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs The 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-Jul 199 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4975-47E 1642 4976-47E Healthcare Provider Notification of MedsCheck Services E Health and Long-Term Care Drug Programs Policy and Strategy Branch Ontario Public Drug Programs Using 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-Jul 153 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4976-47E 1643 4985-87E Respiratory Syncytial Virus (RSV) Prophylaxis for High-Risk Infants Program Enrolment - Special Clinical Circumstance Medical Justification Form E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch To facilitate healthcare providers in making a Special Clinical Circumstance request for palivizumab funding. 18-Aug 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4985-87E 1644 5041-77E Request for Prior Approval for Funding of Sex-Reassignment Surgery E Health and Long-Term Care Health Service Branch Policy and Projects Team Form to be completed by providers on behalf of patients seeking prior approval for insured sex-reassignment surgery. 16-Mar 97 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5041-77E 1645 5046-64 Ontario Perinatal Record (set) E Health and Long-Term Care Provincial Programs Branch Provincial Council for Maternal and Child Health Effective 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-Mar 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5046-64 1646 5047-87E Temporary Unblocking of Access to Drug and Pharmacy Service Information E Health and Long-Term Care Drug Programs Delivery Branch Drug Programs Delivery Branch 16-Nov 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5047-87E 1647 5060-64 Ontario Perinatal Record 3 E Health and Long-Term Care Provincial Programs Branch Provincial Council for Maternal and Child Health Effective 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-Mar 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5060-64 1648 5064E Community Transportation Pilot Grant Program Application Form E Transportation Transit Policy Branch Provincial Transit Policy Office To enable municipalities to apply for Community Transportation Pilot Grant. 14-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5064E 1649 5065E Application for Highway Corridor Management Permits E Transportation Highway Standards Branch Highway Corridor Management and Property Office Anyone 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 res 17-Apr 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5065E 1650 5074E Extended Permitting Application – Non-Dump Semi-Trailers with 4 or more Axles or Double Trailers E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section Facilitate 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-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5074E 1651 5080E FMCSA Medical Report E Transportation Licensing Services Branch Driver Improvement Office This form is for drivers that are requesting proof of medical fitness to comply with the Federal Motor Carrier Safety Administration (FMCSA) requirement. 15-Oct 122 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5080E 1652 5081E Commercial Vehicle Operator's Registration (CVOR) Update Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office 15-Oct 116 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5081E 1653 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 Agency E Health and Long-Term Care Licensing and Policy Financial Policies and Procedures Unit Pursuant 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-May 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5082-69E 1654 5082E Prepaid Account Authorization Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office 18-May 28 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5082E 1655 5083-69E Withdrawal of Consent for Automated Income Verification with the Canada Revenue Agency –Long-Term Care Rate Reduction Program E Health and Long-Term Care Licensing and Policy Financial Policies and Procedures Unit Please 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 Agenc 19-May 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5083-69E 1656 5087E Commercial Vehicle Operator's Record Data Request Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office 16-Jan 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5087E 1657 5091E Voluntary Request for MTO Facility Audit Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office 18-May 48 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5091E 1658 5098E SVC Application For Hydrova, Sewer Cleaner or Street Sweeper Permit E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section Hydrovacs, 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 manuf 17-Jan 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5098E 1659 5111E Oversize/Overweight Permit Application – Enhanced Project Permit E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section For 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-Dec 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5111E 1660 5125E Ontario Seniors Dental Care Program Application E Health and Long-Term Care Health Promotion Health Promotion You 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 Insu 19-Sep 12505 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5125E 1661 5126E Ontario Seniors Dental Care Program Application Through Guarantor E Health and Long-Term Care Health Promotion Health Promotion You 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 t 19-Sep 1943 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5126E 1662 5127E Ontario Seniors Dental Care Program. Authorizing or Cancelling a Representative E Health and Long-Term Care Health Promotion Health Promotion You 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-Sep 23 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5127E 1663 5128E Ontario Seniors Dental Care Program. Change of Information E Health and Long-Term Care Health Promotion Health Promotion You 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 informatio 19-Sep 591 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5128E 1664 5356E Acoustic Assessment Report Check-List E Environment, Conservation and Parks Environmental Approvals Access and Service Integration Branch Business Services To ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted. 17-Mar 50 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5356E 1665 5357E Emission Summary And Dispersion Modelling Report Checklist E Environment, Conservation and Parks Environmental Approvals Access and Service Integration Branch Business Services To 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-Mar 52 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5357E 1666 56-4965E Grow Your Own Nurse Practitioner Initiative - Application E Health and Long-Term Care Health Workforce Planning Branch Human Resources The 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-May 67 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=56-4965E 1667 6238 Pipe Data Form: Watermain, Storm Sewer, Sanitary Sewer and Forcemain Design E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Assessment Services This 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-Mar 122 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=6238 1668 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 Act E Health and Long-Term Care Mental Health Mental Health Notice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act 16-Dec 40 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=7219-41E 1669 7746E Checklist for Requirements under O. Reg. 359/09 of a Renewable Energy Project E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services 14-Aug 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=7746E 1670 9167 Environmental Compliance Approval Application for Vertical Closed Loop Ground Source Heat Pumps E Environment, Conservation and Parks Environmental Assessment and Permissions Branch Approval Services Will 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-Dec 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9167 1671 9955E Estate Information Return E Finance Advisory, Objections, Appeals and Services Branch Estate Administration Tax - Advisory & Compliance Branch To 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 3 19-Dec 8772 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9955E 1672 9959E Guide - Completing the Raw Leaf Tobacco Return TT101R and the Raw Leaf Tobacco Schedule 101R E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9959E 1673 9960E Guide - Completing the Evidence of Contract for Purchase E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9960E 1674 9961E Guide - Completing the Application to Register Raw Leaf Tobacco E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9961E 1675 9962E Guide - Completing the Application to Produce – Raw Leaf Tobacco E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax Guide Completing the Application to Produce – Raw Leaf Tobacco 19-Jun 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9962E 1676 9963E Guide - Completing the Application to Produce Raw Leaf Tobacco for Own Use in the Manufacture of Tobacco Products E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9963E 1677 9964E Guide - Completing the Application to Produce Raw Leaf Tobacco for Agronomic Research E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9964E 1678 9965E Guide - Completing the Acreage Confirmation E Finance Advisory, Objections, Appeals and Services Branch Tobacco Tax 19-Jun 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9965E 1679 9966E Authorizing or Cancelling a Representative E Finance Advisory, Objections, Appeals and Services Branch Client Services Branch Used to obtain Third Party Authorization for non-tax and benefit programs in the AMCB. 15-Mar 45 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9966E 1680 9996E Ontario Land Transfer Tax Refund/Rebate Affidavit E Finance Audit Branch Land Taxes Allows taxpayers to claim the a rebate or refund of the Non-Resident Speculation Tax 18-Jul 536 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9996E 1681 CLA-10-E Form 10 - Certificate of Action Under Section 36 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form certifies that a lien claimant has commenced an action to enforce a lien. 14-Mar 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-10-E 1682 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 Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-11-E 1683 CLA-12-E Form 12 - Notice of Cross-Examination on Claim for Lien Under Section 40 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-12-E 1684 CLA-13-E Form 13 - Notice of Cross-Examination Under Section 40 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-exami 14-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-13-E 1685 CLA-14-E Form 14- Release of Lien Under Section 41 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form is the prescribed form to discharge a preserved or perfected lien by a release of lien. 14-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-14-E 1686 CLA-15-1-E Form 15.1 - Financial Guarantee Bond Under Section 44 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form is the prescribed form for a financial guarantee bond under section 44 of the Construction Lien Act. 14-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-15-1-E 1687 CLA-15-E Form 15 - Notice of Postponement of Lien Under Section 43 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form notifies parties that a preserved or perfected lien is being postponed in favour of the another person's interest in the premises. 14-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-15-E 1688 CLA-16-E Form 16 - Judgment Directing a Reference for Trial Under Section 58 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-16-E 1689 CLA-17-E Form 17 - Notice of Trial Under Section 60 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form notifies all persons entitled to notice of a settlement meeting that the court has fixed a date for trial. 14-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-17-E 1690 CLA-18-E Form 18 - Notice of Settlement Meeting Under Section 60 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form notifies every person who is entitled to a notice of a settlement meeting that the court has ordered a settlement meeting. 14-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-18-E 1691 CLA-19-E Form 19 - Judgment at Trial Under Section 62 of the Act Where Lien Attaches to Premises Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form is the prescribed form for a judgment at trial where the lien attaches to the premises. 14-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-19-E 1692 CLA-1-E Form 1 - Notice to Contractor Under Section 18 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-1-E 1693 CLA-20-E Form 20 - Judgment at Trial Under Section 62 of the Act Where Lien Does Not Attach to Premises Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form is the prescribed form for a judgment at trial where the lien does not attach to the premises. 14-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-20-E 1694 CLA-21-E Form 21 - Report Under Section 62 of the Act Where Lien Attaches to Premises Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-21-E 1695 CLA-22-E Form 22 - Report Under Section 62 of the Act Where Lien Does Not Attach To Premises Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-22-E 1696 CLA-23-E Form 23 - Financial Guarantee Bond Under Subsection 78 (10) of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch "This form is the prescribed form for a financial guarantee bond under subsection 78(10) of the Construction Lien Act. " 14-Mar 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-23-E 1697 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 Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-24-E 1698 CLA-2-E Form 2 - Notice to Landlord Under Subsection 19 (1) of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form notifies a landlord that a contractor will make an improvement to the premises of the landlord's tenant. 14-Mar 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-2-E 1699 CLA-3-E Form 3 - Notice to Contractor Under Subsection 19 (1) of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-3-E 1700 CLA-4-E Form 4 - Notice to Lien Claimant Under Subsection 19 (3) of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-4-E 1701 CLA-5-E Form 5 - Declaration of Last Supply Under Subsection 31 (5) of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This 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-Mar 74 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-5-E 1702 CLA-6-E Form 6 - Certificate of Substantial Performance of the Contract Under Section 32 of the Act (Construction Lien Act ) E Attorney General Policy & Innovation Division Justice Policy Development Branch This form certifies that a contract has been substantially performed. 14-Mar 62 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-6-E 1703 CLA-7-E Form 7 - Certificate of Completion of Subcontract Under Subsection 33 (1) of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form certifies the completion of a subcontract for the supply of services or materials. 14-Mar 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-7-E 1704 CLA-8-E Form 8 - Claim for Lien Under Section 34 of the Act Construction Lien Act E Attorney General Policy & Innovation Division Justice Policy Development Branch This form is the prescribed form for a claim for a lien. 14-Mar 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-8-E 1705 CLR-001-E Declaration Affirming Parentage under section 12(1) of the Children's Law Reform Act E Attorney General Operational Support Branch Family Unit 09-Dec 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-001-E 1706 CLR-002-E Joint Declaration Affirming Parentage under section 12(2) of the Children's Law Reform Act E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Dec 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-002-E 1707 CLR-003-E Statement of Finding of Parentage E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Dec 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-003-E 1708 COR-1-E Form 1 - Notice of Application (Criminal Proceedings Rules) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Superior Court of Justice. Application by Crown or Accused. " 13-Nov 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-1-E 1709 COR-OCJ-1-E Application (Form 1) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Ontario Court of Justice. Application by Crown or accused. " 12-Apr 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-1-E 1710 COR-OCJ-2-E Response (Form 2) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Ciminal proceeding Ontario Court of Justice . Crown or accused's response to application. " 12-Apr 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-2-E 1711 COR-OCJ-3-E Consent (Form 3) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Ontario Court of Justice. Consent by Crown or accused to application. " 12-Apr 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-3-E 1712 CSB022E Application for Non-Commercial Intellectual Property License E Solicitor General Ontario Provincial Police Ontario Provincial Police "Application 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: co" 17-Jun 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSB022E 1713 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) E Attorney General Operational Support Branch Criminal/POA Unit Criminal 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 C 13-Nov 18 http://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 1714 CSR-11-21-E Form 11 - Order Releasing Exhibit(s) for Scientific Testing (Criminal Code, ss. 605(1) and Criminal Proceedings Rules, Rule 21) E Attorney General Operational Support Branch Criminal/POA Unit "Criminal 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-Nov 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-11-21-E 1715 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) E Attorney General Operational Support Branch Criminal/POA Unit Criminal proceedings in the Superior Court of Justice 13-Nov 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-12-23-E 1716 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) E Attorney General Operational Support Branch Criminal/POA Unit 1. release order; 2. order of the court directing the institution to release an inmate 13-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-13-23-E 1717 CSR-13A-20-E Form 13A - Order for Attendance of Prisoner at Judicial Interim Release or Review Application Hearing (Criminal Proceedings Rules, Rule 20) E Attorney General Operational Support Branch Criminal/POA Unit 1. 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 hearing 13-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-13A-20-E 1718 CSR-14-24-E Form 14 - Commission (Criminal Code, ss. 709 and Criminal Proceedings Rules, Rule 24) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. 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 Court 13-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-14-24-E 1719 CSR-15-24-E Form 15 - Letter of Request (Criminal Code, s. 709 and Criminal Proceedings Rules, Rule 24) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. 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 examined 13-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-15-24-E 1720 CSR-16-24-E Form 16 - Order for Commission and Letter of Request (Criminal Proceedings Rules, Rule 24) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Order for commission; 2. Order to the Registrar to prepare a commission 13-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-16-24-E 1721 CSR-17-28-E Form 17- Pre-Trial Conference Report (Criminal Code, s. 625.1, Criminal Proceedings Rules, Rule 28) E Attorney General Operational Support Branch Criminal/POA Unit 1. 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-Jan 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-17-28-E 1722 CSR-18C1-E Form 18C1 - Trial Readiness Report (Where Trial Readiness Court Held) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Trial readiness report when hearing held; 2. confirmation that the parties are or are not ready to proceed to trial 13-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-18C1-E 1723 CSR-18C2-E Form 18C2 - Trial Readiness Report (Where Trial Readiness Court Not Held) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Trial readiness report when hearing is not held; 2. confirmation that the parties are or are not ready to proceed to trial 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-18C2-E 1724 CSR-19-40-E Form 19 - Appellant's Factum – Appeal From Sentence Only (Criminal Proceedings Rules, Rule 40) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Appellant's factum - sentence appeal; 2. factum setting out the facts of the case and grounds for appeal 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-19-40-E 1725 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)) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Application for Review of Parole Ineligibility; 2. Form for offenders to use when applying to the court to reduce their period of parole ineligibility 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-20-E 1726 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)) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Affidavit in Support of Application for Review of Parole Ineligibility; 2. Affidavit of applicant setting out that the facts in the application are true 13-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-21-E 1727 CSR-22-4-09-E Form 22 - Requisition (Criminal Proceedings Rules, Rule 4.09) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Requisition; 2 request to the Registrar to provide copies of documents and exhibits required for use in the proceeding 13-Nov 10 http://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 1728 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) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. 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 hearings 13-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-23-35-E 1729 CSR-2-40-E Form 2 - Notice of Appeal (Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Superior Court of Justice. Appeal from conviction by Crown or accused. " 13-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2-40-E 1730 CSR-2A-40-09-E Form 2A - Supplementary Notice of Appeal (Criminal Proceedings Rules, Rule 40.09) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Superior Court of Justice. Additional ground for appeal by Crown or accused. " 13-Nov 7 http://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 1731 CSR-2B-40-15-E Form 2B - Notice of Intention to Present Appeal in Writing (Criminal Proceedings Rules, Rule 40.15) E Attorney General Operational Support Branch Criminal/POA Unit "Criminal proceeding in the Superior Court of justice. Notice by Crown or accused to argue appeal in writing. " 13-Nov 8 http://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 1732 CSR-2C-40-08-E Form 2C - Court Reporter's Certificate Respecting Evidence (Criminal Proceedings Rules, Rule 40.08) E Attorney General Operational Support Branch Criminal/POA Unit "Criminal 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-Nov 9 http://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 1733 CSR-2D-40-08-E Form 2D - Court Reporter's Completion Certificate (Criminal Proceedings Rules, Rule 40.08) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Superior Court of Justice. Certificate by Court Reporter confirming transcript order is complete and party ordering transcript has been notified. " 13-Nov 6 http://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 1734 CSR-3-E Form 3 - Backsheet E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceeding in the Superior Court of Justice. Back sheet. " 13-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-3-E 1735 CSR-4-E Form 4 - Affidavit (Criminal Proceedings Rules, Rule 4) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Ciminal proceeding in the Superior Court of Justice. Affidavit setting out evidence in support of proceeding. " 13-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-4-E 1736 CSR-5-27-03-E Form 5 - Notice of Application and Constitutional Issue (Criminal Proceedings Rules, Rule 27.03) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal 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-Nov 11 http://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 1737 CSR-650-01-E Form 18 - Designation Of Counsel (Criminal Code, section 650.01) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 1. Designation of Counsel 2. for Accused to designate legal counsel to appear in Court on their behalf 13-Nov 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-650-01-E 1738 CSR-6-5-E Form 6 - Acknowledgment of Receipt Card (Criminal Proceedings Rules, Rule 5) E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit "Criminal proceedings in the Superior Court of Justice. An acknowledgement that documents have been received and service accepted. " 13-Nov 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-6-5-E 1739 CSR-7-5-E Form 7 - Affidavit of Service (Criminal Proceedings Rules, Rule 5) E Attorney General Operational Support Branch Criminal/POA Unit "Criminal proceedings in the Superior Court of Justice. Affidavit of service of documents in proceeding. " 13-Nov 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-7-5-E 1740 CSR-8-5-09-E Form 8 - Certificate of Service by Sheriff (Criminal Proceedings Rules, 5.09) E Attorney General Operational Support Branch Criminal/POA Unit "Criminal proceedings in the Superior Court of Justice. Affidavit of Sheriff confirming how and when documents served. " 13-Nov 9 http://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 1741 CSR-9-E Form 9 - Notice of Abandonment (Criminal Proceedings Rules) E Attorney General Operational Support Branch Criminal/POA Unit "Criminal 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-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-9-E 1742 EAF-001-E Form 1 - Certificate of Recording (Subsection 5 (1)) Evidence Act E Attorney General CSD/ Corporate Planning Branch Court Reporting Services 11-Mar 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=EAF-001-E 1743 EAF-002-E Form 2 - Certificate of Transcript (Subsection 5 (2)) Evidence Act E Attorney General CSD/ Corporate Planning Branch Court Reporting Services 11-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=EAF-002-E 1744 FLR-10A-E Form 10A: Reply By applicant/added respondent E Attorney General Operational Support Branch Family Unit 05-Sep 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-10A-E 1745 FLR-10-E Form 10: Answer E Attorney General Civil/Family Policy and Program Branch Family Unit 12-Oct 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-10-E 1746 FLR-12-E Form 12: Notice of Withdrawal E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-12-E 1747 FLR-13B-E Form 13B: Net Family Property Statement E Attorney General Civil/Family Policy and Program Branch Family Unit 09-May 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13B-E 1748 FLR-13C-E Form 13C: Comparison of Net Family Property Statements E Attorney General Civil/Family Policy and Program Branch Family Unit 15-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13C-E 1749 FLR-13-E Form 13: Financial Statement (Support Claims) sworn/affirmed E Attorney General Civil/Family Policy and Program Branch Family Unit 15-Jan 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13-E 1750 FLR-14A-E Form 14A: Affidavit (general) dated E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 54 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14A-E 1751 FLR-14B-E Form 14B: Motion Form E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14B-E 1752 FLR-14C-E Form 14C: Confirmation E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14C-E 1753 FLR-14D-E Form 14D: Order on Motion without Notice E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14D-E 1754 FLR-14-E Form 14: Notice of Motion E Attorney General Civil/Family Policy and Program Branch Family Unit 07-Jun 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14-E 1755 FLR-15A-E Form 15A: Change Information Form E Attorney General Operational Support Branch Family Unit 16-Apr 34 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15A-E 1756 FLR-15B-E Form 15B: Response to Motion to Change E Attorney General Operational Support Branch Family Unit 16-Apr 25 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15B-E 1757 FLR-15C-E Form 15C: Consent Motion to Change E Attorney General Operational Support Branch Family Unit 16-Apr 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15C-E 1758 FLR-15D-E Form 15D: Consent Motion to Change Child Support E Attorney General Operational Support Branch Family Unit 16-Apr 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15D-E 1759 FLR-15-E Form 15: Motion to Change Order or Agreement E Attorney General Civil/Family Policy and Program Branch Family Unit 16-Apr 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15-E 1760 FLR-17A-E Form 17A: Case Conference Brief – General E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Nov 39 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17A-E 1761 FLR-17B-E Form 17B: Case Conference Brief for Protection Application/Status Review E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17B-E 1762 FLR-17C-E Form 17C - Settlement Conference Brief –General E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Nov 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17C-E 1763 FLR-17-E Form 17: Conference Notice E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17-E 1764 FLR-17E-E Form 17E - Trial Management Conference Brief E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Nov 22 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17E-E 1765 FLR-20-1-E Form 20.1 - Acknowledgement of Expert's Duty E Attorney General Civil/Family Policy and Program Branch Family Unit 11-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-1-E 1766 FLR-20A-E Form 20A - Authorization to Commissioner E Attorney General Operational Support Branch Family Unit 05-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20A-E 1767 FLR-20B-E Form 20B - Letter of Request E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20B-E 1768 FLR-20-E Form 20 - Request for Information E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-E 1769 FLR-20-F Form 20 - Request for Information E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-F 1770 FLR-22A-E Form 22A - Response to Request to Admit E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-22A-E 1771 FLR-22-E Form 22 - Request to Admit E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-22-E 1772 FLR-23A-E Form 23A - Summons to Witness outside Ontario E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23A-E 1773 FLR-23B-E Form 23B - Order for Prisoner's Attendance E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23B-E 1774 FLR-23B-F Form 23B - Order for Prisoner's Attendance E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23B-F 1775 FLR-23C-E Form 23C - Affidavit for Uncontested Trial, dated E Attorney General Operational Support Branch Family Unit 09-Sep 24 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23C-E 1776 FLR-23C-F Form 23C - Affidavit for Uncontested Trial, dated E Attorney General Operational Support Branch Family Unit 09-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23C-F 1777 FLR-23-E Form 23 - Summons to Witness E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23-E 1778 FLR-25A-E Form 25A - Divorce Order E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25A-E 1779 FLR-25A-F Form 25A - Divorce Order E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25A-F 1780 FLR-25B-E Form 25B - Secure Treatment Order E Attorney General Operational Support Branch Family Unit 05-Sep 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25B-E 1781 FLR-25B-F Form 25B - Secure Treatment Order E Attorney General Operational Support Branch Family Unit 05-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25B-F 1782 FLR-25C-E Form 25C - Adoption Order E Attorney General Operational Support Branch Family Unit 12-Jun 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25C-E 1783 FLR-25C-F Form 25C - Adoption Order E Attorney General Operational Support Branch Family Unit 12-Jun 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25C-F 1784 FLR-25D-E Form 25D - Order (Uncontested Trial) E Attorney General Operational Support Branch Family Unit 05-Sep 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25D-E 1785 FLR-25D-F Form 25D - Order (Uncontested Trial) E Attorney General Operational Support Branch Family Unit 05-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25D-F 1786 FLR-25-E Form 25 - Order (general) E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25-E 1787 FLR-25E-E Form 25E - Notice Disputing Approval of Order E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25E-E 1788 FLR-25E-F Form 25E - Notice Disputing Approval of Order E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25E-F 1789 FLR-25F-E Form 25F - Restraining Order E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Sep 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25F-E 1790 FLR-25F-F Form 25F - Restraining Order E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Sep 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25F-F 1791 FLR-25G-E Form 25E - Notice Disputing Approval of Order E Attorney General Civil/Family Policy and Program Branch Family Unit 05-Sep 3 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25G-E 1792 FLR-4-E Form 4: Notice of Change in Representation E Attorney General Civil/Family Policy and Program Branch Family Unit 13-Oct 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-4-E 1793 FLR-6A-E Form 6A: Advertisement E Attorney General Civil/Family Policy and Program Branch Family Unit 15-Mar 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-6A-E 1794 FLR-6B-E Form 6B: Affidavit of Service sworn/affirmed E Attorney General Operational Support Branch Family Unit 16-Apr 53 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-6B-E 1795 FLR-8A-E Form 8A: Application (Divorce) - Simple (divorce only)/Joint E Attorney General Civil/Family Policy and Program Branch Family Unit 16-Oct 42 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8A-E 1796 FLR-8B-1-E Form 8B-1: Application (Status Review for Crown Ward and Former Crown Ward) E Attorney General Operational Support Branch Family Unit 06-Oct 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-1-E 1797 FLR-8B-2-E Form 8B-2: Application (General) (Child and Family Services Act Cases other than Child Protection and Status Review) E Attorney General Operational Support Branch Family Unit 06-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-2-E 1798 FLR-8B-E Form 8B: Application (Child Protection and Status Review) E Attorney General Operational Support Branch Family Unit 06-Oct 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-E 1799 FLR-8C-E Form 8C: Application for Secure Treatment/Extension of Secure Treatment E Attorney General Civil/Family Policy and Program Branch Family Unit 09-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8C-E 1800 FLR-8D-1-E Form 8D-1: Application (Dispense with Parent's Consent To Adoption Before Placement) E Attorney General Operational Support Branch Family Unit 05-Sep 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-1-E 1801 FLR-8D-2-E Form 8D-2: Notice of Intention to Place a Child for Adoption E Attorney General Civil/Family Policy and Program Branch Family Unit 11-Aug 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-2-E 1802 FLR-8D-3-E Form 8D-3: Notice to Child of Intention to Place for Adoption E Attorney General Civil/Family Policy and Program Branch Family Unit 11-Aug 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-3-E 1803 FLR-8D-4-E Form 8D-4: Notice of Termination of Access E Attorney General Civil/Family Policy and Program Branch Family Unit 11-Aug 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-4-E 1804 FLR-8D-E Form 8D: Application (Adoption) E Attorney General Operational Support Branch Family Unit 12-Jun 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-E 1805 FLR-8-E Form 8: Application (General) E Attorney General Civil/Family Policy and Program Branch Family Unit 12-Oct 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8-E 1806 FLR-CLRA-30-E Children's Law Reform Act Section 30 Endorsement Sheet E Attorney General Court Services Division Program Management Branch Orders and sets out an assessment of a Children's Law Reform Act case. 16-Feb 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-CLRA-30-E 1807 FORM1 Compliance Report (Form1) E Finance Office of the Budget and Treasury Board Office of the Budget and Treasury Board 11-Jan 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FORM1 1808 FW4511E Landowner's Consent E Natural Resources and Forestry Species Conservation Policy Branch Wildlife Section Right to Access personal property for purposes of hunting 16-May 33 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FW4511E 1809 FW-A-5-E Request for Court Interpreter by An Individual Who Has Been Given a Fee Waiver E Attorney General Civil/Family Policy and Program Branch Civil Unit "Fee waiver granted. Request to court staff for an interpreter. " 09-May 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FW-A-5-E 1810 LE343E Application for the Removal of OPP Suicide Information on CPIC E Solicitor General Ontario Provincial Police Ontario Provincial Police 18-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE343E 1811 LE353E Anti-Rackets Branch (ARB) Request for Service E Solicitor General Ontario Provincial Police Business Management Bureau 18-Aug 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE353E 1812 LE354E Consent to Release Financial Records E Solicitor General Ontario Provincial Police Business Management Bureau 18-Aug 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE354E 1813 MAG007E Family Arbitration Report E Attorney General Justice Policy Development Branch Justice Policy Development Branch "It lists the arbitrators information & the information about the parties to the arbitration. Must be completed by the Arbitrator for every family arbitration. " 07-Oct 32 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MAG007E 1814 MR-A-52E Application For Aid Under Part XIII E Transportation Contract Management and Operations Branch Operations Office 07-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-52E 1815 MR-A-53E Appointment of Agent By Owners in Territority Without Municipal Organization to Arrange Road Work with The Minister of Transportation E Transportation Contract Management and Operations Branch Operations Office 07-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-53E 1816 MR-A-71E Appointment of Owner To Call A Public Meeting Pursuant To Section 7 (1) The Local Roads Boards Act E Transportation Contract Management and Operations Branch Operations Office 07-Jan 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-71E 1817 MR-A-72E Notice of Public Meeting The Local Roads Boards Act R.S.O. 1990, Chapter L. 27 E Transportation Contract Management and Operations Branch Operations Office 07-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-72E 1818 ON00002 Document Solutions and Logistics Branch - Form Request E OPS Internal Administration Forms Document Solutions and Logistics Branch Document Solutions and Logistics Branch To submit requests for Forms-related and Printing services 19-Oct 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00002 1819 ON00008E Ontario Autism Program Interim One-Time Funding - Primary Caregiver Application E Children, Community and Social Services Children with Special Needs Branch Children with Special Needs Branch This form allows Primary Caregivers of children eligible for Ontario Autism Program Interim One-Time Funding to apply for this funding. 20-Jan 4339 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00008E 1820 ON00010E Ontario Autism Program Interim One-Time Funding - Independent Youth Application E Children, Community and Social Services Children with Special Needs Branch Children with Special Needs Branch This form allows independent youths eligible for Ontario Autism Program Interim One-Time Funding to apply for this funding. 20-Jan 59 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00010E 1821 ON00012E Sample sign for auto repair businesses E Government and Consumer Services Consumer Services, Analytics and Partnerships Branch Consumer Protection Ontario This 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 t 19-Dec 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00012E 1822 ON00013E Ontario Autism Program Interim One-Time Funding Expense Form E Children, Community and Social Services Client Services Branch Child and Youth Services This 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-Dec 585 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00013E 1823 ON00016E Sworn Statement to Applying for an Accessible Parking Permit on Behalf of an Adult Incapable of Signing E Government and Consumer Services ServiceOntario – Kingston Production and Verification Services Accessible Parking Permit Services Office Sworn Statement to Applying for an Accessible Parking Permit on Behalf of an Adult Incapable of Signing 19-Dec 44 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00016E 1824 ON00017E Support for Parents Application E Education Early Years & Child Care Policy Branch Early Years Policy Unit To enable parents/guardians to apply for the Support for Parents program. 20-Jan 2534 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00017E 1825 PH-A-17-E Application for Sign Permit E Transportation Contract Management and Operations Branch Operations Office 07-Mar 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=PH-A-17-E 1826 PH-A-20-E Application for Building and Land Use Permit/Entrance Permit E Transportation Contract Management and Operations Branch Operations Office 07-Mar 38 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=PH-A-20-E 1827 POA-0803-E Form 16, Provincial Offences Act, Ontario Court of Justice. Certificate Requestiong Conviction E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0803-E 1828 POA-0812-E Form 15, Provincial Offences Act, Ontario Court of Justice. Notice of Impending Conviction E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Mar 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0812-E 1829 POA-0813-E Form 8, Provincial Offences Act. Notice of intention to appear E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 14-Mar 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0813-E 1830 POA-0814-E Form 9, Provincial Offences Act, O. Reg. 108/11. Notice of Trial E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 14-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0814-E 1831 POA-0847-E Form 1 - Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Certificate of Offence E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Nov 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0847-E 1832 POA-0848-E Form 3, Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Offence Notice E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 14-Mar 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0848-E 1833 POA-0849-E Form 4, Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Offence Notice E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Nov 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0849-E 1834 POA-0851-E Form 7.1, Provincial Offences Act, O. Reg.108/11. Early Resolution Meeting Notice E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0851-E 1835 POA-0852-E Form 7.2, Provincial Offences Act, O. Reg.108/11. Early Resolution Meeting Notice E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0852-E 1836 POA-0853-E Form 7.3, Provincial Offences Act, O. Reg.108/11. Early Resolution Outcome E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0853-E 1837 POA-0854-E Form 10, Provincial Offences Act, O. Reg. 108/11. Notice of Fine and Due Date E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Nov 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0854-E 1838 POA-0855-E Form 11, Provincial Offences Act, Ontario Court of Justice. Certificate of Parking Infraction E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Mar 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0855-E 1839 POA-0856-E Form 12, Provincial Offences Act, Ontario Court of Justice. Parking Infraction Notice E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 14-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0856-E 1840 POA-0858-E Form 14, Provincial Offences Act, Ontario Court of Justice. Notice of Impending Conviction E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 14-Mar 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0858-E 1841 POA-0861-E Form 7, Provincial Offences Act, Ontario Court of Justice. Summons E Attorney General Criminal/POA Policy and Program Branch Criminal/POA Unit 11-Mar 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0861-E 1842 POA-0862-E Form 2.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Certificate of Offence E Attorney General Court Services Division Program Management Branch Form 2.1, Provincial Offences Act, O. Reg. 108/11 16-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0862-E 1843 POA-0863-E Form 5.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Offence Notice E Attorney General Court Services Division Program Management Branch Form 5.1, Provincial Offences Act, O. Reg. 108/11 16-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0863-E 1844 POA-0864-E Form 6.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Offence Notice E Attorney General Court Services Division Program Management Branch Form 6.1, Provincial Offences Act, O. Reg. 108/11 16-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0864-E 1845 RCP-14A-E Form 14A - Courts of Justice Act Statement of Claim E Attorney General Civil/Family Policy and Program Branch Civil Unit 14-Jun 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14A-E 1846 RCP-14B-E Form 14B - Courts of Justice Act Statement of Claim (Mortgage Action - Foreclosure) E Attorney General Civil/Family Policy and Program Branch Civil Unit 14-Jun 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14B-E 1847 RCP-14C-E Form 14C - Courts of Justice Act Notice of Action E Attorney General Civil/Family Policy and Program Branch Civil Unit 14-Jun 19 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14C-E 1848 RCP-14D-E Form 14D - Courts of Justice Act Statement of Claim (Action Commenced by Notice of Action) E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14D-E 1849 RCP-14E-1-E Form 14E.1- Courts of Justice Act Notice of Application Under Subsection 140(3) of The Courts of Justice Act E Attorney General Civil/Family Policy and Program Branch Civil Unit 14-Jan 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14E-1-E 1850 RCP-14E-E Form 14E - Courts of Justice Act Notice of Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Mar 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14E-E 1851 RCP-14F-E Form 14F - Courts of Justice Act Information for Court use Ontario Superior Court of Justice E Attorney General Civil/Family Policy and Program Branch Civil Unit 08-Nov 21 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14F-E 1852 RCP-15A-E Form 15A - Courts of Justice Act Notice of Change of Lawyer E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15A-E 1853 RCP-15B-E Form 15B - Courts of Justice Act Notice of Appointment of Lawyer E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15B-E 1854 RCP-15C-E Form 15C - Courts of Justice Act Notice of Intention to Act in Person E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 18 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15C-E 1855 RCP-16B-E Form 16B - Courts of Justice Act Affidavit of Service E Attorney General Operational Support Branch Civil Unit 08-Jan 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-16B-E 1856 RCP-17A-E Form 17A - Courts of Justice Act Request For Service Abroad of Judicial or Extrajudicial Documents E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17A-E 1857 RCP-17B-E Form 17B - Courts of Justice Act Summary of The Document to be Served E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17B-E 1858 RCP-17C-E Form 17C - Courts of Justice Act Notice and Summary of Document Identity and Address of The Addressee E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17C-E 1859 RCP-18A-E Form 18A - Courts of Justice Act Statement of Defence E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-18A-E 1860 RCP-18B-E Form 18B - Courts of Justice Act Notice of Intent to Defend E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 20 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-18B-E 1861 RCP-19D-E FORM 19D - Courts of Justice Act. Requisition for Default Judgment E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-19D-E 1862 RCP-2-1A-E Form 2.1a - Courts of Justice Act Notice That Proceeding (or Motion) May Be Stayed or Dismissed E Attorney General Civil/Family Policy and Program Branch Civil Unit 14-Jan 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-2-1A-E 1863 RCP-22A-E FORM 22A - Courts of Justice Act. Special Case E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-22A-E 1864 RCP-23A-E FORM 23A - Courts of Justice Act. Notice of Discontinuance E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 15 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23A-E 1865 RCP-23B-E FORM 23B - Courts of Justice Act. Notice of Election to Proceed with Counterclaim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23B-E 1866 RCP-23C-E FORM 23C - Courts of Justice Act. Notice of Withdrawal of Defence E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23C-E 1867 RCP-25A-E FORM 25A- Courts of Justice Act. Reply E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-25A-E 1868 RCP-27A-E FORM 27A- Courts of Justice Act. Counterclaim Against Parties to Main Action Only E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27A-E 1869 RCP-27B-E FORM 27B- Courts of Justice Act. Counterclaim (Against Plaintiff and Person Not Already Party To Main Action) E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27B-E 1870 RCP-27C-E FORM 27C- Courts of Justice Act. Defence to Counterclaim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27C-E 1871 RCP-27D-E FORM 27D- Courts of Justice Act. Reply to Defence to Counterclaim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27D-E 1872 RCP-28A-E FORM 28A- Courts of Justice Act. Crossclaim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28A-E 1873 RCP-28B-E FORM 28B- Courts of Justice Act. Defence to Crossclaim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28B-E 1874 RCP-28C-E FORM 28C- Courts of Justice Act. Reply to Defence to Crossclaim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28C-E 1875 RCP-29A-E FORM 29A- Courts of Justice Act. Third Party Claim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29A-E 1876 RCP-29B-E FORM 29B - Courts of Justice Act. Third Party Defence E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29B-E 1877 RCP-29C-E FORM 29C - Courts of Justice Act. Reply to Third Party Defence E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29C-E 1878 RCP-30A-E FORM 30A - Courts of Justice Act. Affidavit of Documents (Individual) E Attorney General Civil/Family Policy and Program Branch Civil Unit 08-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30A-E 1879 RCP-30B-E FORM 30B - Courts of Justice Act. Affidavit of Documents (Corporation or Partnership) E Attorney General Civil/Family Policy and Program Branch Civil Unit 08-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30B-E 1880 RCP-30C-E FORM 30C - Courts of Justice Act. Request to Inspect Documents E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30C-E 1881 RCP-34A-E FORM 34A - Courts of Justice Act. Notice of Examination E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-34A-E 1882 RCP-34B-E FORM 34B - Courts of Justice Act. Summons To Witness (Examination Out Of Court) E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-34B-E 1883 RCP-35A-E FORM 35A - Courts of Justice Act. Questions on Written Examination for Discovery E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-35A-E 1884 RCP-37A-E FORM 37A - Courts of Justice Act. Notice of Motion E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37A-E 1885 RCP-37B-E FORM 37B - Courts of Justice Act. Confirmation of Motion E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37B-E 1886 RCP-37C-E FORM 37C - Courts of Justice Act. Refusal and Undertakings Chart E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37C-E 1887 RCP-38A-E FORM 38A - Courts of Justice Act. Notice of Appearance E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 26 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-38A-E 1888 RCP-38B-E FORM 38B - Courts of Justice Act. Confirmation of Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-38B-E 1889 RCP-47A-E FORM 47A - Courts of Justice Act. Jury Notice E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-47A-E 1890 RCP-48C-1-E FORM 48C-1 - Courts of Justice Act. Status Notice: Action Not On A Trial List E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-1-E 1891 RCP-48C-2-E FORM 48C-2 - Courts of Justice Act. Status Notice: Action Struck From Trial List E Attorney General Civil/Family Policy and Program Branch Civil Unit 08-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-2-E 1892 RCP-48C-E FORM 48C - Courts of Justice Act. Status Notice E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-E 1893 RCP-48E-E FORM 48E - Courts of Justice Act. Notice That Action Will Be Dismissed E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48E-E 1894 RCP-48F-E FORM 48F - Court of Justice Act. Order Dismissing Action As Abandoned E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48F-E 1895 RCP-49A-E FORM 49A - Court of Justice Act. Offer to Settle E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49A-E 1896 RCP-49B-E FORM 49B - Court of Justice Act. Notice Of Withdrawal of Offer E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49B-E 1897 RCP-49C-E FORM 49C - Court of Justice Act. Acceptance of Offer E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49C-E 1898 RCP-49D-E FORM 49D - Court of Justice Act. Offer to Contribute E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49D-E 1899 RCP-4B-E Form 4b - Courts of Justice Act General Heading of Documents — Applications E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4B-E 1900 RCP-4C-E Form 4c - Courts of Justice Act – Backsheet E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4C-E 1901 RCP-4D-E Form 4d - Courts of Justice Act Affidavit E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4D-E 1902 RCP-4E-E Form 4e - Courts of Justice Act Requisition E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4E-E 1903 RCP-4F-E Form 4F - Courts of Justice Act Notice of Constitutional Question E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4F-E 1904 RCP-51A-E FORM 51A - Court of Justice Act. Request To Admit E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-51A-E 1905 RCP-51B-E FORM 51B - Court of Justice Act. Response To Request To Admit E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-51B-E 1906 RCP-53A-E FORM 53A - Court of Justice Act. Summons To Witness (At Hearing) E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53A-E 1907 RCP-53C-E FORM 53C - Court of Justice Act. Summons To Witness Outside Ontario E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53C-E 1908 RCP-53-E FORM 53 - Court of Justice Act. Acknowledgment of Expert's Duty E Attorney General Civil/Family Policy and Program Branch Civil Unit 14-Jul 29 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53-E 1909 RCP-55A-E FORM 55A - Court of Justice Act. Notice of Hearing for Directions E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55A-E 1910 RCP-55B-E FORM 55B - Court of Justice Act. Notice to Party Added on Reference E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55B-E 1911 RCP-55B-F FORM 55B - Court of Justice Act. Notice to Party Added on Reference E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55B-F 1912 RCP-55D-E FORM 55D - Court of Justice Act. Notice of Contested Claim E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55D-E 1913 RCP-55E-E FORM 55E - Court of Justice Act. Notice to Creditor E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55E-E 1914 RCP-55F-E FORM 55F - Court of Justice Act. Condition of Sale E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55F-E 1915 RCP-57B-E FORM 57B - Court of Justice Act. Costs Outline E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-57B-E 1916 RCP-59A-E FORM 59A - Court of Justice Act. Order E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59A-E 1917 RCP-59B-E FORM 59B - Court of Justice Act. Judgement E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59B-E 1918 RCP-59C-E FORM 59C - Court of Justice Act. Order on Appeal E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59C-E 1919 RCP-60A-E FORM 60A - Court of Justice Act. Writ of Seizure and Sale E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60A-E 1920 RCP-60I-1-E FORM 60I-1 - Court of Justice Act. Notice to Co-Owner of the Debt E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60I-1-E 1921 RCP-60J-E FORM 60J - Court of Justice Act. Notice of Termination of Garnishment E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60J-E 1922 RCP-60N-E FORM 60N - Court of Justice Act. Sheriff's Report E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60N-E 1923 RCP-61E-E FORM 61E - Court of Justice Act. Notice of Cross-Appeal E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61E-E 1924 RCP-61F-E FORM 61F - Court of Justice Act. Supplementary Notice of Appeal or Cross-Appeal E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61F-E 1925 RCP-61G-E FORM 61G - Court of Justice Act. Notice of Listing for Hearing (Appeal) E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61G-E 1926 RCP-61H-E FORM 61H - Court of Justice Act. Certificate of Completeness of Appeal Book and Compendium E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61H-E 1927 RCP-61I-E FORM 61I - Court of Justice Act. Order Dismissing Appeal or Cross-Appeal for Delay E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61I-E 1928 RCP-61J-E FORM 61J - Court of Justice Act. Order Dismissing Motion for Leave to Appeal for Delay E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61J-E 1929 RCP-61K-E FORM 61K - Court of Justice Act. Notice of Abandonment of Appeal or Cross-Appeal E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61K-E 1930 RCP-61L-E FORM 61L - Court of Justice Act. Notice of Election to Proceed With Cross-Appeal E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61L-E 1931 RCP-62A-E FORM 62A - Court of Justice Act. Notice of Appeal to a Judge E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-62A-E 1932 RCP-64A-E FORM 64A - Court of Justice Act. Request to Redeem E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64A-E 1933 RCP-64D-E FORM 64D- Court of Justice Act. Default Judgment for Foreclosure Without a Reference E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64D-E 1934 RCP-64E-E FORM 64E- Court of Justice Act. Final Order of Foreclosure E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64E-E 1935 RCP-64F-E FORM 64F- Court of Justice Act. Request for Sale E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64F-E 1936 RCP-68A-E FORM 68A- Court of Justice Act. Notice of Application to Divisional Court for Judicial Review E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68A-E 1937 RCP-68B-E FORM 68B- Court of Justice Act. Notice of Listing for Hearing (Judicial Review) E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68B-E 1938 RCP-68C-E FORM 68C- Court of Justice Act. Order Dismissing Application for Judicial Review E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68C-E 1939 RCP-72A-E FORM 72A - Court of Justice Act. Notice of Payment Into Court E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72A-E 1940 RCP-72B-E FORM 72B - Court of Justice Act. Affidavit (Motion for Payment Out of Court) E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72B-E 1941 RCP-72C-E FORM 72C - Court of Justice Act. Stop Order E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72C-E 1942 RCP-74-10-E FORM 74-10 - Courts of Justice Act. Affidavit of Condition of Will or Codicil E Attorney General Civil/Family Policy and Program Branch Civil Unit 17-Oct 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-10-E 1943 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-11-E 1944 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 15-Feb 5 http://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 1945 RCP-74-12-E FORM 74-12- Courts of Justice Act. Consent to Applicant's Appointment as Estate Trustee with a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-12-E 1946 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Nov 5 http://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 1947 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 5 http://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 1948 RCP-74-14-E FORM 74-14 Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee Without a Will (Individual Applicant) E Attorney General Operational Support Branch Civil Unit 18-Sep 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-14-E 1949 RCP-74-15-E FORM 74-15 Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee Without a Will (Corporate Applicant) E Attorney General Operational Support Branch Civil Unit 15-Feb 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-15-E 1950 RCP-74-16-E FORM 74-16 Courts of Justice Act. Affidavit of Service of Notice E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-16-E 1951 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-17-E 1952 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-18-E 1953 RCP-74-19-E FORM 74-19 Courts of Justice Act. Consent ti Applicant's Appointment as Estate Trustee Without a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-19-E 1954 RCP-74-1-E FORM 74-1 - Courts of Justice Act. Notice to Estate Registrar of Deposit of Will or Codicil E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-1-E 1955 RCP-74-20-E FORM 74-20 Courts of Justice Act. Certificate of Appointment of Estate Trustee Without a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-20-E 1956 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 4 http://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 1957 RCP-74-21-E FORM 74-21 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-21-E 1958 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 6 http://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 1959 RCP-74-22-E FORM 74-22 - Courts of Justice Act. Consent to Applicant's Appointment as Succeeding Estate Trustee With a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-22-E 1960 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 4 http://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 1961 RCP-74-23-E FORM 74-23 - Courts of Justice Act. Cerificate of Appointment of Succeeding Estate Trustee With a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 15-Feb 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-23-E 1962 RCP-74-24-E FORM 74-24 - Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Without a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-24-E 1963 RCP-74-25-E FORM 74-25 - Courts of Justice Act. Consent to Applicant's Appointment as Succeeding Estate Trustee Without a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-25-E 1964 RCP-74-26-E FORM 74-26 - Courts of Justice Act. Certificate of Appointment of Succeeding Estate Trustee Without a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-26-E 1965 RCP-74-27-E FORM 74.27 - Application for Confirmation by Resealing of Appointment or Certificate of Ancillary Appointment of Estate Trustee E Attorney General Civil/Family Policy and Program Branch Civil Unit 15-Feb 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-27-E 1966 RCP-74-28-E FORM 74.28 - Courts of Justice Act. Confirmation by Resealing of Appointment of Estate Trustee E Attorney General Civil/Family Policy and Program Branch Civil Unit 15-Feb 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-28-E 1967 RCP-74-29-E FORM 74.29 - Courts of Justice Act. Certificate of Ancillary Appointment of Estate Trustee with a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-29-E 1968 RCP-74-2-E FORM 74-2 - Courts of Justice Act. Notice to Estate Registrar of Withdrawal of Will or Codicil E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-2-E 1969 RCP-74-30-E FORM 74.30 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee During Litigation E Attorney General Operational Support Branch Civil Unit 12-Apr 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-30-E 1970 RCP-74-31-E FORM 74.31 - Courts of Justice Act. Certificate of Appointment of Estate Trustee During Litigation E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-31-E 1971 RCP-74-32-E FORM 74.32 - Courts of Justice Act. Bond - Insurance or Guarantee Company E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-32-E 1972 RCP-74-33-E FORM 74.33 - Courts of Justice Act. Bond - Personal Sureties E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-33-E 1973 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-34-E 1974 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-35-E 1975 RCP-74-36-E FORM 74.36 - Courts of Justice Act. Order to Accept or Refuse Appointment as Estate Trustee with a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-36-E 1976 RCP-74-37-E FORM 74.37 - Courts of Justice Act. Order to Accept or Refuse Appointment as Estate Trustee without a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-37-E 1977 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-38-E 1978 RCP-74-39-E FORM 74.39 - Courts of Justice Act. Order to File a Statement of Assets of the Estate E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-39-E 1979 RCP-74-3-E FORM 74-3 - Courts of Justice Act. Request for Notice of commencement of proceeding E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-3-E 1980 RCP-74-40-E FORM 74.40 - Courts of Justice Act. Order to Beneficiary Witness E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-40-E 1981 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 18-Sep 8 http://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 1982 RCP-74-41-E FORM 74.41 - Courts of Justice Act. Order to Former Spouse E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-41-E 1983 RCP-74-42-E FORM 74.42 - Courts of Justice Act. Order to Pass Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-42-E 1984 RCP-74-43-E FORM 74.43 - Courts of Justice Act. Affidavit Verifying Estate Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-43-E 1985 RCP-74-45-1-E FORM 74.45.1 - Courts of Justice Act. Request for Further Notice in Passing of Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 15-Feb 8 http://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 1986 RCP-74-45-E FORM 74.45 - Courts of Justice Act. Notice of Objection to Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-45-E 1987 RCP-74-46-E FORM 74.46 - Courts of Justice Act. Notice of No Objection to Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-46-E 1988 RCP-74-47-E FORM 74.47 - Courts of Justice Act. Affidavit in Support of Unopposed Judgment on Passing of Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-47-E 1989 RCP-74-48-E FORM 74.48 - Courts of Justice Act. Notice of Withdrawal of Objection E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-48-E 1990 RCP-74-49-2-E FORM 74.49.2 - Courts of Justice Act. Request for Increased Costs (Estate Trustee) E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 5 http://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 1991 RCP-74-49-4-E FORM 74.49.4 - Courts of Justice Act. Reply to Notice of Objection to Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 15-Feb 4 http://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 1992 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) E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-E 1993 RCP-74-4-E FORM 74-4 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Individual Applicant) E Attorney General Civil/Family Policy and Program Branch Civil Unit 18-Sep 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-4-E 1994 RCP-74-50-E FORM 74.50 - Courts of Justice Act. Judgment on Unopposed Passing of Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-50-E 1995 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 Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 18-Sep 5 http://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 1996 RCP-74-51-E FORM 74.51 - Courts of Justice Act. Judgment on Contested Passing of Accounts E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-51-E 1997 RCP-74-5-E FORM 74-5 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Corporate Applicant) E Attorney General Operational Support Branch Civil Unit 18-Sep 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-5-E 1998 RCP-74-6-E FORM 74-6 - Courts of Justice Act. Affidavit of Service of Notice E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 7 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-6-E 1999 RCP-74-7-E FORM 74-7 - Courts of Justice Act. Notice of Application for a Certificate of Appointment of Estate Trustee with a Will E Attorney General Civil/Family Policy and Program Branch Civil Unit 12-Apr 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-7-E 2000 RCP-74-8-E FORM 74-8 - Courts of Justice Act. Affidavit of Execution of Will or Codicil E Attorney General Operational Support Branch Civil Unit 05-Nov 16 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-8-E 2001 RCP-74-9-E FORM 74-9 - Courts of Justice Act. Affidavit Attesting to the Handwriting and Signature of a Holograph Will or Codicil E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-9-E 2002 RCP-75-10-E FORM 75.10 - Courts of Justice Act. Statement of Submission of Rights to the Court E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-10-E 2003 RCP-75-11-E FORM 75.11 - Courts of Justice Act. Notice of Settlement E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-11-E 2004 RCP-75-12-E FORM 75.12 - Courts of Justice Act. Rejection of Settlement E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-12-E 2005 RCP-75-13-E FORM 75.13 - Courts of Justice Act. Notice of Contestation E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-13-E 2006 RCP-75-14-E FORM 75.14 - Courts of Justice Act. Claim Against Estate E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-14-E 2007 RCP-75-1A-E FORM 75.1A - Courts of Justice Act. Request for Assignment of Mediator E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1A-E 2008 RCP-75-1B-E FORM 75.1B - Courts of Justice Act. Notice by Mediator E Attorney General Operational Support Branch Civil Unit 05-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1B-E 2009 RCP-75-1C-E FORM 75.1C - Courts of Justice Act. Statement of Issues E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1C-E 2010 RCP-75-1D-E FORM 75.1D - Courts of Justice Act. Certificate of Non-Compliance E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1D-E 2011 RCP-75-1-E FORM 75.1 - Courts of Justice Act. Notice of Objection E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1-E 2012 RCP-75-2-E FORM 75.2 - Courts of Justice Act. Notice that Objection has been Filed E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-2-E 2013 RCP-75-3-E FORM 75.3 - Courts of Justice Act. Notice to Objector E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-3-E 2014 RCP-75-4-E FORM 75.4 - Courts of Justice Act. Notice of Appearance E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-4-E 2015 RCP-75-5-E FORM 75.5- Courts of Justice Act. Notice of Application for Directions E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-5-E 2016 RCP-75-6-E FORM 75.6 Courts of Justice Act. Notice of Motion for Directions E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-6-E 2017 RCP-75-7-E FORM 75.7 Courts of Justice Act. Statement of Claim Pursuant to Order Giving Directions E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-7-E 2018 RCP-75-8-E FORM 75.8 - Courts of Justice Act. Order Giving Directions Where Pleadings Directed E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 4 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-8-E 2019 RCP-75-9-E FORM 75.9 - Courts of Justice Act. Order Giving Directions Where Trial of Issues Directed E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-9-E 2020 RCP-76A-E FORM 76A - Courts of Justice Act. Notice Whether Action Under Rule 76 E Attorney General Civil/Family Policy and Program Branch Civil Unit 08-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76A-E 2021 RCP-76B-E FORM 76B - Courts of Justice Act. Simplified Procedure Motion Form E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76B-E 2022 RCP-76C-E FORM 76C - Courts of Justice Act. Notice of Readiness for Pre-Trial Conference E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76C-E 2023 RCP-76D-E FORM 76D - Courts of Justice Act. Trial Management Checklist E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76D-E 2024 RCP-7A-E Form 7a - Courts of Justice Act Request for Appointment of Litigation Guardian E Attorney General Civil/Family Policy and Program Branch Civil Unit 07-Jul 9 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-7A-E 2025 RCP-8A-E Form 8A - Courts of Justice Act Notice to Alleged Partner E Attorney General Civil/Family Policy and Program Branch Civil Unit 05-Nov 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-8A-E 2026 RR-0279-E Order for Assessment - Client's Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Dec 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0279-E 2027 RR-0280-E Order for Assessment - Solicitor's Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Dec 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0280-E 2028 RR-0288-E Requisition for Assessment - Client's Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Dec 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0288-E 2029 RR-0289-E Requisition for Assessment - Solicitor's Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 09-Dec 13 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0289-E 2030 RR-0344-E Notice of Appointment for Assessment E Attorney General Civil/Family Policy and Program Branch Civil Unit 11-Jan 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0344-E 2031 RR-0360-E Order for Delivery and Assessment - Client's Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Mar 5 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0360-E 2032 RR-0361-E Requisition for Delivery and Assessment - Client's Application E Attorney General Civil/Family Policy and Program Branch Civil Unit 10-Mar 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0361-E 2033 RSCC 1A-1-E Request for a Copy of a Youth Criminal Justice Act (Canada) Sentence Order E Attorney General Civil/Family Policy and Program Branch Civil Unit 03-Apr 2 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC 1A-1-E 2034 RSCC-1A-E Form 1A - Additional Parties E Attorney General Civil/Family Policy and Program Branch Civil Unit "Used to name additional parties where a form does not have sufficient space. " 14-Jan 14 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-1A-E 2035 RSCC-1A-F Form 1A - Additional Parties E Attorney General Civil/Family Policy and Program Branch Civil Unit "Used to name additional parties where a form does not have sufficient space. " 14-Jan 0 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-1A-F 2036 RSCC-7A-E Form 7A - Plaintiff's Claim Ont. Reg. No.: 258/98 E Attorney General Civil/Family Policy and Program Branch Civil Unit Used by plaintiff to commence a proceeding against the defendant. 16-Nov 17 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-7A-E 2037 SR-E-500E Extended Permitting Dump Semi-Trailers E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section 19-Jul 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-500E 2038 SR-E-501E Special Vehicle Configure Permit Application Long Combination Vehicle (LCV) Program E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section 19-Jul 6 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-501E 2039 SR-E-503E Special Amendment E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section 17-Jan 11 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-503E 2040 SR-E-504E Disabled Vehicle Towing Application E Transportation Carrier Safety and Enforcement Branch Oversize and Overweight Permit Section 19-Jul 12 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-504E 2041 SR-E-5067E MVIS Replacement/Amendment E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 19-Jul 131 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5067E 2042 SR-E-5070E Request for MVIS Refund E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 15-May 48 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5070E 2043 SR-E-5071E Termination of MVIS E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 15-May 78 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5071E 2044 SR-E-5072E Representative and Service Provider Authorization E Transportation Carrier Safety and Enforcement Branch Motor Vehicle Inspection Station Unit 18-May 65 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5072E 2045 SR-L-PR-010E Commercial Vehicle Operator's Registration (CVOR) Replacement Application E Transportation Carrier Safety and Enforcement Branch Carrier Sanctions and Investigation Office 19-Jul 357 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-L-PR-010E 2046 VSP005E Attorney General's Victim Services Awards of Distinction - Individual Nomination E Attorney General Victims and Vulnerable Persons Division Victims and Vulnerable Persons Division The 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. Ind 17-Sep 8 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=VSP005E 2047 VSP006E Attorney General's Victim Services Awards of Distinction - Group/Organization Nomination E Attorney General Victims and Vulnerable Persons Division Victims and Vulnerable Persons Division The 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. Ind 17-Sep 10 http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=VSP006E