002-02021E

Notice of Appeal - Motor Vehicle Impoundment

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02021E

002-02022E

Notice of Appeal - Administrative Driver's Licence Suspension

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02022E

002-02023E

Notice of Appeal – Commercial Motor Vehicle Impoundment and Suspension

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02023E

002-02024E

Notice of Appeal - Downgrade of a Driver's Licence for Medical Reasons

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02024E

002-02025E

Notice of Appeal - Suspension or Cancellation of a Driver's Licence for Medical Reasons

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02025E

002-02026E

Notice of Appeal - Registration, Certificate, Licence, Claim Denial, Order

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02026E

002-02027E

Notice of Appeal - Liquor Licence Act, Gaming Control Act,1992, Vintners Quality Alliance Act,1999, Alcohol and Gaming Regulation and Public Protection Act, 1996

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02027E

002-02028E

Summons to a Witness

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02028E

002-02029E

Notice of Withdrawal

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02029E

002-02030E

Declaration of Representative

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02030E

002-02048E

Application for Removal of Conditions from a Liquor Licence under Subsection 14 (2) of the Liquor Licence Act

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02048E

002-02053E

Supporting Documentation - Administrative Driver's Licence Suspension – Applicant's Medical Information

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal12-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02053E

002-02-5181E

Application for Appointment to Agencies, Boards and Commissions

EGovernment and Consumer ServicesPublic Appointments SecretariatCorporate Policy and Agency Coordination DivisionApplication for Appointment to Agencies, Boards and Commissions15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-02-5181E

002-12119E

Payday Lenders and Loan Brokers Licence Application, and Consent to Disclosure of Personal Information

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioPayday Lenders and Loan Brokers Licence Application, and Consent to Disclosure of Personal Information19-Jul25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-12119E

002-14002

The Ontario Business Registration Application

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchThe Ontario Business Registration Application is required by most entrepreneurs starting a new business or expanding an existing business.14-Nov91http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-14002

002-14-5145E

Direct Access and Deposit Account Application Form

EGovernment and Consumer ServicesServiceOntarioPersonal Property Security Registration SystemApplication form to obtain access and to open up a pre-payment deposit account to conduct registrations and enquiries transactions in the Personal Property Security Registration system.13-Apr47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-14-5145E

002-1983E

Contractor Security Screening Request and Verification

EGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningTo request a contractor security screening check and allow for verification of identity of individual applicant18-Oct40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1983E

002-1984E

Contractor Security Screening Declaration

EGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningTo allow contractors, who are applying for a security clearance, to declare any criminal convictions and/or outstanding criminal charges.18-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1984E

002-1985E

Contractor Security Screening Consent

EGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningTo provide applicant's written consent to the contractor security screening check.18-Oct38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1985E

002-1986E

Request for Transferability of Contractor Security Clearance from an Approved Organization (Ontario Public Service Contractor Security Screening Program)

EGovernment and Consumer ServicesProgram and Policy Enablement BranchContractor Security ScreeningThis form should be completed by contractors who would like to have their existing security clearance from an accredited organization be considered for transferability to the Ministry of Government and Consumer Services (MGCS)/Ontario Public Service (OPS)18-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-1986E

002-2046E

Terminology Request Form

EGovernment and Consumer ServicesBusiness Development and Services BranchGovernment Translation ServiceThis form is used to submit requests concerning Ontario official government names and their abbreviations (including acronyms) not found on the ONTERM website – www.onterm.gov.on.ca. Official terminology includes names of ministries, divisions, branches, 15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-2046E

002-20-5202E

Customer Comments

EGovernment and Consumer ServicesArchives of OntarioCustomer Service and Preservation ServicesThis form is used by customers when issuing a complaint and/or providing feedback regarding the services offered at the Archives of Ontario.15-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5202E

002-20-5203E

Educational Programming Booking Request

EGovernment and Consumer ServicesArchives of OntarioStrategic Stakeholder Development16-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5203E

002-20-5204E

Tour Booking Request

EGovernment and Consumer ServicesArchives of OntarioStrategic Stakeholder Development15-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-20-5204E

002-23-5151E

Compliance Report - Compensation Arrangements Pursuant to Section 7.18 of the Broader Public Sector Accountability Act, 2010, S.O. 2010, Chapter 25

EGovernment and Consumer ServicesHR OntarioEmployee Relations Division13-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-23-5151E

002-32-5128E

Assessment Tool: Conflict of Interest Rules for Public Bodies

ETreasury Board SecretariatOffice of the Conflict of Interest CommissionerOffice of the Conflict of Interest CommissionerThis tool is to be used by public bodies (identified government agencies) that choose to submit conflict of interest rules or revised rules to the Conflict of Interest Commissioner for approval. These rules should use the language and format of Ontario Re12-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-32-5128E

002-33-5098E

Supplier Registration and Application for Direct Deposit/Electronic Funds Transfer

EGovernment and Consumer ServicesExpenditure Management BranchCentral Control UnitSuppliers to either pre-register their information before their first payment or for current suppliers to setup or update their banking for direct deposit payments.17-Sep1071http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-33-5098E

002-35-026E

Notary Public Application - Solicitors Only

EGovernment and Consumer ServicesBusiness Development and Services BranchOfficial Documents ServicesApplication for a Barrister and Solicitor to apply for certification as a Notary Public in Ontario.16-Apr626http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-026E

002-35-5031E

Customer Comments

EGovernment and Consumer ServicesBusiness Development and Services BranchOfficial Documents ServicesTo comment and offer suggestions on ODS services.14-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-5031E

002-35-5118E

Authentication Service Request

EGovernment and Consumer ServicesBusiness Development and Services BranchOfficial Documents ServicesTo enable public applying services for authenticating legalized documents requested by foreign consulates and embassies14-Aug27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-35-5118E

002-42-345

Forms History File Folder

EGovernment and Consumer ServicesDocument Solutions and Logistics BranchForms Management Services01-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-42-345

002-5201E

Consumer Complaint

EGovernment and Consumer ServicesConsumer Protection OntarioBusiness Process Modernization BranchForm that can be filled out by the public to file a complaint with the Ministry of Government and Consumer Services.19-May260http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5201E

002-5205E

Complaint Regarding an Ontario Government Procurement

EGovernment and Consumer ServicesProgram and Policy Enablement BranchPolicy Liaison and EnablementSuppliers who have an Ontario Government procurement complaint are required to complete and submit this bid dispute form and attach a detailed description of the complaint with relevant background information16-May19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5205E

002-5208E

Security and Confidentiality Agreement of Personal Information for Research Purposes - Freedom of Information and Protection of Privacy Act

EGovernment and Consumer ServicesPolicy and PlanningPolicy Research and Issues ManagementForm 5208 is a template agreement that a researcher and institution would enter into to ensure the security and confidentiality of personal information which may be disclosed for a research purpose.16-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5208E

002-5209E

Security and Confidentiality Agreement of Personal Information for Research Purposes - Municipal Freedom of Information and Protection of Privacy Act

EGovernment and Consumer ServicesPolicy and PlanningPolicy Research and Issues ManagementForm 5209 is a template agreement that a researcher and institution would enter into to ensure the security and confidentiality of personal information which may be disclosed for a research purpose.16-May23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5209E

002-5216E

Initial Report of Insider, Form 14, Corporations Act

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioA report required to be filed by an insider under subsections 73(1) and (2) of the Corporations Act shall be prepared in accordance with Initial Report of Insider, Form 14, as required by Regulation 181.16-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5216E

002-5217E

Report of Insider on Changes in Ownership of, or Control or Direction Over, Capital Securities, Form 15, Corporations Act

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioA report of subsequent changes required to be filed by an insider under subsection 73(3) of the Corporations Act shall be prepared in accordance with Report of Insider on Changes in Ownership of, or Control or Direction Over, Capital Securities, Form 15 a16-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5217E

002-5218E

Information Circular, Form 16, Corporations Act

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioAn information circular shall be prepared in accordance with Information Circular, Form 16 as required by Regulation 181.16-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5218E

002-5219E

Personal Bond, Form 1, Bailiffs Act

EGovernment and Consumer ServicesLicensing, Inspections and Investigations BranchPayday Loans and Debt Recovery UnitThis form is the prescribed form for a personal bond accompanied by collateral security as provided for under clause 14(2)(a) of the Bailiffs Act, R.S.O. 1990, c. B.2 and prescribed as "Form 1" under paragraph 1 of section 2 of R.R.O. 1990, Reg. 53 made 17-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5219E

002-5220E

Bond by Insurer Licensed to Write Surety and Fidelity Insurance, Form 2, Bailiffs Act

EGovernment and Consumer ServicesLicensing, Inspections and Investigations BranchPayday Loans and Debt Recovery UnitThis form is the prescribed form for a bond of an insurer licensed under the Insurance Act to write surety and fidelity insurance as provided for under clause 14(2)(b) of the Bailiffs Act, R.S.O. 1990, c. B.2 and prescribed as "Form 2" under paragraph 2 o17-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5220E

002-5221E

Bond by Guarantor other than Insurer, Form 3, Bailiffs Act

EGovernment and Consumer ServicesLicensing, Inspections and Investigations BranchPayday Loans and Debt Recovery UnitThis form is the prescribed form for a bond of a guarantor, other than an insurer referred to in clause 14(2)(b) of the Bailiffs Act, R.S.O. 1990, c. B.2, accompanied by collateral security, as provided for under clause 14(2)(c) of that Act and prescribed17-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5221E

002-5225E

Direction to Seize under Section 14

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a direction to seize under section 14 of the Repair and Storage Liens Act, and prescribed as "Form 1" under section 1 of O. Reg. 111/18 FORMS made under that Act18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5225E

002-5226E

Application for Initial Certificate under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for an application for initial certificate under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 3" under section 3 of O. Reg. 111/18 FORMS made under that Act.18-Jan29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5226E

002-5227E

Initial Certificate under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for an initial certificate under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 4" under section 4 of O. Reg. 111/18 FORMS made under that Act.18-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5227E

002-5228E

Notice of Objection under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a notice of objection under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 5" under section 5 of O. Reg. 111/18 FORMS made under that Act.18-Jan27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5228E

002-5229E

Final Certificate under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a final certificate under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 6" under section 6 of O. Reg. 111/18 FORMS made under that Act.18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5229E

002-5230E

Writ of Seizure under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a writ of seizure under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 7" under section 7 of O. Reg. 111/18 FORMS made under that Act.18-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5230E

002-5231E

Receipt under Section 24 for Article that is Seized

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a receipt for article that is seized under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 9" under section 9 of O. Reg. 111/18 FORMS made under that Act.18-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5231E

002-5232E

Receipt under Section 24 for Article that is Released

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a receipt for article that is released under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 8" under section 8 of O. Reg. 111/18 FORMS made under that Act.18-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5232E

002-5233E

Waiver of Further Claim under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a waiver of further claim under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 10" under section 10 of O. Reg. 111/18 FORMS made under that Act.18-Jan26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5233E

002-5234E

Irrevocable Letter of Credit

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for an irrevocable letter of credit that is a type of security that may be deposited with a court under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 11" under section 11 of O. Reg. 111/18 FORMS m18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5234E

002-5235E

Financial Guarantee Bond under Section 24

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form for a financial guarantee bond that is a type of security that may be deposited with a court under section 24 of the Repair and Storage Liens Act, and prescribed as "Form 12" under section 12 of O. Reg. 111/18 FORMS made u18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5235E

002-5236E

Application under Section 23 for Small Claims Court

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis form is the prescribed form of application to the Small Claims Court under section 23 of the Repair and Storage Liens Act, and prescribed as "Form 2" under section 2 of O. Reg. 111/18 FORMS made under that Act.18-Jan41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5236E

002-5248E

Relief from Forfeiture Application

EGovernment and Consumer ServicesRealty Management BranchPortfolio Management UnitUnder Section 26 of the Forfeited Corporate Property Act, 2015, the Minister of Government and Consumer Services may dispose of forfeited corporate property by restoring or transferring it to an applicant who satisfies the Minister that the applicant has 18-Aug72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5248E

002-5249E

Co-ownership of Real Property by Tenants in Common Application

EGovernment and Consumer ServicesRealty Management BranchPortfolio Management UnitUnder Section 28 of the Forfeited Corporate Property Act, 2015, the Minister of Government and Consumer Services may dispose of the prior corporate owner's interest in a forfeited corporate property by transferring, assigning or otherwise conveying it to 18-Aug19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5249E

002-5253E

Request to publish in the Ontario Gazette for Non-Ontario Government Clients

EGovernment and Consumer ServicesDocument Solutions and Logistics BranchPublications OntarioThis form is to be used by private citizens and non-OPS organizations (e.g., legal firms, municipalities and businesses etc.) who are required by statute or regulation to publish a notice in The Ontario Gazette. External clients must submit this form in o19-Apr36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5253E

002-5349E

Requirements for a Police Record Check for a Change of Name

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralRequirements for a Police Record Check for a Change of Name19-Jan2854http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5349E

002-5350E

Procurement Rationale Report Form

EGovernment and Consumer ServicesStrategic Procurement ServicesDirector's OfficeThe government is planning to centralize Ontario Public Service (OPS) and Broader Public Sector (BPS) purchasing and supply chains. Centralization will help to realize savings and put money back into programs and services that support Ontarians, make proc19-Sep193http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5350E

002-5352E

General Form Affidavit

EGovernment and Consumer ServicesServiceOntarioCustomer CareGeneral Form Affidavit for ServiceOntario transactions19-May18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-5352E

002-SR-LV-129E

Application for Accessible Parking Permit

EGovernment and Consumer ServicesServiceOntario – Kingston Production and Verification ServicesAccessible Parking Permit Services Office17-May19293http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=002-SR-LV-129E

003-0162E

Borrowing By-law for Municipalities Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 1

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law for lower-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act.12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0162E

003-0163E

Borrowing By-law for Municipalities Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 2

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law for lower-tier municipalities located within specific upper-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act.12-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0163E

003-0164E

Borrowing By-law for a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 3

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law for specific upper-tier municipalities to raise money to aid in the construction of drainage works under the Tile Drainage Act.12-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0164E

003-0165E

Tile Drainage Debenture - Form 4

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingForm of debenture sold to the Province by a municipality with respect to funds loaned to property owners for installing tile drainage.12-Aug7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0165E

003-0166E

Affidavit of Clerk – Form 5

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingForm that officially confirms the passing of the by-law by a municipality for borrowing money for the construction of drainage works.13-Jun15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0166E

003-0167E

Application for Tile Loan – Form 6

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingApplication submitted by a property owner for a tile loan from the municipality under the Tile Drainage Act.12-Aug24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0167E

003-0168E

Inspection and Completion Certificate – Form 7

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingCertify inspection and completion of drainage works by a municipal Drainage Inspector.12-Aug12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0168E

003-0169E

Offer to Sell for a Municipality Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 8

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingOffer to sell debenture to the Minister of Finance by a lower-tier municipality.12-Aug4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0169E

003-0170E

Offer to Sell for a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 9

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingOffer to sell a debenture to the Minister of Finance by a specific upper-tier municipality.12-Aug3http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0170E

003-0171E

Rating By-law - Form 10

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingA by-law to impose special annual drainage rates upon land in respect of which money is borrowed under the Tile Drainage Act.12-Aug5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0171E

003-0172E

Notice of On-site Meeting for Construction or Improvement Project – Form 4

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingGive notice to property owner(s) of on-site meeting with the appointed engineer to examine the area and site of proposed drainage works.12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0172E

003-0173E

Petition for Drainage Works by Owners – Form 1

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo allow property owner(s) to petition municipal council for a new drainage works.12-Aug62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0173E

003-0174E

Petition for Drainage Works by Director - Form 3

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo allow the Director to petition municipal council for a new drainage works.12-Aug4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0174E

003-0175E

Petition for Drainage Works by Road Authority - Form 2

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo allow a road authority to petition municipal council for a new drainage works.12-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0175E

003-0176E

By-law for Municipalities Not Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 5

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor lower-tier municipalities to enact a by-law for drainage works.15-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0176E

003-0177E

By-law for Municipalities Within a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 6

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor lower-tier municipalities located within specific upper-tier municipalities to enact a by-law for drainage works.12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0177E

003-0178E

Borrowing By-law for Use by a Regional Municipality, the County of Oxford or The District Municipality of Muskoka – Form 7

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor specific upper-tier municipalities to enact a borrowing by-law for drainage works on behalf of a lower-tier municipality.12-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0178E

003-0179E

Notice of Compensation Paid for Insufficient Outlet and/or Loss of Access – Form 8

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo give notice to property owner for compensation paid due to insufficient outlet or loss of access.12-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0179E

003-0180E

Agreement By Owners - Mutual Agreement Drains

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor owners to enter into an agreement for drainage for the describe land and acknowledge financial obligations 13-Feb63http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0180E

003-0181E

Notice of On-Site Meeting for Maintenance and/or Repair of a Drainage Works Under the Drainage Act

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo take notice that a Council of a City, County, Municipality, Town, Township or Village is considering the maintenance or repair of the drainage works in accordance with section 74 of the Drainage Act. 13-Feb13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0181E

003-0182E

Notice of Meeting to Consider the Preliminary Report

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn accordance with section 10(2) of the Drainage Act, notice for an owner of land affected to attend a council meeting to consider the preliminary report 13-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0182E

003-0183E

Notice to Repair an Award Drain Constructed Under the Ditches and Watercourses Act

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn accordance with section 3(18) of the Drainage Act, every ditch constructed under the Ditches and Watercourses Act shall be maintained in accordance with the award of the engineer. Notification to maintain a section of drain that has been assigned. 13-Feb7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0183E

003-0184E

Notice of Council's Decision on Petition

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that a Council of the Corporation of the City, County, Municipality, Town, Township or Village has considered a petition for drainage at their meeting dated, and a decision whether or not to proceed with drainage works was made. 13-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0184E

003-0185E

Generic Notice of Appeal to Tribunal By Petitioner(s) or Property Owner(s)

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that Petitioners or Property Owners appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal 13-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0185E

003-0186E

Notice That Environmental Appraisal Required

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that an Environmental Appraisal is required for the area of the drainage works 13-Feb5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0186E

003-0187E

Notice That Benefit Cost Statement Required

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that a benefit cost statement is required for a drainage works 13-Feb4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0187E

003-0188E

Notice of Withdrawal From Petition At a Meeting to Consider a Preliminary Report

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor petitioners for drainage works to indicate their desire to withdraw their names from the petition. 13-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0188E

003-0189E

Notice of Withdrawal From Petition At a Meeting to Consider Engineer's Report or At a Meeting to Consider Contract Price

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor signatories of a petition for drainage works to indicate their desire to withdraw from a petition 13-Feb7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0189E

003-0190E

Notice of Engineer's Recommendation Not to Proceed

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingTo take notice that the engineer appointed by council in response to a petition for drainage works has investigated and reported that the proposed drainage works is not recommended to proceed 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0190E

003-0191E

Notice of Meeting to Consider the Engineer's Report

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn accordance with section 42 of the Drainage Act, an owner of land affected by the proposed drainage works is requested to attend a council meeting to consider the final report filed with the City, County, Municipality, Town, Township or Village. 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0191E

003-0192E

Generic Notice of Appeal to Tribunal By a Municipality, Conservation Authority, Ministry of Natural Resources, Road Authority or Public Utility

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor the Council of the Corporation of a City, County, Municipality, Town, Township or Village to appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal 13-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0192E

003-0193E

Notice of Appeal to Tribunal by Owner of Land or Public Utility Re: Engineer's Report

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingFor the Council of the Corporation of a City, County, Municipality, Town, Township or Village to appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0193E

003-0194E

Notice of Sitting of Court of Revision

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice to Property Owner(s) of sitting of court revision. 13-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0194E

003-0195E

Notice of Appeal to Tribunal by Local Municipality Re: Engineer's Report

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that the Council of a City, County, Municipality, Town, Township or Village appeals to the Agriculture, Food, and Rural Affairs Appeal Tribunal under section 50(2) of the Drainage Act.13-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0195E

003-0196E

Notice of Appeal to Court of Revision

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that an owner or owners of land assessed for a drainage works, appeal to the Drainage Court of Revision under: Section 52 (1) for the construction or improvement of a drain; or Section 76 (4) 13-Feb17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0196E

003-0197E

Notice of Adjournment of Court of Revision

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that the sitting of the Court of Revision to hear appeals regarding assessments for a drainage works has been adjourned.13-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0197E

003-0198E

Notice of Appeal to Tribunal from the Court of Revision

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that the appellant(s) to the Court of Revision appeal to the Agriculture, Food and Rural Affairs Appeal Tribunal.13-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0198E

003-0199E

Notice to Remove Obstructions From Drainage Works

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice to a property owner to remove obstructions from drainage works13-Feb5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0199E

003-0200E

Notice of Abandonment of Drainage Works

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice of Abandonment of Drainage Works 13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0200E

003-0201E

Notice that Report of Engineer is Required for the Proposed Abandonment of a Drain

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingIn response to a Notice of Abandonment of Drainage Works that a report of an engineer is to be made on the proposed amandonment.13-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0201E

003-0202E

Notice of Request for Drain Maintenance and/or Repair

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that person affected by a drain requests that it be maintained and repaired in accordance with section 74 and 79(1) of the Drainage Act. 13-Feb21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0202E

003-0203E

Notice of Request for Drain Improvement

EAgriculture, Food and Rural AffairsEnvironmental Management BranchApprovals, Certification and LicensingNotice that owner(s) of land affected, request that a drain be improved in accordance with section 78(1) of the Drainage Act.13-Feb20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0203E

003-0300E

Ontario Wildlife Damage Compensation Program Application Form

EAgriculture, Food and Rural AffairsRural Programs BranchAgriculture and Rural Programs UnitThe application form allows livestock and poultry producers in Ontario to be reimbursed for predation caused by eligible predators17-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0300E

003-0302E

Ontario Wildlife Damage Compensation Program Application Form - Bees

EAgriculture, Food and Rural AffairsRural Programs BranchAgriculture and Rural Programs UnitThe application form allows Bee Keepers in Ontario to be reimbursed for damage to bee colonies and hives caused by eligible predators.17-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0302E

003-0314E

Ontario Livestock Manifest

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionFood Safety and Traceability Programs BranchThe purpose of this form is to provide a standardized manifest for shipping animals in Ontario's livestock industry.13-Dec0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0314E

003-0316E

Order to Destroy Noxious Weeds or Weed Seeds

EAgriculture, Food and Rural AffairsAgriculture Development BranchHorticulture Technology UnitThis form is used by Municipal Weed Inspectors, Bylaw Officers, etc., to order the destruction of specified noxious weeds or weed seeds under the Weed Control Act. The form sets out the owner of the property, its location, the specific noxious weed speci14-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0316E

003-0346E

Application for a licence to operate a meat plant under the Food Safety and Quality Act, 2001 and its Regulations

EAgriculture, Food and Rural AffairsFood Inspection BranchMeat Inspection OperationsThis form is an application for a licence to operate a provincial meat plant under the Food Safety and Quality Act, 2001 and O.reg. 31/05. It is used to apply for a new licence, renew an existing licence facing expiry or to revise information on an exist18-Dec46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0346E

003-0350E

Merchandising Materials/Resources Order

EAgriculture, Food and Rural AffairsBusiness Development BranchFoodland OntarioThis form is used to order Foodland Ontario merchandising materials (POS) and resources18-Feb28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-0350E

003-049E

Honeybee Registration

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionCrop TechnologySection 21 (1) of the Bees Act, R.S.O.1990, Chapter B.6 reads as follows: “No person shall be a beekeeper in Ontario without a certificate of registration issued by the Provincial Apiarist.” Beekeeper means a person who owns or is in possession of bees or11-Jan22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-049E

003-ATDIA-001E

Application For a Machine Operator's Licence

EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program12-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-001E

003-ATDIA-002E

Application For a Machine Licence

EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program09-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-002E

003-ATDIA-003E

Notice of Transfer of a Machine

EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program09-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-003E

003-ATDIA-004E

Application For a Business Licence - (Licence to Install Drainage Works)

EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program09-Oct30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-004E

003-ATDIA-005E

Application To Upgrade a Machine Operator's Licence

EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing Program12-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-ATDIA-005E

003-NM-001

Farm Unit Declaration

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo identify properties included as part of the farm unit for the purposes of the Nutrient Management Act.06-Feb35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-001

003-NM-002

Nutrient Management Strategy and/or Plan Sign-Off

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo provide a sign-off to the Nutrient Management Plan.06-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-002

003-NM-004E

Engineer's Commitment Certificate

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo document the engagement of Professional Engineer(s) to provide design and site review of construction under the Nutrient Management Act 267/03, as amended.11-Dec14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-004E

003-NM-005

Nutrient Management Farm Registration Form

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo register your Farm Unit under the Nutrient Management Program.06-Feb26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-005

003-NM-006

Nutrient Mgmt Strategy Application

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementTo be completed by eligible farms under the Nutrient Management Act.06-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-006

003-NM-007E

Engineering Requirement Form

EAgriculture, Food and Rural AffairsFood Safety and Environmental DivisionNutrient ManagementThe Engineering Requirement Form indicates which components of a Nutrient Management Strategy will require engineering design and site review of construction. These components are reconciled with the Engineers Commitment Certificate at the building permi11-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=003-NM-007E

004-0007E

Removal of Crown Ward - Child and Family Services Review Board Application - Child and Family Services Act - Section 61

EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardTo enable a foster parent to request a review of a CAS decision to remove a Crown ward who has lived with the foster parent for at least 2 years.12-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0007E

004-0008E

Refusal of Adoption - Child and Family Services Review Board Application - Child and Family Services Act - Section 144

EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardTo enable a person to request a review of a CAS or licensee decision to refuse an appl. to adopt or remove a child who has been placed for adoption.12-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0008E

004-0009E

Request for Review of Children's Aid Society - Child and Family Services Review Board Application - Child and Family Services Act - Section 68

EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardTo enable a person who has sought or received services from a CAS to make a complaint about certain services to the independent CFSRB.12-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0009E

004-0022E

Application to Appeal School Board Expulsion Decision

EAttorney GeneralSocial Justice Tribunals OntarioChild and Family Services Review BoardThis form is for use by applicants to the CFSRB/CRB, an arms length government agency, for a review of a strudent expulsion from a school board pursuant to section 311.7 of the Education Act.12-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0022E

004-02043E

Certificate of Service

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalCertificate of Service19-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-02043E

004-0222E

Notice of Change of Address

EAttorney GeneralVictims and Vulnerable Persons DivisionCriminal Injuries Compensation BoardNotice of Change of Address16-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0222E

004-0236E

Form 1 - Application to Replace the Public Guardian and Trustee as Statutory Guardian by a Person Authorized to Apply Under Subsection 17(1)

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeThis form must be used by a person listed in s. 17(1) of the Substitute Decisions Act, 1992 to apply to replace the Public Guardian and Trustee as an incapable person's statutory guardian of property. The person must also submit a Management Plan (Form 2)14-Nov239http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0236E

004-0237E

Form 2 - Management Plan

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA Management Plan must be submitted when a person applies under s. 17(1) of the Substitute Decisions Act, 1992 to replace the Public Guardian and Trustee as an incapable person's statutory guardian of property (using Form 1). The Management Plan is also r14-Nov325http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0237E

004-0242E

Form 3 - Guardianship Plan

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeThis form must be submitted by a person applying to court under the Substitute Decisions Act, 1992 to be appointed guardian of a person who is incapable of personal care.14-Nov200http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0242E

004-0243E

Form 4 - Request for Assessment of Capacity under Section 16

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA person can use this form to request a designated capacity assessor to perform an assessment of another person's capacity or of the person's own capacity for the purpose of determining whether the Public Guardian and Trustee should become the person's st18-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0243E

004-0244E

Form 5 - Statement of Grantor under Subsection 50 (1)

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeSubsection 50(2) of the Substitute Decisions Act, 1992 lists certain special provisions that may be included in a power of attorney for personal care, but only if the person granting the power of attorney completes this form within 30 days of granting the14-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0244E

004-0245E

Form 6-Optional Statement to Appoint a Guardian of the Person under Subsection 71 (1)

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA person applying to court under the Substitute Decisions Act, 1992 to be appointed as a guardian of the person for a person who is incapable of personal care may submit this form with their application. The form contains a statement by a person who knows14-Nov19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0245E

004-0246E

Form 7-Optional Statement to Terminate Guardianship of the Person under Subsection 71 (2)

EAttorney GeneralPublic Guardian and TrusteePublic Guardian and TrusteeA person bringing a motion under the Substitute Decisions Act, 1992 to terminate a guardianship of the person may submit this form with their motion. The form contains a statement by a person who knows the person alleged to be incapable and who has been i14-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0246E

004-0247E

Form 8 - Statement to Appoint a Guardian of Property by Summary Disposition under Section 72

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchA person applying to court under the Substitute Decisions Act, 1992 to be appointed as a guardian of the person for a person who is incapable of personal care may use this form if they want the application to be dealt with by summary disposition.14-Nov32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0247E

004-0248E

Form 9 - Statement to Terminate Guardianship of Property by Summary Disposition under Section 73

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchA person bringing a motion under the Substitute Decisions Act, 1992 to terminate a guardianship of the person may use this form if they want the motion to be dealt with by summary disposition. Subsection 73(1) of the Substitute Decisions Act, 1992 require14-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0248E

004-0310E

Applying for Compensation for an Injury

EAttorney GeneralVictims and Vulnerable Persons DivisionCriminal Injuries Compensation BoardWe may award compensation only if you were injured in the Province of Ontario as a result of a violent crime, or while making an arrest or assisting a peace officer with his/her law enforcement duties, or while trying to prevent a crime. 16-Dec37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0310E

004-0311E

Applying for Compensation for Death

EAttorney GeneralVictims and Vulnerable Persons DivisionCriminal Injuries Compensation BoardWe may award compensation only if the deceased person died as a result of a violent crime in the Province of Ontario, or while making an arrest or assisting a peace officer with his/her law enforcement duties, or while trying to prevent a crime. Please se16-Dec24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0311E

004-0312E

Commissioner for Taking Affidavits How to Renew or Change your Appointment

EAttorney GeneralCourt Services DivisionLegal AppointmentsThis information sheet instructs commissioners for taking affidavits in Ontario how to renew their appointments or make changes to the wording of their appointments (e.g. change of legal name).11-Aug27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0312E

004-0313E

Commissioner for Taking Affidavits General Application

EAttorney GeneralCourt Services DivisionLegal AppointmentsThis form is used by applicants seeking to become commissioners for taking affidavits in Ontario. If you are a student-at-law (articling student), or a law student working for a lawyer, please use the form "Commissioner for Taking Affidavits - Student-at-11-Aug23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0313E

004-0314E

Non-Lawyer Notary Public How to be Reappointed or Change your Appointment

EAttorney GeneralCourt Services DivisionLegal AppointmentsThis information sheet instructs non-lawyer notaries public in Ontario how to request a reappointment or make changes to the wording of their appointments (e.g. change of legal name).11-Aug6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0314E

004-0315E

Non-Lawyer Notary Public Application

EAttorney GeneralCourt Services DivisionLegal AppointmentsThis form is used by non-lawyers seeking to become notaries public in Ontario.11-Aug42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0315E

004-0316E

Commissioner for Taking Affidavits Student-at-Law / Law Student Application

EAttorney GeneralCourt Services DivisionLegal AppointmentsThis form is used by students-at-law (articling students), and by law students working for a lawyer, who seek to become commissioners for taking affidavits. If you are not a student-at-law or a law student employed by a lawyer, please use the form "Commis11-Aug15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0316E

004-0318E

Prescribed Form of Summons Under Subsection 33(4) of the Act

EAttorney GeneralSocial Justice Programs and Policy DivisionSocial Justice Programs and Policy DivisionThe purpose of this form is for a Summons under s. 33(4) of the Public Inquiries Act, 2009.11-Apr15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0318E

004-0319E

Vulnerable Victims and Family Fund Request

EAttorney GeneralOntario Victim ServicesVictims and Vulnerable Persons DivisionFor eligible victims of crime and their families who wish to apply for financial assistance and other supports available under the Vulnerable Victims and Family Fund.11-Apr22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0319E

004-0326E

Application for Financial Assistance for Families of Homicide Victims

EAttorney GeneralPolicy and Program Development BranchFinancial Assistance for Families of Homicide VictimsThis form and the accompanying guide are for potentially eligible parents and spouses of homicide victims who wish to apply for financial assistance available under the Financial Assistance for Families of Homicide Victims program.19-Sep21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0326E

004-0331E

Have You Been a Victim of Crime?

EAttorney GeneralVictims and Vulnerable Persons DivisionOffice for Victims of CrimeInformation and Resources For Victims of Crime in Ontario11-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0331E

004-0360E

Living Beyond the Murder of a Loved One

EAttorney GeneralVictims and Vulnerable Persons DivisionOffice for Victims of CrimeInformation for Families and Others Affected by Homicide 12-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0360E

004-0406E

Form 1 - Summons

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThis form is used by a tribunal under the Statutory Powers Procedure Act to require a person to give or produce relevant evidence at a hearing.15-Aug31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0406E

004-0407E

Form 2 – Warrant for Arrest (Defaulting Witness)

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThis form is used when a judge of the Superior Court of Justice issues a warrant under the Statutory Powers Procedure Act for the arrest of a person who was served with a summons and who failed to attend, remain in attendance, or participate in the hearin15-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0407E

004-0408E

Form 1 – Application for Approval to Expropriate Land

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchAn expropriating authority uses this form to apply for approval to expropriate land under the Expropriations Act.15-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0408E

004-0409E

Form 7 – Notice of Expropriation

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, the expropriating authority must serve this form on registered owners (and may serve the form on owners as defined in s. 1(1) of the Expropriations Act) when a plan of expropriation has been filed in the land registry office 15-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0409E

004-0410E

Form 8 – Notice of Election

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, the expropriating authority must provide this form to registered owners when it serves the Notice of Expropriation (Form 7). A registered owner may use this form to elect the date for compensation.15-Aug26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0410E

004-0411E

Form 9 – Notice of Possession

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, the expropriating authority uses this form to provide notice to a registered owner that it requires possession of expropriated land. Unless a judge orders otherwise, the date for possession must be at least three months after15-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0411E

004-0412E

Form 2 – Notice of Application for Approval to Expropriate Land

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchAn expropriating authority uses this form to serve notice of its application for approval to expropriate upon each registered owner of the lands to be expropriated. The expropriating authority must also publish the notice in accordance with s. 6(1) of the15-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0412E

004-0413E

Form 3 – Notice of Hearing

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchAn inquiry officer uses this form to give notice of the time and place of a hearing to each party when an owner of lands has requested a hearing under s. 6(2) of the Expropriations Act.15-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0413E

004-0414E

Form 4 – Notice of Grounds

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThe expropriating authority uses this form to serve notice of the grounds upon which it intends to rely at a hearing requested by an owner under s. 6(2) of the Expropriations Act. Notice must be served on each party to the inquiry at least five days befor15-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0414E

004-0415E

Form 5 – Certificate of Approval

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThe approving authority uses this form to certify its approval of a proposed expropriation under s. 8(3) of the Expropriations Act. If the approval is endorsed on a plan of the land intended for registration under s. 9, Form 6 should be used.15-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0415E

004-0416E

Form 6 – Certificate of Approval (on Expropriation Plan)

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchThe approving authority uses this form to certify its approval of a proposed expropriation if the approval is endorsed on a plan of the land intended for registration under s. 9 of the Expropriations Act.15-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0416E

004-0417E

Form 10 – Notice of Land

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, if, before compensation is paid in full, the expropriating authority determines that it does not require the land or part of the land, the expropriating authority must use this form to notify each owner of the land.15-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0417E

004-0418E

Form 11 – Declaration of Abandonment (Land Registered under the Registry Act)

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, where land to be abandoned is registered under the Registry Act, the expropriating authority registers this form in the proper land registry office. The form is also served on each owner.15-Aug19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0418E

004-0419E

Form 12 – Declaration of Abandonment (Land Registered under the Land Titles Act)

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchUnder the Expropriations Act, where land to be abandoned is registered under the Land Titles Act, the expropriating authority registers this form in the proper land registry office. The form is also served on each owner.15-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0419E

004-0420

Summons to a Witness

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by a party before the Fire Safety Commission to request a summons be issued.19-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0420

004-0421

Notice of Appeal

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by an appellant to initiate an appeal before the Fire Safety Commission.19-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0421

004-0422

Application for an Authorization

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by a fire service to request authorization to perform work on a subject property from the Fire Safety Comission Commission.19-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0422

004-0423

Application for an Extension of Time

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by a potential appellant before the Fire Safety Commission to request an extension for filing an appeal outside the statutory period.18-Dec21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0423

004-0424

Summons to a Witness

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by a party before the Animal Care Review Board to request a summons be issued.19-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0424

004-0425

Notice of Withdrawl

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by an appellant to withdraw their appeal before the Animal Care Review Board.19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0425

004-0426

Notice of Appeal

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by an appellant to initiate an appeal before the Animal Care Review Board.19-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0426

004-0427

Declaration of Representative

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by parties appearing before the Animal Care Review Board to identify their legal representative.19-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0427

004-0428

Adjournment Request

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAnimal Care Review BoardThis form is used by parties appearing before the Animal Care Review Board to request an adjournment of a proceeding.19-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0428

004-0429

Adjournment Request

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by parties appearing before the Fire Safety Commission to request an adjournment of a proceeding.19-Jul16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0429

004-0430

Declaration of Representative

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by parties appearing before the Fire Safety Commission to identify their legal representative.19-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0430

004-0431

Notice of Withdrawl

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioFire Safety CommissionThis form is used by an appellant to withdraw their appeal before the Fire Safety Commission.19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0431

004-0455E

Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceApplication by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act19-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0455E

004-0456E

Response by an Insurance Company to an Injured Person's Application for Auto Insurance Dispute Resolution under the Insurance Act

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceResponse by an Insurance Company to an Injured Person's Application for Auto Insurance Dispute Resolution under the Insurance Act19-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0456E

004-0457E

Application by an Injured Person for Auto Insurance Dispute Resolution under the Insurance Act

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalInjured Person for Auto Insurance Dispute Resolution under the Insurance Act19-Jun46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0457E

004-0458E

Response by Injured Person regarding Insurance Company's Application for Auto Insurance Dispute Resolution under the Insurance Act

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalResponse by Injured Person regarding Insurance Company's Application for Auto Insurance Dispute Resolution under the Insurance Act19-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-0458E

004-3039E

Affidavit for Estate Administration Tax - Additional Payment/Refund

EAttorney GeneralCourt Services DivisionProgram Management BranchAn affidavit regarding a revised total value of assets in an estate, resulting in a change in estate administration tax payable.16-Jun39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3039E

004-3040E

Acknowledgement of Expert's Duty

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceIn the matter of an Application for Dispute Resolution pursuant to subsection 280(2) of the Insurance Act, RSO 1990, c. 1.8., in relation to statutory accident benefits.19-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3040E

004-3041E

Certificate of Service

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceCertificate of Service19-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3041E

004-3049E

Appellant Form (A1)

EAttorney GeneralEnvironment and Land Tribunals OntarioLocal Planning Appeal TribunalThis form is used to make an appeal to the Local Planning Appeal Tribunal (LPAT) that, according to the act/legislation, is to be filed with the municipality or approval authority. The form is to be completed by the appellant or their representative. Ple19-Aug341http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3049E

004-3050E

Municipal/Approval Authority Submission

EAttorney GeneralEnvironment and Land Tribunals OntarioLocal Planning Appeal TribunalThis form is used by the municipality/approval authority when preparing an appeal referral package for appeals that, according to the act/legislation, are to be filed with the municipality or approval authority instead of directly with the Local Planning 19-Aug130http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3050E

004-3051E

LPAT Appellant Form (A2)

EAttorney GeneralEnvironment and Land Tribunals OntarioLocal Planning Appeal TribunalThis form is used to make an appeal to the Local Planning Appeal Tribunal (LPAT) that, according to the act/legislation, is to be filed directly with the LPAT. This form is to be completed by the appellant or their representative. Please use the A1 form19-Aug47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3051E

004-3052E

Notice of Withdrawal

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3052E

004-3805E

Request Form - Access to Exhibits

EAttorney GeneralCourt Services DivisionJudicial Library ServicesThis form will allow members of the public and media to request access to exhibits in criminal cases and exhibits entered into evidence during civil and family trials.19-Feb6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-3805E

004-9972E

Request to Authorize or Cancel a Representative

EAttorney GeneralCourt Services DivisionFamily Policy and ProgramsUsed to authorize a representative to act on behalf of the client for all matters, as it relates to their child support calculation application or to cancel a previous authorization.18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-9972E

004-9973E

Request to Withdraw Consent

EAttorney GeneralCourt Services DivisionFamily Policy and ProgramsUsed to withdraw previously provided consent for CRA to share clients tax informtation, to calculate or recalculate child support.18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-9973E

004-CSD-009E

Interpreter Request/Cancellation

EAttorney GeneralCourt Services DivisionToronto RegionInforms TCIU that an interpreter is required for a specified court action, or cancels an existing request. Contains information about the case, language requested, contact details of requestor and special instructions. Available in both internal and exte17-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-CSD-009E

004-VSP-005E

Attorney General's Victim Services Awards of Distinction – Individual Nomination

EAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind16-Oct15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VSP-005E

004-VSP-006E

Attorney General's Victim Services Awards of Distinction – Group Nomination

EAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind16-Oct18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VSP-006E

004-VVPD-008E

Reference in Support of Application

EAttorney GeneralOntario Victim ServicesVictims and Vulnerable Persons DivisionReference in Support of Application (Application to Join the Independent Legal Advice for Survivors of Sexual Assault Pilot Program Referral List)16-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-008E

004-VVPD-009E

Application to Join the Independent Legal Advice for Survivors of Sexual Assault Pilot Program Referral List

EAttorney GeneralOntario Victim ServicesVictims and Vulnerable Persons DivisionThis form must be completed by all lawyers wishing to participate in the Ministry of the Attorney General's Pilot Program to provide independent legal advice (ILA) to victims of sexual assault.16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-009E

004-VVPD-010E

Independent Legal Advice Pilot Program Voucher Request Form

EAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThis form must be completed by all persons wishing to receive legal advice through the Ministry of the Attorney General's Independent Legal Advice for Sexual Assault Survivor's Pilot Program.17-Feb73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=004-VVPD-010E

005-0149E

Employer Pre-screen Application - General and International Student Categories

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchEmployer completes application with personal information and company revenue/number of employees/incorporation details to apply to support the immigration of individuals through the Ontario Immigrant Nominee Program (OINP).15-Jul30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0149E

005-0152E

Joint Verification

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is intended for the Ontario employers trying to recruit foreign workers or international students through Opportunities Ontario: Provincial Nominee Program.15-Jul28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0152E

005-0157E

Translator Affidavit

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchAsserts the truth of the enclosed translations.09-Feb38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0157E

005-0178E

Pre-screen Application for Previously Approved Employers

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is to be completed by employers that have previously submitted an employer category pre-screen application and received approval by Ontario Immigrant Nominee Program (OINP).15-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0178E

005-0179E

Nominee Application

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchIndividual completes application with personal information and employment/education history to apply to immigrate to Ontario through the PNP.15-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0179E

005-0190E

Ontario Immigrant Nominee Program - Investment Referral

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchOntario Ministries will use this form to officially endorse an investment to Opportunities Ontario. This form features a section for the Deputy Minister's signature, a check list for Ministries to consider before endorsing the investment and basic inform15-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0190E

005-0194E

Stage 1 Application: Ontario Corporate Stream

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is to be completed and signed by an authorized signing officer of the investing company.15-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0194E

005-0196E

Nominee Application for International PhD Graduates

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchForm is foreseen for international PhD graduates applying to Ontario Immigrant Nominee Program (OINP)15-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0196E

005-0208E

Champion of Diversity Award

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards Secretariat16-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0208E

005-0209E

Order of Ontario

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Order of Ontario is the province's highest official honour. It recognizes any current or former long-time resident of Ontario who has demonstrated a high level of individual excellence and achievement in any field benefiting the people of Ontario or a18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0209E

005-0210E

Ontario Senior of the Year Award

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Ontario Senior of the Year Award gives each municipality in Ontario the opportunity to honour one outstanding local Ontarian who after the age of 65 has enriched the social, cultural or civic life of his or her community.17-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0210E

005-0211E

Ontario Senior Achievement Award

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize outstanding seniors who, after age 65, have made significant contributions to their communities.17-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0211E

005-0212E

James Bartleman Indigenous Youth Creative Writing Awards

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatRecognizes up to six (6) Indigenous students for their creative writing talent.17-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0212E

005-0213E

Lincoln M. Alexander Award

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize young people who have demonstrated exemplary leadership in eliminating racial discrimination. Each recipient will receive a $5,000 award and a framed certificate.17-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0213E

005-0214E

Lieutenant Governor's Community Volunteer Award for Students

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Lieutenant Governor's Community Volunteer Award for Students pays tribute to students who not only complete the required number of volunteer hours to graduate, but who go above and beyond. Each year, an award is given to one graduating student at each17-Nov32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0214E

005-0215E

Ontario Volunteer Service Award

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize youth and adult volunteers for continuous years of commitment and dedicated service to an organization.18-Sep12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0215E

005-0216E

Hilary M. Weston Scholarship

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Hilary M. Weston Scholarship is granted each year to two students enrolled in a full-time, graduate-level social work program at an Ontario publicly funded university. Applicants must have a demonstrated interest in and commitment to mental health is17-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0216E

005-0217E

June Callwood Outstanding Achievement Award

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize individuals and groups for superlative volunteer contributions to their communities and to the province of Ontario. Up to 20 individuals and/or groups receive this award each year.18-Dec16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0217E

005-0218E

Ontario Medal for Young Volunteers

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo honour outstanding contributions made by exceptional youth volunteers across the province. The Ontario Medal for Young Volunteers is the highest honour a young person can achieve for their voluntarism contributions to the province.17-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0218E

005-0219E

Ontario Medal for Good Citizenship

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo recognize outstanding citizens for their exceptional long-term contributions to their communities and to the province.18-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0219E

005-0224E

Ontario Award for Paramedic Bravery

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatThe Ontario Award for Paramedic Bravery was created to recognize individual acts of outstanding courage and bravery performed by members of Ontario's paramedic services. The recipients of this award are men and women whose actions exemplify such selfless15-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0224E

005-0225E

David C. Onley Award for Leadership in Accessibility

ETourism, Culture and SportOntario Honours and Awards SecretariatOntario Honours and Awards SecretariatTo celebrate outstanding Ontarians who demonstrate exemplary leadership in the advocacy and promotion of awareness of accessibility and disability issues.15-Oct15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0225E

005-0236E

Ontario Entrepreneur Stream - Expression of Interest

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis is not an application form to the Ontario Immigrant Nominee Program Entrepreneur Stream. This is an expression of your interest in applying to the Entrepreneur Stream. Prospective applicants will be invited to submit a complete application based on t16-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0236E

005-0237E

Multicultural Community Capacity Grant Program

ECitizenship and ImmigrationProgram Management and Evaluation BranchMulticultural Community Capacity Grant ProgramThis form is used to apply for funding under the Multicultural Community Capacity Grants Program17-Oct53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0237E

005-0493E

Seniors Community Grant Program Application Guide and Checklist 2019-2020 Stream 1

ECitizenship and ImmigrationOntario Seniors' SecretariatPublic Education & Awareness UnitTo help seniors across Ontario and support projects that will encourage greater social involvement, volunteerism and community engagement for seniors across the province.19-May45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=005-0493E

0051E

Ontario Community Infrastructure Fund (OCIF) 2018 Top-Up Application Component

EInfrastructureInter-governmental Policy BranchInter-governmental Infrastructure PolicyTo express interest in applying to the Ontario Community Infrastructure Fund.18-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0051E

006-0983E

Application for Assistance under Ontario Works Act and Income Support under the Ontario Disability Support Program Act

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch14-Nov1526http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-0983E

006-0985E

Consent to Disclose and Verify Personal Information

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch18-Sep51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-0985E

006-1107E

Rights and Responsibilities Ontario Works

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchOutlines the rights and responsibilities for individuals on Ontario Works.19-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-1107E

006-1915E

Application for Special Services at Home

EChildren, Community and Social ServicesService Delivery and Supports BranchProgram Management Unit (PMU)Application for Special Services at Home20-Feb1063http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-1915E

006-2764

Questionnaire (for Applicants or Recipients who are living with another adult)

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch10-Mar266http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2764

006-2865E

Rights and Responsibilities Ontario Disability Support Program

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchOutlines the rights and responsibilities for individuals on ODSP.19-Nov812http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2865E

006-2878

Request for Internal Review

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep746http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2878

006-2879

Request for Withdrawal of Internal Review

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2879

006-2882E

Application for Employment Supports

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchEmployment Support15-Apr1518http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2882E

006-2884

Verification of Disability/Impairment

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch10-Jan815http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2884

006-2950E

Employment/Training Income Report

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchForm to be completed by ODSP recipients on a monthly basis. First section of the form requires recipients to report their changes in Employment/Training and any changes in living expenses, shelter costs, family size, income or assets.18-Sep1566http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2950E

006-2999E

Consent to Disclose and Verify Information (Canada Revenue Agency)

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch18-Oct30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-2999E

006-3006E

Confirmation of Assignment

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchAny person commencing a court proceeding to change the terms of their support order must complete a Confirmation of Assignment form to obtain information about whether their support order is assigned. The ministry will only provide information to the supp19-Dec700http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3006E

006-3089E

Birth Family Member's Application to Request a Severe Medical Search

EChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow birth family members to request a search for an adopted person, or a member of the adopted person's family, in instances of a severe mental or physical illness08-Jun85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3089E

006-3090E

Adopted Person's and Descendant of Adopted Person's Application to Request a Severe Medical Search

EChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons, and their family members, to request a search for an adopted person's birth relative or birth relative's family member, in instances of a severe mental or physical illness08-Jun141http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3090E

006-3091E

Application to Request Non-Identifying Information Relating to an Adoption

EChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons and certain birth family members to request a copy of the adoption file information with information that would reveal the identify of any person other than the requestor removed08-Jun360http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3091E

006-3092E

Application to Update Information or Remove Name from the Adoption Disclosure Register

EChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons and eligible birth relatives to remove their name or update the contact information they wish to share with a matched party on the Adoption Disclosure Register. Also to allow adopted persons to change the list of relatives they wi08-Jun134http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3092E

006-3093E

Application to be Named on the Adoption Disclosure Register

EChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons and eligible birth relatives to request to be named on the Adoption Disclosure Register08-Jun509http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3093E

006-3095E

Application for a Copy of an Adoption Order

EChildren, Community and Social ServicesService Delivery and Supports BranchCustodian of Adoption InformationTo allow adopted persons of at least 18 years old of age and adoptive parents to request a copy of the adopted person's adoption order with any information which identify a birth parent removed.08-Jun316http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3095E

006-3168E

Request for Withdrawal of Regional Dispute Resolution Review

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3168E

006-3169E

Request for Regional Dispute Resolution Review

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch13-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3169E

006-3183E

Vision Care Benefit (Exceptional Circumstances)

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchThe form is for requests for medically necessary items that are not in the Ministry of Community and Social Services (MCSS) Vision Care Fee Schedule. Requests may be made where exceptional medical circumstances exist. Service providers must obtain pre-au14-Nov181http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3183E

006-3188E

Welcome to ODSP Employment Supports

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program BranchIntroduction to the ODSP Employment Supports14-Feb635http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3188E

006-3203E

ODSP Hearing Aid Benefit (Exceptional Circumstances)

EChildren, Community and Social ServicesOntario Disability Support Program BranchOntario Disability Support Program Branch16-Jun75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3203E

006-3216E

Direct Bank Deposit (Electronic Funds Transfer) Enrolment / Change of Information Third Party Payees

EChildren, Community and Social ServicesSocial Assistance Central Services BranchFinancial Services UnitTo support direct bank deposit enrolment and information management for third party vendor records in Social Assistance Programs18-Jun739http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3216E

006-3222E

Temporary Care Agreement

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society (CAS) uses this form to enter into a temporary care agreement with a person who is temporarily unable to adequately care for a child in his or her custody and agrees to voluntarily place the child in the temporary care and custody18-Mar34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3222E

006-3223E

Extension or Variation Agreement

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to extend and/or vary a temporary care agreement.18-Mar30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3223E

006-3224E

Warrant to Bring to a Place of Safety and Return a Child in Care

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form authorizes the apprehension of a child that has left or has been removed from a children's aid society's lawful care and custody. Also provides authorization for entry by force and to search a named premise. Form must be signed by a Justice of18-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3224E

006-3225E

Information in Support of a Warrant to Bring to a Place of Safety and Return a Child in Care

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is used by peace officers and child protection workers to provide a sworn statement that they have reasonable and probable grounds to believe a child has left or been removed from the lawful care of a children's aid society (CAS) without that CA18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3225E

006-3226E

Warrant to Apprehend and Return a Child who has withdrawn from a Parent's Control

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form authorizes the apprehension of a child that has withdrawn from the care and control of a parent of the child, authorized officer of an approved agency that has custody of the child, or a person who has care and control of the child. Also provide18-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3226E

006-3227E

Information in Support of a Warrant to Bring to a Place of Safety and Return a Child Who has Withdrawn From a Person's Care and Control

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form authorizes the apprehension of a child that has left or has been removed from a children's aid society's lawful care and custody. Also provides authorization for entry by force and to search a named premise. Form must be signed by a Justice of t18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3227E

006-3228E

Application for Emergency Admission to Secure Treatment Program

EChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesEmergency admission of a child to a secure treatment program.18-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3228E

006-3229E

Emergency Admission to Secure Treatment Program

EChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesThis form is completed by the person in charge of the secure treatment program once the criteria are met for the child's emergency admission to a secure treatment program.18-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3229E

006-3230E

Application for Review of Emergency Admission to Secure Treatment Program

EChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesThis form is completed by a child or applicant on behalf of the child in order to ask for an order under Part VII of the Child, Youth and Family Services Act, 2017 releasing the child from the secure treatment program. Used for a hearing before an adminis18-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3230E

006-3231E

Review of Emergency Admission to Secure Treatment Program

EChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesThis form is an order completed by the Chair of the Child and Family Services Review Board either releasing the child from the secure treatment program or denying the application.18-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3231E

006-3232E

Warrant to Apprehend and Return a Child Who has Been Admitted to a Secure Treatment Program

EChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesCourt Proceeding and to apprehend a child who has been admitted to a secure treatment program.18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3232E

006-3233E

Information in Support of a Warrant to Apprehend and Return a Child Who has Been Admitted to a Secure Treatment Program

EChildren, Community and Social ServicesChildren and Youth at Risk BranchResidential ServicesCourt proceeding and the Information to support a warrant to apprehend and return a child who has been admitted to a secure treatment program.18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3233E

006-3234E

Application for Approval of a Secure De-escalation Room

EChildren, Community and Social ServicesPlanning and Program Development BranchResidential ServicesThis form is completed by an applicant on behalf of the residence/service in order to obtain approval of locked room for use of the de-escalation of situations and behavior involving children or young persons or for the renewal of an approval of a locked 18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3234E

006-3235E

Approval or Renewal of Approval of a Secure De-escalation Room

EChildren, Community and Social ServicesPlanning and Program Development BranchResidential ServicesThis form is completed by the Director for the purposes under the Child and Family Services Act (this person is generally the ministry licensing and compliance manager of the Regional Office where the applicable facility is located). The form is used for 18-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3235E

006-3236E

Refusal or Withdrawal of an Approval of a Secure De-escalation Room

EChildren, Community and Social ServicesPlanning and Program Development BranchResidential ServicesThis form is completed by the Director for the purposes under the Child, Youth and Family Services Act, 2017 (this person is generally the ministry licensing and compliance manager of the Regional Office where the applicable facility is located). The form18-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3236E

006-3237E

Notice to a Director of Proposed Placement

EChildren, Community and Social ServicesClient Services BranchLicensing of Private AdoptionThis form is completed by a licensee who proposes to place a child with an applicant with a view to adoption.18-Mar36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3237E

006-3238E

Registration of Placement of a Child for Adoption

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society or a licensee uses this form to register the placement of a child for adoption under subsection 183(7) of the Child, Youth and Family Services Act, 2017.18-Mar26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3238E

006-3239E

Director's Registration of Placement of Child for Adoption

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA Director uses this form to register the placement of a child for adoption if they become aware of any placement for adoption of a child that has not been registered under subsection 183 (8) of the Child, Youth and Family Services Act, 201718-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3239E

006-3240E

Acknowledgment of Adoption Placement

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is signed by prospective adoptive parents when a child is placed with them.18-Mar31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3240E

006-3241E

Statement by Physician

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is completed by a physician who is of the opinion that the disclosure of the record of a mental disorder of a person is likely to result in harm to their treatment, injury to the mental condition of another person, or bodily harm to another pers18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3241E

006-3242E

Application for a Licence or Renewal of a Licence to Place Children for Adoption

EChildren, Community and Social ServicesClient Services BranchLicensing of Private AdoptionThis is the application for a licence or renewal of a licence to place children for adoption issued by a Director under the Child, Youth and Family Services Act, 2017 (this person is generally the Coordinator of the ministry's Private and International Ad18-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3242E

006-3243E

Warrant for Access to Record(s)

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to gain access to records that are relevant to the investigation of an allegation that a child is or may be in need of protection. Form must be signed by a Justice of the Peace.18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3243E

006-3244E

Information in Support of a Warrant for Access to a Record

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to provide information in support of obtaining a warrant for access to a record relevant to the investigation of a child who is or may be in need of protection.18-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3244E

006-3245E

Warrant (Telewarrant) for Access to Record(s)

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to provide information in support of obtaining a warrant for access to a record relevant to the investigation of a child who is or may be in need of protection when it would be impracticable to appear personally bef18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3245E

006-3246E

Information in Support of a Warrant (Telewarrant) for Access to a Record

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareA children's aid society uses this form to provide information in support of obtaining a warrant for access to a record relevant to the investigation of a child who is or may be in need of protection, when it would be impracticable to appear personally be18-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3246E

006-3247E

Form 1: Report to Child Abuse Register

EChildren, Community and Social ServicesChild Welfare Operations BranchChild WelfareThis form is completed by a children's aid society to report child abuse that has been verified by the society.18-Mar35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3247E

006-3248E

Form 2: Follow-up Report to Child Abuse Register

EChildren, Community and Social ServicesChild Welfare Operations BranchChild WelfareThis form is completed by a children's aid society to provide additional information regarding child abuse that has been verified by the society.18-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3248E

006-3249E

Formal Complaint To A Society's Internal Complaints Review Panel (ICRP)

EChildren, Community and Social ServicesChild Welfare SecretariatChild WelfareThis form is for use by persons making a complaint to a children's aid society's Internal Complaints Review Panel (ICRP) about a service sought or received from a society.19-Apr112http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3249E

006-3250E

Request to Director for Review of Proposed Placement

EChildren, Community and Social ServicesClient Services BranchLicensing of Private AdoptionThis form is completed by a licensee who proposes to place a child from outside of Canada with an applicant in Ontario for the purpose of adoption in Ontario.18-Apr23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3250E

006-3251E

Youth Services Officer Employment Application

EChildren, Community and Social ServicesOperational Support and Program Effectiveness BranchStaff Training and DevelopmentApplication form for the Youth Services Officer position with the Youth Justice Services Division, Ministry of Children and Youth Services.19-Apr2669http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3251E

006-3256E

Ontario Autism Program Childhood Budget Form

EChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form will allow families of children and youth with autism to apply for Ontario Autism Program Childhood Budget funding.19-Jun5807http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3256E

006-3261E

Invoice for Completing a Disability Determination Package, Medical Review Package or Providing Additional Medical Information

EChildren, Community and Social ServicesSocial Assistance Central Services BranchFinancial Services UnitFor health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.19-Sep530http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-3261E

006-FORM-A

Support Application/Support Variation Application.

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar231http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-A

006-FORM-A-GUIDE

FormSupport Form A Support Application / Support Variation Application

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-A-GUIDE

006-FORM-B

Identification Information

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar115http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-B

006-FORM-B-GUIDE

FormSupport Form B Identification Information

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-B-GUIDE

006-FORM-C

Evidence of Parentage

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar107http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-C

006-FORM-C-GUIDE

FormSupport Form C Evidence of Parentage

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-C-GUIDE

006-FORM-D

Statements to Support a Declaration of Biological Parentage

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-D

006-FORM-D-GUIDE

FormSuppor Form D Statements to Support a Declaration of Biological Parentage

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-D-GUIDE

006-FORM-E

Child Support Claim

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar186http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-E

006-FORM-E-GUIDE

FormSupport Form E Child Support Claim

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-E-GUIDE

006-FORM-F

Request For Support Order - If Respondent Does Not Provide Financial Information -

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar105http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-F

006-FORM-F-GUIDE

FormSupport Form F Request for Support Order (if Respondent does not provide financial information)

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-F-GUIDE

006-FORM-G

Request For A Child Support Order - Different Than Child Support Guidelines Table Amount -

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-G

006-FORM-G-GUIDE

FormSupport Form G Request for a Child Support Order, Different than Child Support Guidelines Table Amount

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-G-GUIDE

006-FORM-H

Special Expense Claim

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar190http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-H

006-FORM-H-GUIDE

FormSupport Form H Special Expense Claim

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar77http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-H-GUIDE

006-FORM-I

Request To Pay Child Support - Different Than Child Support Guidelines Table Amount -

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar67http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-I

006-FORM-I-GUIDE

FormSupport Form I Request to Pay Child Support, Different than the Child Support Guidelines Table Amount

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-I-GUIDE

006-FORM-INTRO-GUIDE

FormSupport Guide Introduction and General Information

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office17-Jul73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-INTRO-GUIDE

006-FORM-J

Support for Claimant / Applicant

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-J

006-FORM-J-GUIDE

FormSupport Form J Support for Claimant / Applicant

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-J-GUIDE

006-FORM-K

Financial Statement of

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar151http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-K

006-FORM-K-GUIDE

FormSupport Form K Financial Statement

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-K-GUIDE

006-FORM-L

Child Status and Financial Statement for

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-L

006-FORM-L-GUIDE

FormSupport Form L Child Status and Financial Statement

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-L-GUIDE

006-FORM-M

Evidence to Support Variation of a Support Order

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar125http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-M

006-FORM-M-GUIDE

FormSupport Form M Evidence to Support Variation of a Support Order

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-M-GUIDE

006-FORM-N

Respondent's Answer to Application

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar116http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-N

006-FORM-N-GUIDE

FormSupport Form N Respondent's Answer to Application

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar76http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-N-GUIDE

006-FORM-O

Request for Enforcement

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office03-Mar184http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-O

006-FORM-ON-GUIDE

Making a Support or Support Variation Application Outside Ontario - Choosing Which Forms to Use -

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office08-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FORM-ON-GUIDE

006-FRO-001E

Personal Pre-Authorized Debit (PAD) Application

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Preauthorized Payment Application for Payors authorizes the Family Responsibility Office to automatically deduct support payments from the support payor's bank account. This method of payment is only available to payors who do not have a regular sourc09-Dec350http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-001E

006-FRO-002E

Confirmation of Identity Letter Request

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeConfirmation of Identity Letter is prepared by the Family Responsibility Office (FRO) confirming that an individual is not one and the same as the support payor against whom the FRO has taken enforcement action. Most commonly, these letters are prepared i16-Feb183http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-002E

006-FRO-003E

Request for Director's Statement of Arrears (Statement of Account)

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Request for Director's Statement of Arrears is another term for statement of account. If a client wants to obtain a statement of their account, they must contact the Family Responsibility Office.The first statement of account will be free while any su16-Feb269http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-003E

006-FRO-004E

Voluntary Arrears Payment Schedule (VAPS) Proposal

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office18-Feb694http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-004E

006-FRO-005E

Registration Package

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office12-Sep1965http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-005E

006-FRO-006E

Notice of Withdrawal

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office05-Jul1103http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-006E

006-FRO-007E

Statement of Arrears

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office12-Sep1473http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-007E

006-FRO-009E

Registration for Direct Deposit

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office15-Dec1965http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-009E

006-FRO-010E

FINANCIAL STATEMENT

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeSupport payors may be requested to complete a Family Responsibility Office Financial Statement to support a Voluntary Arrears Payment Schedule, or because a payor is in default of his/her support obligations and the FRO has begun a default hearing. Docume05-Jun607http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-010E

006-FRO-013E

Affidavit for a Lost Cheque

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office09-Aug343http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-013E

006-FRO-014E

Third Party Authorization Form

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Third Party Authorization form authorizes a person other than the payor or recipient to act on the payor's or recipient's behalf. A Family Responsibility Office (FRO) support payor or support recipient may designate this person to request and receive 04-May435http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-014E

006-FRO-015E

Cancellation of Third Party Authorization Form

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe Cancellation of Third Party Authorization form stops all third party access to a client's case. Once the third party access is cancelled, only the payor or recipient will be able to receive information about their case.04-Jul83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-015E

006-FRO-016E

Notice of Re-Filing

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office16-Feb496http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-016E

006-FRO-018E

NOTICE TO FAMILY RESPONSIBILITY OFFICE BY INCOME SOURCE

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThis notice is used by income sources (usually employers) to communicate with the FRO. This form can be used by an employer or other income source to let the FRO know that payments will be interrupted or stopped. This form can also be used to clarify that05-Jun124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-018E

006-FRO-021E

SUPPORT DEDUCTION ORDER INFORMATION FORM

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility OfficeThe 2 forms are used together when a court makes a support order. The support deduction order allows the FRO to collect support by sending notice to a support payer's employer or other income source, requiring support to be deducted from the payer's incom05-Jun416http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-021E

006-FRO-030E

Notice by Support Recipient of Unilateral Withdrawal

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office16-Jan479http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-030E

006-FRO-031E

Application to Discontinue Enforcement of Ongoing Support

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office19-May2936http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-031E

006-FRO-032E

Panel Lawyer Application – Current Panel Lawyer

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office15-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-032E

006-FRO-033E

Panel Lawyer Application – New Applicant

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office15-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=006-FRO-033E

007-02052E

Notice of Motion

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal TribunalTo request that the Tribunal issue an order.19-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-02052E

007-06019E

Application for Registration or Appointment

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario08-Nov96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-06019E

007-06019EINFO

Registration or Appointment Requirements for New, Renewal and Reinstatement Applications

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario10-Feb73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-06019EINFO

007-07064E

Appointment of Agent for Service/Revised Appointment of Agent for Service - Form 2 - Extra-Provincial Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchForeign business corporations incorporated outside of Canada who wish to do business in Ontario must appoint an Agent for Service in Ontario. An Agent for Service must be an individual, 18 years of age or older, who is resident in Ontario or a corporation19-Aug204http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07064E

007-07067E

Application for Termination of Extra-Provincial Licence - Form 4 - Extra-Provincial Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchWhen a foreign business corporation has stopped doing business in Ontario, a Form 4 must be completed and filed in duplicate with Companies and Personal Property Security Branch.11-Jun60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07067E

007-07249E

Request for Corporation Information

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchThis form is completed to process a request for a corporate search product.18-Oct362http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07249E

007-07546E

Acknowledge Receipt of Application

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo acknowledge the receipt of mail-in applications for Companies registration, corporate filing, amendments and search services. Only applicable to forms where there are no electronic service delivery options. 11-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-07546E

007-11018E

Marriage Licence Application-Marriage Act-Form 3

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General18-Feb1327http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11018E

007-11022E

Statement of Live Birth Form 2

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used for registering the birth of a child who has one or two parents. Parent(s) can use this form and choose to be identified as ‘mother', ‘father' or ‘parent'.18-Jan489http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11022E

007-11025E

Statement Of Sole Responsibility- Marriage Act

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General17-Nov459http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11025E

007-11031E

Requirements Respecting Marriage in Ontario

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General09-Jul18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11031E

007-11075E

Request for Death Certificate

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General18-Jan2375http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11075E

007-11076E

Request for Birth Certificate

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used for requesting a birth certificate18-Apr5892http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11076E

007-11078E

Request for Marriage Certificate

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General18-Jan3364http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11078E

007-11155E

Application to Change an Adult's Name

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used to apply to legally change the name of an adult in Ontario.19-Sep7148http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11155E

007-11156E

Application to Change a Child's Name

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis form is used to apply to legally change the name of a child in Ontario.19-Sep2501http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11156E

007-11313E

Adoption Information Disclosure Application to Register or Withdraw a No Contact Notice

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a No Contact Notice under the Adoption Information Disclosure Act, 2005.08-Aug89http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11313E

007-11314E

Adoption Information Disclosure Application to Register or Withdraw a Notice of Contact Preference

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to register or withdraw a Notice of Contact Preference under the Adoption Information Disclosure Act, 2005.08-Aug113http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11314E

007-11318E

Adoption Information Disclosure Application to Register or Withdraw a Disclosure Veto

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow adopted persons and birth parents to submit a service request to the Office of the Registrar General to register or withdraw a Disclosure Veto under the Vital Statistics Act.08-Aug93http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11318E

007-11320E

Request for Non-Publication in The Ontario Gazette

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General19-Sep179http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11320E

007-11324E

Statutory Declaration for a Change of Sex Designation on a Birth Registration of an Adult

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General19-Aug264http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11324E

007-11325E

Application for a Change of Sex Designation on a Birth Registration of an Adult

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar General19-May454http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11325E

007-11333E

Statutory Declaration – By Intended Parents

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis Statutory Declaration is to be completed by Intended Parent(s) when certifying a birth using a surrogate.17-Jan69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11333E

007-11334E

Statutory Declaration – By Surrogate

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis Statutory Declaration by Surrogate is to be completed by the surrogate when the intended parent(s) are certifying a birth using a surrogate.17-Jan57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11334E

007-11335E

Statement of Live Birth Form 2 (With Three or Four Parents)

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralThis version of the Statement of Live Birth form is available for three or four parents. Parent(s) can use this form and choose to be identified as ‘mother', ‘father' or ‘parent'.18-Jan37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11335E

007-11341E

Application to Waive ServiceOntario Fees for a Name Change and Related Certificates

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralFor Residential School Survivors and their family members reclaiming a name; and for Indigenous persons changing their name to a single name. In order to apply to waive ServiceOntario fees, submit this application with an application change an adult's and17-Jan129http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11341E

007-11342E

Request for a Name Change to a Single Name

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralUse this request to change a name for a person to a single name that is determined in accordance with the person's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the application to chan17-Jan167http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11342E

007-11343E

Request for a Birth Registration with a Single Name

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralUse this request to register a birth with a single name that is determined in accordance with a parent's or the child's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the Statement of L17-Jan199http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11343E

007-11377E

Articles of Incorporation of a Co-operative with Share Capital, Form 1, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo incorporate a co-operative corporation with share capital in Ontario.18-Oct31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11377E

007-11378E

Articles of Incorporation of a Co-operative without Share Capital, Form 2, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo incorporate a co-operative corporation without share capital in Ontario.18-Oct32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11378E

007-11379E

Consent to Act as a First Director, Form 3, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchThis form must be submitted along with the Articles of Incorporation when a co-operative corporation has a director that is not an incorporator.18-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11379E

007-11380E

Articles of Amendment, Form 7, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo amend, add, change or remove provisions set out in the Articles of Incorporation or change the corporate name for the co-operative corporation.18-Oct41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11380E

007-11381E

Affidavit of Solvency (Amendment), Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchAn affidavit regarding the solvency of a co-operative corporation that is making amendments to its Articles of Incorporation. This form must be submitted along with the Articles of Amendment when there is a name change or if there is a decrease in authori18-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11381E

007-11382E

Articles of Amalgamation, Form 10, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo amalgamate two or more active Ontario co-operative corporations who wish to form one new Ontario co-operative corporation.18-Oct21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11382E

007-11383E

Affidavit of Solvency (Amalgamation), Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchAn affidavit regarding the solvency of each of the amalgamating co-operative corporations. This form must be submitted along with the Articles of Amalgamation.18-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11383E

007-11384E

Articles of Dissolution, Form 11, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo voluntarily dissolve an active Ontario co-operative corporation that has commenced business, issued shares, received membership loans or fees or it has been two years or more since the date of incorporation.18-Oct56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11384E

007-11385E

Articles of Dissolution, Form 12, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo voluntarily dissolve an active Ontario co-operative corporation that has not commenced business, has not issued any of its shares, has not received any membership loans or fees and it has been less than two years since the date of incorporation.18-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11385E

007-11386E

Articles of Continuance as a Co-operative without Share Capital, Form 15, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo continue an Ontario business or not-for-profit corporation, or a corporation from another jurisdiction into Ontario, as a co-operative corporation without share capital.18-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11386E

007-11387E

Articles of Continuance as a Co-operative with Share Capital, Form 14, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo continue an Ontario business or not-for-profit corporation, or a corporation from another jurisdiction into Ontario, as a co-operative corporation with share capital.18-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11387E

007-11388E

Restated Articles of Incorporation without Share Capital, Form 9, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo restate the Articles of Incorporation of a co-operative corporation without share capital as amended. Restated Articles of Incorporation supersede the original Articles of Incorporation and all amendments thereto.18-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11388E

007-11389E

Restated Articles of Incorporation with Share Capital, Form 8, Co-operative Corporations Act

EGovernment and Consumer ServicesServiceOntarioCentral Production and Verification Services BranchTo restate the Articles of Incorporation of a co-operative corporation with share capital as amended. Restated Articles of Incorporation supersede the original Articles of Incorporation and all amendments thereto.18-Oct4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11389E

007-11392E

Notice of Collection of Personal Information - Applicants for Payment under Section 4

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund11-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11392E

007-11393E

Notice of Collection of Personal Information - Applicants for Restoration of Driver's Licence

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund18-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11393E

007-11394E

Notice of Collection of Personal Information Applicants for Statutory Accident Benefits

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund18-Aug48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11394E

007-11395E

Affidavit in Support of Application for Settlement

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11395E

007-11396E

Application for Payment under Section 4

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund18-Nov24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11396E

007-11397E

Motor Vehicle Accident Claims Fund - Application for Payment under Section 7 Form 1

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11397E

007-11399E

Motor Vehicle Accident Claims Fund Application For Statutory Accident Benefits Form 3

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11399E

007-11400E

Motor Vehicle Accident Claims Fund Application For Payment out of the Fund of Court Ordered Costs Form 4

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11400E

007-11401E

Motor Vehicle Accident Claims Fund Notice of Default

EGovernment and Consumer ServicesRisk Management and Insurance Services BranchMotor Vehicle Accident Claims Fund13-Jan35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=007-11401E

008-0105E

Notification of Duty to Register (Sex Offender Registry)

ESolicitor GeneralOntario Sex Offender RegistryOntario Sex Offender RegistryThis form is the first step in ensuring the legislative requirement for police and provincial correctional staff to make reasonable efforts to give sex offenders written notice of their obligation to report if they are charged or convicted of a sex offenc08-Nov28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0105E

008-0122

Warrant for Post Mortem Examination

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner14-May46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0122

008-0125E

Warrant to Bury the Body of a Deceased Person or Still-born

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner14-May69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0125E

008-0137E

Application for Part II (Standard Procedure) Appointment

ESolicitor GeneralExternal RelationsOperations UnitTo be used by an extra-provincial commander to apply for the appointment of an extra-provincial police officer as a police officer under Part II of the Interprovincial Policing Act, 2009.10-May19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0137E

008-0138E

Approval for Part II (Standard Appointment Procedure) Application

ESolicitor GeneralExternal RelationsOperations UnitTo be used by an appointing official to make an appointment under Part II of the Interprovincial Policing Act, 2009 or to advise that a request for an appointment be denied.10-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0138E

008-0139E

Approval of Part III (Appointment Procedure in Urgent Circumstances) Application

ESolicitor GeneralExternal RelationsOperations UnitTo be used by a local commander to make or renew an appointment under Part III of the Interprovincial Policing Act, 2009 or to advise that a requested appointment be denied.10-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0139E

008-0140E

Termination of a Part II or Part III Appointment

ESolicitor GeneralExternal RelationsOperations UnitTo be used by an appointing official to terminate an appointment pursuant to sections 23 and 24 of the Interprovincial Policing Act, 2009.10-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0140E

008-0146E

Application for Part III (Appointment Procedure in Urgent Circumstances) Appointment

ESolicitor GeneralExternal RelationsOperations UnitTo be used by extra-provincial commander to apply, under urgent circumstances, for the appointment of an extra-provincial police officer as a police officer under Part II of the Interprovincial Policing Act, 2009.10-May19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0146E

008-0147E

Training Entity Identification Form - Basic Security Guard & Private Investigator Training

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchTraining entities must identify themselves to the ministry by completing the Training Entity Identification Form10-Mar32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0147E

008-0148E

Consent and Release of Liability Form Regarding Training

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchStudents registered in a training program under the Training and Testing Regulation of the Private Security and Investigative Services Act, 2005 must complete this form. This allows the training entity, the ministry, and the test delivery provider Serco, 14-Apr46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0148E

008-0149E

Invoice for Transportation of Dead Body

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor costs incurred in transporting a body under a coroner's warrant. To be used by body transportation service providers in invoicing the Office of the Chief Coroner.19-Jul154http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0149E

008-0150E

Invoice For Use of Facilities For Post Mortem Examination

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor costs incurred by a hospital in performing an autopsy under a coroner's warrant. To be used by hospitals in invoicing the Office of the Chief Coroner.18-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0150E

008-0151E

Case Selection Data Form

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor use by investigating coroners.10-Sep40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0151E

008-0152E

Case Selection Invoice

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerFor use by investigating coroners.10-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0152E

008-0153E

Institutional Patient Death Record

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerAs required by the Coroners Act, upon the death of any resident of a facility regulated under the Long Term Care Homes Act 2007, this form is completed in order to notify the Coroner. This form is intended for use by a facility regulated under the Long Te14-May1600http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0153E

008-0168E

Request for Retention of Specimens

ESolicitor GeneralOffice of the Chief CoronerForensic Pathology UnitForm to be used by coroners and pathologists in seeking approval to retain a specimen(s) collected at autopsy for a longer or shorter period than prescribed in Regulation 180 under the Coroners Act.12-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0168E

008-0230E

Post Mortem Examination Invoice

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner18-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0230E

008-0231E

Interpreter's Invoice

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner19-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0231E

008-0232E

Special Witness Account

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0232E

008-0233E

Order for Payment of Court Reporter

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner19-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0233E

008-0270E

Use of Force Report

ESolicitor GeneralExternal RelationsPolicing Standards SectionTo be used by a member of a police force when the member uses force in specified circumstances pursuant to subsection 14.5 (1) of the Equipment and Use of Force Regulation (R.R.O. 1990, Reg. 926).19-Oct23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-0270E

008-06-003E

Notice of a New/Change in Branch Office (Corporation/Sole Proprietorship/Partnership Businesses)

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services Branch19-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-003E

008-06-004E

Application to Replace a Security Guard and/or Private Investigator Agency Licence

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication to Replace a Security Guard and/or Private Investigator Agency Licence19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-004E

008-06-005E

Security guard and/or private investigator licence application package - Online guide to applying for a: Security guard and/or private investigator licence

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Licence 17-Jan2123http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-005E

008-06-007E

Security Guard and/or Private Investigator Licence Replacement Application

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchSecurity Guard and/or Private Investigator Licence Replacement Application19-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-007E

008-06-008E

Registration Form for Employers of Security Guards and/or Private Investigators

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchRegistration Form for Employers of Security Guards and/or Private Investigators19-Dec42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-008E

008-06-009AE

Agency - Request for Hearing Form

ESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit19-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-009AE

008-06-009E

Individual - Request for Hearing Form

ESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-009E

008-06-010AE

Change of Business Information for Licensed Security Guard and/or Private Investigator Agencies and Registered Employers

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchChange of Business Information for Licensed Security Guard and/or Private Investigator Agencies and Registered Employers19-Dec24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-010AE

008-06-010E

Change of Information Form for a Security Guard and/or Private Investigator Licence

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchChange of Information Form for a Security Guard and/or Private Investigator Licence19-Dec22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-010E

008-06-011E

Public Complaint Form

ESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit09-Sep47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-011E

008-06-012E

Use of Force Report

ESolicitor GeneralPrivate Security and Investigative Services BranchLicensing Unit09-Sep76http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-06-012E

008-11-001E

Form 1 - Physician Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy BranchTo support implementation of the Mandatory Blood Testing Act, 200611-Jan42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-001E

008-11-002E

Form 2 - Applicant Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy BranchTo support implementation of the Mandatory Blood Testing Act, 200618-Jul49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-002E

008-11-003E

Form 3 - Respondent Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy BranchTo support implementation of the Mandatory Blood Testing Act, 200618-Jul34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-003E

008-11-004E

Laboratory Requisition - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch10-Dec0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=008-11-004E

009-0002E

Eastern Ontario Development Fund - Business Stream Application and Guide

EEconomic Development, Job Creation and TradeCommunity in TransitCommunities in Transition09-Jul55http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0002E

009-0003E

Eastern Ontario Development Fund - Regional/Sectoral Stream Application and Guide

EEconomic Development, Job Creation and TradeCommunity in TransitCommunities in Transition09-Jul44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0003E

009-0020E

Investment Ready: Certified Site Program - Application Form

EEconomic Development, Job Creation and TradeOntario Investment Office - Investors Services BranchSite Planning and Coordination UnitComplete this application form to prepare for a pre-application consultation and to formally apply to the Investment Ready Program. Forms will only be accepted during a application intake windows and when a consultation meeting has been completed.19-Nov42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0020E

009-0021E

Summer Company Business Plan Template

EEconomic Development, Job Creation and TradeEntrepreneurship BranchEntrepreneurship and Youth PartnershipsThe form is a business plan template, for Summer Company, a program of the Government of Ontario which provides mentoring and awards of up to $3000 to enterprising students between the ages of 15 and 29 years. All applicants must complete the business pla19-Apr603http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0021E

009-0022E

Notice of Intent: Large Infrastructure

EEconomic Development, Job Creation and TradeResearch BranchResearch ProgramThe Ontario Research Fund – Research Infrastructure - provides research institutions with funding to help support infrastructure needs such as modern facilities and equipment.16-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0022E

009-00236E

Accessibility Compliance Reporting Form – 2019 (Designated Public Sector and Government organizations only)

ESeniors and AccessibilityAccessibility for Ontarians with Disabilities DivisionAODA Compliance and Enforcement BranchOrganizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form.19-Apr524http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-00236E

009-00237E

Accessibility Compliance Reporting Form – 2020 (Business or Non-profit and Government organizations only)

ESeniors and AccessibilityAccessibility for Ontarians with Disabilities DivisionAODA Compliance and Enforcement BranchOrganizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form.20-Jan783http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-00237E

009-0023E

Large Infrastructure Application

EEconomic Development, Job Creation and TradeResearch BranchResearch ProgramThe Ontario Research Fund – Research Infrastructure - provides research institutions with funding to help support infrastructure needs such as modern facilities and equipment.19-Oct413http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0023E

009-0025E

Feedback on the Proposed Revised Customer Service Standard

EEconomic Development, Job Creation and TradeAccessibility Directorate of OntarioStandards Policy and Compliance Branch / Accessibility Policy UnitThe Accessibility Standards Advisory Council/Standard Development Committee (ASAC/SDC) was appointed by the Ontario government in 2013 with a mandate to review the Customer Service Standard. The membership of the ASAC/SDC is comprised of a majority of peo14-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0025E

009-0026E

Early Researcher Awards Round 15 Application

EEconomic Development, Job Creation and TradeResearch BranchResearch Talent and AwardsThe Early Researcher Award is a discretionary, non-entitlement program that gives funding to new researchers at publicly funded Ontario research institutions to build a research team. Through the completion of this form and supplementary requirements the 19-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0026E

009-0032E

Social Impact Bond Idea Program Registration

EEconomic Development, Job Creation and TradeOpen for BusinessOffice of Scocial EnterpriseOntario is launching a call for proposals for Social Impact Bond ideas.14-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0032E

009-0034E

Youth Skills Connections Industry Stream Phase I Application

EEconomic Development, Job Creation and TradeEntrepreneurship BranchEntrepreneurship PartnershipsSupport applications to the Youth Skills Connections programs14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0034E

009-0035E

Youth Skills Connections Community Stream Phase I Application

EEconomic Development, Job Creation and TradeEntrepreneurship BranchEntrepreneurship PartnershipsSupport applications to the Youth Skills Connections programs14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0035E

009-0036E

Submission Template for High School Entrepreneurship Outreach program

EEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth PartnershipsThe form is a proposal submission template for the High School Entrepreneurship Outreach program, which aims to bring exposure and awareness of entrepreneurship to high school students across Ontario.14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0036E

009-0039E

Expression of Interest

EEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseThe Accessibility Innovation Showcase (AIS) is hosted by the Ontario government to demonstrate advances in market-ready assistive technologies and devices, stimulate investment and growth in the industry, and raise the profile of accessibility. The Expres17-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0039E

009-0041E

Accessibility Innovation Showcase – Volunteer Application

EEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseApplications for Volunteers to complete for volunteering at the Accessibility Innovation Showcase (September 21, 2017, September 24 - 27, 2017). Deadline to volunteer is August 18, 2017. If you need an alternate format or other accommodation to access thi17-Aug17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0041E

009-0047E

Sample Return to Work Process and Plan

EEconomic Development, Job Creation and TradeAccessibility Directorate of OntarioOutreach & Strategic InitiativesThis document was adapted from the Conference Board's Employers' Toolkit: Making Ontario Workplaces Accessible to People with Disabilities, 2nd Edition, is provided for informational purposes only, and should not be construed as legal advice or an opinion16-Jan90http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0047E

009-0048E

Sample Accommodation Process and Plan

EEconomic Development, Job Creation and TradeAccessibility Directorate of OntarioOutreach & Strategic InitiativesThis document was adapted from the Conference Board's Employers' Toolkit: Making Ontario Workplaces Accessible to People with Disabilities, 2nd Edition, is provided for informational purposes only, and should not be construed as legal advice or an opinion16-Jan226http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0048E

009-0049E

Youth Skills Connections Industry Partnerships - Eligibility Checklist

EEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth Skills Connections Fund: Industry PartnershipsThis checklist is a tool for the Ministry of Economic Development and Growth to make an initial assessment of proposed projects for Youth Skills Connections Industry Partnerships. Consideration of an eligibility checklist does not guarantee acceptance to 16-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0049E

009-0051E

Appendix "A" Ontario Investment and Trade Centre (OITC) WiFi access registration form

EEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseTerms of use of Ontario Investment and Trade Centre (OITC) wireless network.16-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0051E

009-0053E

Appendix “B” Ontario Investment and Trade Centre Fire and Emergency Evacuation Procedures

EEconomic Development, Job Creation and TradeCorporate Services BranchAccessibility Innovation ShowcaseEmergency Procedures (Provided with reservation confirmation)16-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0053E

009-0055E

Entrepreneurship Learning Stream Eligibility Checklist

EEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth PartnershipsThis checklist is a tool for the Ministry to make an initial assessment of a project's eligibility for funding under the Entrepreneurship Learning Stream (ELS).16-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0055E

009-0058E

Social Enterprise Demonstration Fund Program Guidelines and Call for Proposals

EEconomic Development, Job Creation and TradeSocial Enterprise BranchSocial Enterprise Demonstration FundProgram Guidelines and Call for Proposals (for the SEDF)17-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0058E

009-0059E

Ontario Network of Entrepreneurs (ONE) Social Enterprise Partnership

EEconomic Development, Job Creation and TradeSocial Enterprise BranchONE Social Enterprise PartnershipsProgram Guidelines and Call for Expressions of Interest16-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0059E

009-0060E

Entrepreneurship Learning Stream (ELS) Application

EEconomic Development, Job Creation and TradeEntrepreneurship BranchYouth PartnershipsEntrepreneurship Learning Stream (ELS) Application Form17-Nov82http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0060E

009-0063E

Organization Profile Update Form (All Organizations)

ESeniors and AccessibilityAccessibility for Ontarians with Disabilities DivisionAODA Compliance and Enforcement BranchOrganizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 should complete and submit this form to update the organizational profile and contact information the government uses to track AODA18-Nov124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0063E

009-0064E

Social Enterprise Procurement And Investment Readiness Fund

EEconomic Development, Job Creation and TradeEntrepreneurship and Start-up Services BranchSocial Enterprise UnitTo provide the relevant information regarding the Program Guidelines, application instructions and application to the public to apply to the Procurement and Investment Readiness Fund call for proposals.17-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0064E

009-0104-11-01

Doing Business Immigration Seminar Registration Form

EEconomic Development, Job Creation and TradeOntario Investment Office - Investors Services BranchBusiness Immigration Section01-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0104-11-01

009-0153E

Appointing or Cancelling a Representative

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchApplicant or employer uses this form to appoint a representative for the application or to remove a representative from an application.18-Dec72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0153E

009-0161E

Change of Personal Information

EEconomic Development, Job Creation and TradeProgram Management and Business Services BranchProgram Development UnitApplicant uses this form to inform of changes in personal info, i.e. address change, name change, family change, etc.18-Jul198http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0161E

009-0233E

Ontario Immigrant Nominee Program Employer Job Offer Streams Employer Form

EEconomic Development, Job Creation and TradeOntario Immigrant Nominee Program Delivery BranchOntario Immigrant Nominee Program Delivery BranchThis form is to be completed by Ontario employers who are supporting an application to the Ontario Immigrant Nominee Program under one of the Employer Job Offer streams. This form must must be given to the applicant to include in their application.19-Jun5976http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=009-0233E

010-3003E

Private School Inspection Report

EEducationField Services BranchPrivate School and International EducationThe purpose of the Private Schools Inspection Report is to provide private schools with a report following a school visit and inspection by the Private School Inspectors. The report identifies issues of non-compliance and provides the school with recommen18-Oct36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3003E

010-3041E

Statement of Medical Exemption

EEducationEarly Years & Child Care Policy BranchEarly Years Policy UnitTo allow individuals to apply for medical exemptions for immunizations16-May322http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3041E

010-3042E

Statement of Conscience or Religious Belief

EEducationEarly Years & Child Care Policy BranchEarly Years Policy UnitTo allow individuals to apply for religious/conscience exemptions for immunizations16-May827http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3042E

010-3043E

Notice of Administrative Penalty - Application for Review

EEducationChild Care Quality Assurance and Licensing BranchEnforcement UnitUnder the Child Care and Early Years Act, 2014 a person who has been issued a Notice of Administrative Penalty may request a review of the notice in a form approved by the Minister. The authority to approve these forms has been delegated to the Director o16-Apr12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3043E

010-3064E

Reciprocal Education Approach Written Notice for Eligible Students to Attend an Eligible First Nation School

EEducationIndigenous Education OfficeStrategic Policy & Intergovernmental RelationsTo provide written notice to school boards for students wishing to attend a First Nation school under REA19-Aug29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3064E

010-3065E

Reciprocal Education Approach Written Notice for Eligible Students to Attend a School of a School Board

EEducationIndigenous Education OfficeStrategic Policy & Intergovernmental RelationsTo provide written notice to school boards for students wishing to attend a school of a school board under REA19-Aug23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-3065E

010-37-0355E

Premier's Awards for Teaching Excellence Nomination Forms

EEducationCommunications BranchCommunications Branch10-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-0355E

010-37-0373E

Premier's Awards for Accepting Schools – Nomination Form

EEducationSafe and Healthy Schools BranchSafe Schools UnitTo allow anyone to nominate a safe and accepting schools team for the Premier's Awards for Accepting Schools using a form that is easy to complete and includes mandatory fields that will improve the administrative process for those receiving the forms.17-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-0373E

010-37-3022E

Premier's Awards for Accepting Schools – Letter of Support Template

EEducationSafe and Healthy Schools BranchSafe Schools UnitTo provide clear instruction for each person completing the template and ensure a signature is provided since they are not being considered for the Premier's Awards for Accepting Schools.17-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-37-3022E

010-52-0147E

Notice of Intention to Operate a Private School (NOI)

EEducationField Services BranchPrivate School and International EducationRequirement under section 16 of the Education Act for private schools to submit a notice of intention to operate annually to the Ministry of Education by September 1. Submission of the form triggers registration for all private schools and inspection for19-Apr122http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-52-0147E

010-52-0997E

School Year Calendar

EEducationField Services BranchField Services Branch (FSB)indicates instructional school days10-Oct0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-52-0997E

010-63-0112E

Annual Education Plan Grades 7 to 12

EEducationStudent Success Policy BranchStudent Success Policy BranchApr-990http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-63-0112E

010-63-1970E

Work Education Agreement

EEducationStudent Success Policy BranchStudent Success Policy BranchThe Ministry of Education provides Workplace Safety and Insurance Board (WSIB) coverage for students who are registered as participants in a work education program administered by a school board. This form must be completed and signed by all parties prior16-Jul71http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=010-63-1970E

011-0001

Application For Electricity Distribution License

EEnergy, Northern Development and MinesOntario Energy BoardPlanning and Business ServicesThe purpose of this form is to collect information to determine whether the Applicant will be granted a licence to distribute electricity.05-Jul11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0001

011-0006E

Ontario Small Waterworks Assistance Program Part 3

EEnergy, Northern Development and MinesInfrastructure Policy BranchInfrastructure Policy Branch10-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0006E

011-0022

Application for Ontario's Home Energy Audit Grant (Program)

EEnergy, Northern Development and MinesRenewables and Energy EfficiencyEnergy Efficiency and Innovative TechnologyApplication Form for entry into the Ontario Home Energy Audit Program. Homeowners are required to complete this form with a licensed Energy Advisor during their home energy audit to be eligible for an audit grant. Please visit the program website at www.o11-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0022

011-0027

Application for Ontario's Home Energy Audit Grant (Program)

EEnergy, Northern Development and MinesRenewables and Energy EfficiencyEnergy Efficiency and Innovative TechnologyApplication Form for entry into the Ontario Home Energy Audit Program for Corporate Owned Residential Properties. Homeowners are required to complete this form with a licensed Energy Advisor during their home energy audit to be eligible for an audit grant11-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0027

011-0031E

Smart Grid Fund Application

EEnergy, Northern Development and MinesTransmission and Distribution Policy BranchSmart Grid FundSubmit application forms to sgf@ontario.ca - The Smart Grid Fund (SGF) will help accelerate the growth of Ontario's smart grid industry through targeted financial support for projects that advance the development of the smart grid in Ontario and provide e18-Feb32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0031E

011-0036E

Municipal Energy Plan Program ("MEP Program") Application Form

EEnergy, Northern Development and MinesEnergy Efficiency and Innovative TechnologyMunicipal Energy Plan ProgramThe Municipal Energy Plan Program Application Form must be completed in order to apply to the Program. Please read the Program Guidelines before completing this application form. All application forms must be mailed into the Program Office in order to be14-Apr47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0036E

011-0037E

Municipal Energy Plan Program Application Form Energy Plan Related Initiatives Funding

EEnergy, Northern Development and MinesEnergy Efficiency and Innovative TechnologyMunicipal Energy Plan ProgramThe Municipal Energy Plan Program Application Form must be completed in order to apply to the Program. Please read the Program Guidelines before completing this application form. All application forms must be mailed into the Program Office in order to be14-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0037E

011-0044E

Smart Grid Fund Application – Demonstration Projects

EEnergy, Northern Development and MinesDistribution and Agency Policy BranchSmart Grid FundThe Smart Grid Fund (SGF) will focus on encouraging a culture of innovation within the electricity sector that explores new solutions for integrating many technologies, tests new business models, and generates new ideas for advancing grid modernization. T18-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0044E

011-0045E

Smart Grid Fund Application - Modernization Plans

EEnergy, Northern Development and MinesDistribution and Agency Policy BranchSmart Grid FundThe Smart Grid Fund (SGF) will focus on encouraging a culture of innovation within the electricity sector that explores new solutions for integrating many technologies, tests new business models, and generates new ideas for advancing grid modernization. T18-May22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=011-0045E

012-0031E

Director Letter Confirming Exemption from Licence and Permit Requirements for a Water Extermination

EEnvironment, Conservation and ParksOperations DivisionsOperations DivisionPursuant to subsection 98 (2) paragraph 5 of Ontario Regulation 63/09 under the Pesticides Act, a vendor may sell a pesticide to any person who presents a letter signed by the Director under the Pesticides Act confirming that the person meets the requirem12-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-0031E

012-1147E

Request for Approval Under S. 35( I) of Local Air Quality Regulation for a Site-Specific Standard

EEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is for a company to request approval under subsection 35( I) of Local Air Quality Regualtion (O.Reg.419/05) for a Site Specific Standard for a contaminant and a facility.16-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1147E

012-1328

Waste Audit Summary-ICI Establishments

EEnvironment, Conservation and ParksWaste Management Policy BranchDivisional Administration and Finance SectionTool to assist industry with compliance02-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1328

012-1328A

Waste Audit Summary-Construction & Demolition Projects

EEnvironment, Conservation and ParksWaste Management Policy BranchDivisional Administration and Finance SectionTool to assist industry with compliance02-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1328A

012-1806

Well Record Request Individual Well Record – Form A

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis search request form is required to obtain copies of individual water well records i.e. a copy of the actual Well Record as submitted by the Well Contractor at the time of construction.19-Aug98http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1806

012-1840E

Risk Assessment Pre-submission

EEnvironment, Conservation and ParksStandards Development BranchEcological StandardsPreparing and submitting the Risk Assessment Pre-submission form (PSF) is a mandatory part of the risk assessment review process. The PSF is an opportunity for the property owner and their Qualified Person to provide a thorough description of the property19-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1840E

012-1868E

Out-of-Province Permission Letter for List of Out-of-Province Eligible Laboratories

EEnvironment, Conservation and ParksLaboratory Services BranchLaboratory Services BranchFor Labs outside Ontario to apply to test Drinking Water in Ontario10-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1868E

012-1876E

Invoice for Fees - Drinking Water Testing Licence

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchInvoice for Fees Drinking Water Testing Licence. Safe Drinking Water Act, 2002 Drinking Water Testing Services Regulation (O.Reg. 248/03) Minister's Order for Drinking Water Testing Licence Fees 16-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1876E

012-1881E

Application for Director's Permission to Use Alternate Analytical Methods

EEnvironment, Conservation and ParksSafe Drinking Water BranchLaboratory Licensing and Compliance UnitApplication for Director's Permission to Use Alternate Analytical Methods16-Nov25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1881E

012-1987

Well Contractor Licence Application - Form 1 - Ontario Water Resources Act

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for individuals/businesses interested in applying for a new Well Contractor Licence, which is required by anyone engaging in the business of well construction, and expires on March 31 each year following the year of issue. Ontario Regulation 19-Aug111http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1987

012-1988

Well Contractor Licence Renewal Application - Form 3 - Ontario Water Resources Act

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for Well Contractors Licence holders who wish to renew their licence; which expires on March 31 following the year of issue; and is required by anyone engaging in the business of well construction. Ontario Regulation 903 under the Ontario W19-Aug216http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1988

012-1989

Well Technician Licence Renewal Application - Form 6 - Ontario Water Resources Act

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for Well Technician Licence holders who wish to renew their licence, which expires on March 31 following the year of issue. A Well Technician Licence of the proper prescribed class(es) is required to work at the construction of wells. Ontari19-Aug196http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1989

012-1990

Application for an Appointment to Take an Examination - Form 7 - Ontario Water Resources Act

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for all new applicants for a Well Contractor or a Well Technician Licence. Ontario Regulation 903 under the Ontario Water Resources Act prescribes the licensing requirements and outlines the roles and responsibilities for individuals/business19-Aug49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1990

012-1993

Well Technician Licence Application - Form 4 - Ontario Water Resources Act

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for individuals interested in applying for a new Well Technician Licence or to add-a-class(es) to their existing Well Technician Licence, The licence is required to work at the construction of wells and expires on March 31 following the year 19-Aug150http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1993

012-1995

Application for Assistant Well Technician Identification Card - Form 8 - Ontario Water Resources Act

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchAdministrative ServicesThis form is for licensed well contractors and their assistant technicians (not sooner than after four months of employment with the well contractor) interested in applying for or renewing an Assistant Well Technician Identification Card, which expires 3619-Aug85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-1995

012-2001E

Registration and Laboratory Services Notification

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchRegistration and Laboratory Services Notification form is to gather registration information about schools, private schools and days cares and laboratory information that does lead testing for them. All schools, private schools and days cares in Ontario 11-Apr15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2001E

012-2002E

Notice of Lead Exceedance Test Results in Plumbing - Municipal Residential and Non-Municipal Year Round Residential Drinking Water Systems (O. Reg 170/03 Schedule 15.1)

EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsIn accordance with the Drinking Water Systems Regulation (O. Reg 170/03), Schedule 15.1, the following drinking water systems are required to take plumbing and distribution samples and to have the samples tested for Lead by a licensed laboratory: • Large 16-Aug21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2002E

012-2015E

Applications Respecting: Drinking Water Works Permits and Municipal Drinking Water Licences

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionDrinking Water Works Permits and Municipal Drinking Water Licences16-Apr72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2015E

012-2016E

Application for Fragmentation or Relief from Regulatory Requirements Drinking Water Systems

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionApplication for Fragmentation or Relief from Regulatory Requirements17-Jul20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2016E

012-2062

Municipal Utility Monitoring Program (MUMP) - Mechanical Plants - R1 and R2

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchBusiness Services SectionAll owners of the "mechanical plants" should make R1 submissions. A "mechanical plant" maybe subject to a discharge limit or objective that goes beyond the 'conventional' parameters listed on the R1 form. In that case, the information would be entered on 11-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2062

012-2063

Municipal Utility Monitoring Program (MUMP) - Lagoons - S1 and S2

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchBusiness Services SectionAll owners of "lagoons" should make S1 submissions. A "lagoon" maybe subject to a discharge limit or objective that goes beyond the "conventional' parameters listed on the S1 form. In that case, the information would be entered on the S2 form.11-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2063

012-2074E

Renewable Energy Approval Application

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services17-Dec26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2074E

012-2089E

Environmental Activity and Sector Registry (EASR) Solar Facility Notification Form

EEnvironment, Conservation and ParksClient Services and Permissions BranchCustomer ServicesApproved by Director (MOECC) for the purposes of section 5 (1) of O. Reg. 350/12.18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2089E

012-2095E

Renewable Energy Approval - Municipal / Local Authority Consultation

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services14-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2095E

012-2099E

Terms of Reference Summary for the Environmental Assessment Website

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the director of the Environmental Assessment and Permissions Branch. It provides information about the proponent and its proposed undertaking, which is used to create a posting for the Environmental A17-Nov32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2099E

012-2102E

Environmental Assessment Summary for the Environmental Assessment Website

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the director of the Environmental Approvals Branch. It provides information about the proponent and its proposed undertaking, which is used to create a posting for the Environmental Assessment page on15-Apr38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2102E

012-2103E

Statement of Completion – Waste Management Projects

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environment Approvals Branch to formalize the completion of the Environmental Screening Process.17-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2103E

012-2104E

Statement of Completion – Electricity Projects

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environment Approvals Branch to formalize the completion of the Environmental Screening Process.17-Dec18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2104E

012-2105E

Statement of Completion – Transit Projects

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environmental Approvals Branch and the Regional Director to formalize the completion of the Transit Project Assessment Process.15-Apr13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2105E

012-2106E

Statement of Completion – Transit Projects – Additional Proponent Information

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form is completed by a proponent and submitted to the Director of the Environmental Approvals Branch and the Regional Director to formalize the completion of the Transit Project Assessment Process.15-Apr9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2106E

012-2107E

Toxics Living List Nomination

EEnvironment, Conservation and ParksProgram Management BranchToxics Reduction ProgramThis Nomination Form allows the public (including an organization and interested stakeholders) to submit a nomination to add, delete or change a substance prescribed under the Act.15-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2107E

012-2112E

Ontario Community Environment Fund (OCEF)

EEnvironment, Conservation and ParksOperations Integration BranchOperational Services UnitThe purpose of Ontario Community Environment Fund is to channel money collected through environmental penalties into projects located in the tertiary watershed in which the violation(s) occurred. Eligible projects include environmental remediation, resear14-Oct18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2112E

012-2115E

Generator Registration Report

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchHazardous Waste Information UnitForm used to register for the generation of waste by a company.19-Oct96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2115E

012-2120E

Inspection of Soil - Pest Assessment Report

EEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo purchase Class 12 pesticide following the completion of an inspection of soil16-Feb22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2120E

012-2121E

List of Class 12 Pesticides Submission

EEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo submit name and information of each Class 12 pesticide that vendor intends to offer for sale or transfer15-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2121E

012-2122E

Integrated Pest Management (IPM) Written Declaration

EEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo complete and submit a written declaration if the purchaser is not a licensed treated seed vendor.15-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2122E

012-2123E

Sales and Transfer Report - Treated Seed Vendor

EEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo monitor the sale and transfer of Class 12 pesticides in the province of Ontario.18-Sep24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2123E

012-2124E

Custom Seed Treater - Record of Seed Treating Service

EEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionTo monitor the frequency of seed treating services in the province of Ontario.16-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2124E

012-2125E

Minister's Award for Environmental Excellence

EEnvironment, Conservation and ParksEnvironmental Innovations BranchEnvironmental Innovations BranchThe award recognizes and encourages environmental excellence, fosters innovation and raises awareness about the importance of protecting the environment. Eligible applicants are asked to submit an application form to be considered for an award.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2125E

012-2126E

Inspection of a Crop - Pest Assessment Report

EEnvironment, Conservation and ParksStandards Development BranchPesticides Management SectionNecessary for the purchase of Class 12 pesticides. Indicates whether crops have sustained sufficient pest damage to warrant the purchase and use of Class 12 pesticides.15-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2126E

012-2128E

Request for a Copy of an Environmental Compliance Approval

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesInformation requested in this form will be used to assist the Environmental Approval Access and Service Integration Branch in processing requests for copies of Environmental Compliance Approval.17-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2128E

012-2130E

Examination Registration

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to register for any water or wastewater certification examination. If applying for an Operator-in-Training (OIT) exam, you may also request to have your OIT certificate(s)/licence(s) issued using this form.17-Jun2195http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2130E

012-2131E

Change of Address Notification

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to notify the Program Administrator of the Ontario Water Wastewater Operator Certification Program of your change of address.16-Jan25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2131E

012-2132E

Operator-in-Training Certificate and Licence Issuance

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the issuance of drinking water and wastewater operator-in-training (OIT) certificate(s)/licence(s), including water treatment, water distribution/distribution and supply, wastewater treatment and wastewater collection.17-Jun273http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2132E

012-2133E

Water Wastewater Operator Certification System User Access Request

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to gain access to the Water Wastewater Operator Certification System (WWOCS).16-Jan22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2133E

012-2134E

Municipal Residential Drinking Water Subsystem and Wastewater Facility Classification

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the classification or reclassification of a municipal residential drinking water subsystem or wastewater facility. A separate application must be made for each subsystem or facility.16-Jan29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2134E

012-2135E

Drinking Water Certificate and Wastewater Licence Renewal Application

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the renewal of a drinking water operator, water quality analyst or wastewater operator certificate/licence.17-Jun700http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2135E

012-2136E

Drinking Water Certificate and Wastewater Licence Application

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence.17-Jun478http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2136E

012-2138E

Identity Verification and Attestations

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by individuals registering to be recognized as an account agent, which is referred to as “User Registration” in the Compliance Instrument Tracking System Service (CITSS).17-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2138E

012-2139E

Business Relationship Disclosure

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by a person registering as a Participant under the Climate Change Mitigation and Low Carbon Economy Act, 2016 to submit certain information pertaining to their business relationship(s) to the Director as set out in O.Reg. 144/16: T17-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2139E

012-2140E

Request to Add a New Facility or Change Facility Information

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by the primary or alternate account representative (PAR or AAR) of a participant registered under the Climate Change Mitigation and Low Carbon Economy Act, 2016 in order to request approval for the following actions taken in the Co17-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2140E

012-2141E

Request to Change or Add Account Representatives/Account Viewing Agents

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by the primary or alternate account representative (PAR or AAR) of a participant registered under the Climate Change Mitigation and Low Carbon Economy Act, 2016 to request Director approval for the following actions taken in the Co17-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2141E

012-2142E

Change of Ownership

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by the primary or alternate account representative (PAR or AAR) of a participant registered under the Climate Change Mitigation and Low Carbon Economy Act, 2016 to notify the Director of any changes in company or facility ownership17-Nov25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2142E

012-2144E

Registration as a Voluntary Participant in the Cap and Trade Program

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by persons who are eligible to apply and who wish to apply for registration as a voluntary participant in the cap and trade program pursuant to Part IV of O.Reg 144/16 The Cap and Trade Program Regulation made under the Climate Cha18-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2144E

012-2145E

Freedom of Information Request Payment

EEnvironment, Conservation and ParksInformation Management and Access BranchFreedom of Information OfficeTo facilitate credit card payment for FOI requests16-May106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2145E

012-2146E

Freedom of Information Request

EEnvironment, Conservation and ParksInformation Management and Access BranchFreedom of Information OfficeTo facilitate FOI requests16-Nov260http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2146E

012-2147E

Notification Form for Drinking Water Testing Research And Method Development

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchThe Ministry considers research to include any activity that is: 1. A systematic, intensive study directed toward greater knowledge or understanding of the subject studied;16-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2147E

012-2148E

Laboratory Services Notification

EEnvironment, Conservation and ParksLaboratory Services BranchQuality ManagementFilled out by all regulated DWS, this form sets up the agreement between the DWS and an accredited lab to undertake all regulated testing. Form must be completed and submitted before any water samples are ever submitted to the lab.16-Feb36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2148E

012-2149E

Drinking Water System Profile Information

EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsThe Drinking Water Systems Profile Information form is used to register and maintain up to date information for Drinking Water Systems subject to Ontario Regulation 170/03.17-Feb161http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2149E

012-2151E

Declaration of Licensed Engineering Practitioner and Notice of Completion

EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsDeclaration of Licensed Engineering Practitioner and Notice of Completion20-Jan30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2151E

012-2152E

Drinking Water Laboratory Testing Licence

EEnvironment, Conservation and ParksSafe Drinking Water BranchLaboratory Licensing and Compliance UnitDrinking Water Testing License16-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2152E

012-2153E

Schedule C – Director's Directions for Operational Plans (Subject System Description Form)

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionThis form is part of the Director's Directions for Operational Plans. These directions provide instructions respecting the preparation and content of operational plans prepared by owners of municipal residential drinking water systems pursuant to subsect16-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2153E

012-2154E

General Application form to Register to the Technical Standards Registry

EEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a form that is to be submitted by a company requesting to be registered on the Technical Standards Registry - Air Pollution.16-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2154E

012-2155E

Foundries- Industry Standard Supplemental Application Form

EEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a supplemental form, that is to be submitted by a company in the foundries sector along with the General Application Form to Register to the Technical Standard Registry.16-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2155E

012-2156E

Forest Products- Industry Standard Supplemental Application Form

EEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a supplemental form, that is to be submitted by a company in the forest products sector along with the General Application Form to Register to the Technical Standards Registry.16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2156E

012-2157E

Pulp and Paper- Industry Standard Supplemental Application Form

EEnvironment, Conservation and ParksStandards Development BranchLocal Air QualityThis is a supplemental form, that is to be submitted by a company in the pulp and paper sector along with the General Application Form to Register to the Technical Standards Registry.16-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2157E

012-2158E

Great Lakes Protection Act, 2015 – Public Request to Minister

EEnvironment, Conservation and ParksLand and Water Policy BranchGreat LakesUnder Section 30 of the Great Lakes Protection Act, 2015, anyone can request that the Minister set a Great Lakes target, or launch the process of creating a “geographically-focused initiative” to direct action on a priority area and issue. This form provi16-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2158E

012-2160E

Director Approved Continuing Education Reassessment and Instructor Assessment Application

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request the reassessment and re-approval of Director approved continuing education training or to add/remove an instructor from a course16-Oct23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2160E

012-2164E

Notice of the Storage of Subject Waste

EEnvironment, Conservation and ParksOperations DivisionsProgram Services UnitThis form has been prepared to assist waste generation facilities to meet the notice and record keeping requirements of Section 17.2 of Regulation 347.16-Oct113http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2164E

012-2165E

Primary Noise Screening Method

EEnvironment, Conservation and ParksEnvironmental Approvals BranchBusiness Services18-Jul78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2165E

012-2166E

Secondary Noise Screening Method

EEnvironment, Conservation and ParksEnvironmental Approvals BranchBusiness Services18-Jul35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2166E

012-2167E

Application for Permit to Take Water

EEnvironment, Conservation and ParksOperations DivisionsProgram Services UnitForm to apply for a Permit to Take Water17-May347http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2167E

012-2168E

Odour Screening Report

EEnvironment, Conservation and ParksStandards Development BranchTechnologies Standards SectionTo determine if, and what, complementary odour documentation is required by a proponent registering on the Air Emissions EASR.17-Mar48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2168E

012-2171E

Toxic Substance Reduction Planner Application

EEnvironment, Conservation and ParksProgram Management BranchCertification, Training and Client ServicesComplete this form to request Toxic Substance Reduction Planner training, examination, licensing, or licence renewal.17-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2171E

012-2193E

Well Record - Regulation 903

EEnvironment, Conservation and ParksEnvironmental Monitoring and Reporting BranchWater Well Business Unit20-Jan5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2193E

012-2194E

Compromised Impartiality Assessment

EEnvironment, Conservation and ParksProgram Planning and Implementation BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by all accredited verification bodies (AVBs) prior to completing the verification of a GHG report under O. Reg. 143/16 to assess the potential for compromised impartiality.18-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2194E

012-2195E

Verification Statement for Specified GHG Activities and Production Parameters

EEnvironment, Conservation and ParksProgram Planning and Implementation BranchGreenhouse Gas Emissions Reduction ProjectThis form is required to be used by accredited verification bodies (AVBs) to provide a written declaration that attests to whether or not there is a reasonable level of assurance that: 1) a GHG report contains no material discrepancy; and, 2) the report w18-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2195E

012-2196E

Verification Statement for Electricity Importation, Natural Gas Distribution or Petroleum Products Supply

EEnvironment, Conservation and ParksProgram Planning and Implementation BranchGreenhouse Gas Emissions Reduction ProjectThis form is required to be used by accredited verification bodies (AVBs) to provide a written declaration that attests to whether or not there is a reasonable level of assurance that: 1) a GHG report contains no material discrepancy; and, 2) the report18-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2196E

012-2198E

Capped Participant Attestation Under Sections 12(2) and (6) of Ontario Regulation 143/16

EEnvironment, Conservation and ParksCap and Trade BranchRegistration and Emissions Reporting ServicesThis attestation form is to be used by a person who is a capped participant that receives petroleum products at the capped facilities in Ontario or persons who supply petroleum products to capped facilities of capped participants in Ontario.18-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2198E

012-2202E

Record of Watermains Authorized as a Future Alteration – Form 1

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing Section18-Aug78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2202E

012-2203E

Record of Minor Modifications or Replacements to the Drinking Water System – Form 2

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing Section18-Aug45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2203E

012-2204E

Record of Addition, Modification or Replacement of Equipment Discharging a Contaminant of Concern to the Atmosphere – Form 3

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing Section18-Aug20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2204E

012-2205E

Offset Initiative Registration Application in the Cap and Trade Program Under Ontario Regulation 539/17 Ontario Offset Credits

EEnvironment, Conservation and ParksClimate Change Programs BranchClimate Change Program DeliveryThe Offset Initiative Registration Application is to be used by sponsors, such as individuals or entities, who wish to register or re-register a single offset initiative pursuant to Ontario Regulation 539/17, Ontario Offset Credits. It is used to provide 18-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2205E

012-2206E

Part II Order Request

EEnvironment, Conservation and ParksEnvironment Assessment & Approval BranchEnvironment Assessment & Approval BranchForm provides upfront clarity on the minimum information the ministry needs to commence a review of a Part II Order request for anyone with outstanding environmental issues that have not been addressed through the class environmental assessment process.18-Nov144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2206E

012-2210E

Mining Sites - Industry Standard Supplemental Application

EEnvironment, Conservation and ParksClient Services and Permissions BranchBusiness ServicesPurpose of the form is to collect information for Registration to a Technical Standard under Section 39 of Ontario Regulation 419/05: Air Pollution - Local Air Quality.18-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2210E

012-2213E

Ontario Greenhouse Gas Emissions Performance Standards (EPS) Program – Facility Registration Form

EEnvironment, Conservation and ParksFinancial Instruments BranchRegistration and Emissions Reporting ServicesTo facilitate the registration of facilities into the Ontario Greenhouse Gas Emissions Performance Standards program or to provide updated registration information of facilities registered in the Ontario Greenhouse Gas Emissions Performance Standards prog19-Sep7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2213E

012-2214E

Ontario Emissions Performance Standards (EPS) Program – Facility Re-Registration Form

EEnvironment, Conservation and ParksFinancial Instruments BranchRegistration and Emissions Reporting ServicesTo facilitate the re-registration of a facility into the Ontario Greenhouse Gas Emissions Peformance Standards program.19-Dec2http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-2214E

012-4021E

Statement of Completion - Environmental Assessment Requirements for Electricity Projects

EEnvironment, Conservation and ParksEnvironment Assessment & Approval BranchEnvironment Assessment & Approval BranchProponents of electricity projects must complete the Statement of Completion form once they have satisfied the requirements of the Screening Stage or the Environmental Review Stage of the process, and no requests for the project to be elevated to an indiv11-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-4021E

012-4444E

Notice of Adverse Test Results and Issue Resolution (Schedule 16)

EEnvironment, Conservation and ParksSafe Drinking Water BranchDirector’s OfficeFilled out by all regulated DWS, this form communicates adverse test results and issue resolution to the ministry for all drinking water parameters.18-Aug203http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-4444E

012-5385E

Drinking Water System Categorization Questionnaire

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchThrough a series of question this form helps the user to determine if indeed the Drinking Water System (DWS) at hand is one of the 8 regulated types of DWS's that are subject to the regulations and if so which type.06-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5385E

012-5386E

Drinking Water System Profile Information

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchUpon completion of the DWS Categorization Questionnaire this form must be filled out by all regulated systems. This form captures all the working details of the DWS such as owner, operator information, treatment processes, populations served ect.06-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5386E

012-5387E

Laboratory Services Notification

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchFilled out by all regulated DWS, this form sets up the agreement between the DWS and an accredited lab to undertake all regulated testing. Form must be completed and submitted before any test results are ever submitted to the lab.06-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5387E

012-5388E

Notice of Completion of an Engineering Evaluation Report for Existing System

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchTo be filled out by all categories of DWS other then the Large Municipal Residential and Small Municipal Residential. This form is used to show the ministry that the conditions of Schedule 21 of O.Reg170/03 have been met. Must be accompanied by the Declar06-Jan26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5388E

012-5389E

Notice of Completion of an Engineering Evaluation Report for New or Altered System

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchTo be filled out after any major alteration has been completed on the DWS. This form is used to show the ministry that the conditions of Schedule 21 of O.Reg170/03 have been met. Must be accompanied by the Declaration of Professional Engineer form.06-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5389E

012-5391E

Notice of Exemption from Treatment Equipment

EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business Solutions1) This notice applies to a Non-Municipal Year Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraph 4 or 5 of subsection 2(2) of O. Reg. 170/03, to obtain water from a raw water supply that i16-Aug14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5391E

012-5392E

Well Technican's Notice

EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsThis Notice only applies to a Non-Municipal Year-Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraphs 4 or 5 of Section 2(12), section 2 of O. Reg. 170/03, to obtain water from a raw water su16-Aug5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5392E

012-5393E

Advice to the Director of Posting (Warning) Notice(s)

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchThis Notice applies to a Drinking Water System only if the system does not use electricity and does not serve any building or other structure that uses electricity.16-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5393E

012-5560E

Notice of Point of Entry Disclosure for Your Drinking Water Users

EEnvironment, Conservation and ParksDrinking Water Programs BranchInformation Management and Business SolutionsThe requirement to submit a Notice of Point of Entry Disclosure for Your Drinking Water Users applies to every Drinking Water System that uses Point of Entry Treatment in accordance with Schedule 3 of O. Reg. 170/03 and belongs to one of the following cat16-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-5560E

012-6272E

Notice of Lead Exceedance Test Results Schools, Private Schools and Day Nurseries (O. Reg. 243/07)

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchTo report drinking water exceedances and corrective actions as required under O. Reg. 243/0718-Jan25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-6272E

012-6609E

Request for Regulatory Relief From Lead Sampling Requirements

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionThis forms part of the expedited process for existing municipal and non-municipal drinking water systems applying for regulatory relief in accordance with s. 38 and s.60 of the Safe Drinking Water Act (SDWA), from strict sampling requirements for lead and16-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-6609E

012-7976E

Emergency Generator Checklist Supplement to Application for Approval EPA, s.9

EEnvironment, Conservation and ParksEnvironment Assessment & Approval BranchEnvironment Assessment & Approval BranchThe Emergency Generator Checklist has been developed to ensure that all applicants for an EPA s.9 (Air) approval are aware of the information required to be submitted with their application.10-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-7976E

012-8199E

Written Summary Form for Basic Comprehensive Certificates of Approval (Air & Noise) and Environmental Compliance Approvals (Air & Noise)

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesBasic Comprehensive Certificate of Approval (Air & Noise) and the Environmental Compliance Approval (Air & Noise) both include the requirement that the Approval holder submit a Written Summary each year. The purpose of the Written Summary is to allow the 17-Dec58http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-8199E

012-8551E

Environmental Compliance Approval Application

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services19-May693http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-8551E

012-9166E

Director Notification Alterations to a Drinking Water System

EEnvironment, Conservation and ParksSafe Drinking Water BranchApprovals and Licensing SectionThis form should be used IF Director notification is required by a condition of the drinking water works permit within thirty (30) days of the placing into service or completion of any addition, modification, replacement or extension of the drinking water16-Nov38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=012-9166E

013-0009

Authorizing or Cancelling a Representative

EFinanceAdvisory, Objections, Appeals and Services BranchClient Services BranchUsed to authorize a representative to deal with the Ministry of Finance on behalf of the taxpayer or to cancel a previously issued authorization.18-Sep1473http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0009

013-0052E

Schedule 1 – Multiple Accounts

EFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)A Multiple Account Employer must complete and submit this schedule with the Annual Return of the employer's designated account.13-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0052E

013-0108E

Guide - International Fuel Tax Agreement (IFTA) Application for IFTA Registration

EFinanceAdvisory, Objections, Appeals and Services BranchInternational Fuel Tax Agreement15-Mar28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0108E

013-0146E

Waiver of Time Limit for Issuing Reassessments - Corporations Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxOnline version 146K (2006/09) - For use by corporations to waive the time limit within which the Minister may assess, reassess, or make additional assessments under the Corporations Tax Act.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0146E

013-0166E

Application for International Fuel Tax Agreement (IFTA) Registration

EFinanceAdvisory, Objections, Appeals and Services BranchInternational Fuel Tax AgreementFor client to apply for registration as an interjurisdictional carrier under the International Fuel Tax Agreement18-Mar148http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0166E

013-0169E

Addendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and Shareholder

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxAddendum to Sworn Statement when Claiming a Retail Sales Tax Exemption on the Transfer of a Motor Vehicle between Corporations or Corporation and Shareholder16-Jul56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0169E

013-0198E

Annual Return Guide Gross Revenue Charge (GRC)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe purpose of this Guide is to provide assistance to hydro-electric generating station owners and water power leaseholders in completing their GRC Annual Return.16-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0198E

013-0231Q

2001 CT8 Corporations Tax Return / Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for every insurer carrying on a business in Ontario through a permanent establishment. Please note that the Update Form for the CT8 and CT23 tax returns is a required supplement for the 2001 CT8 for taxati14-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231Q

013-0231R

2002 CT8 Corporations Tax Return / Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.19-Jan29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231R

013-0231S

2003 CT8 Corporations Tax Return / Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.14-May18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231S

013-0231T

2004/2005 CT8 Corporations Tax Return / Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.19-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231T

013-0231U

2006 CT8 Corporations Tax Return / Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for every insurer carrying on a business in Ontario through a permanent establishment.19-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0231U

013-0234

Guide for Completing the IFTA Quarterly Tax Return

EFinanceAdvisory, Objections, Appeals and Services BranchInternational Fuel Tax Agreement15-Mar106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0234

013-0241R

2000 CT23 Corporations Tax and Annual Return / Guide # 1000 (2000)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.14-May45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241R

013-0241S

2001 CT23 Corporations Tax and Annual Return / Guide # 1000 (2001)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241S

013-0241T

2002 CT23 Corporations Tax and Annual Return / Guide # 1000 (2002)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241T

013-0241U

2003 CT23 Corporations Tax and Annual Return / Guide # 1000 (2003)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241U

013-0241V

2004/2005 CT23 Corporations Tax and Annual Return / Guide # 1000 (2004/2005)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241V

013-0241W

2006 CT23 Corporations Tax and Annual Return / Guide # 1000 (2006)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241W

013-0241X

2007 CT23 Corporations Tax and Annual Return / Guide # 1000 (2007)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for corporations with permanent establishments in Ontario.19-Jan110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0241X

013-0248E

Application for Rebate of the Ontario Portion of the Harmonized Sales Tax (HST) for First Nations

EFinanceAdvisory, Objections, Appeals and Services BranchHarmonized Sales Tax Refund19-Dec1235http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0248E

013-0252E

Application for Registered Charities Tax Rebate

EFinanceAudit BranchLand TaxesTo apply for a Registered Charities Tax Rebate on Land Taxes.13-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0252E

013-0253E

Application for Tax Certificate

EFinanceAudit BranchLand TaxesTo apply for a statement of account that sets out all amounts owing for taxes in respect of the owner's land as of the day the statement is issued.13-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0253E

013-0254E

Application for Tax Adjustment

EFinanceAudit BranchLand TaxesTo apply for a Tax Adjustment.13-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0254E

013-0255E

Application for Refund

EFinanceAudit BranchLand TaxesTo apply for a Tax Refund.13-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0255E

013-0256E

Authorization for Pre-Authorized Debit Plan (PAD)

EFinanceAudit BranchLand TaxesTo enroll in the Pre-Authorized Debit Plan, tax payments will be deducted from your bank account on the instalment due dates each year. You will continue to receive your tax bill.13-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0256E

013-0257E

Application for a Deferral of PropertyTaxes for Low-Income Seniors or Low-Income Persons with Disabilities

EFinanceAudit BranchLand TaxesTo apply for a Deferral of PropertyTaxes for Low-Income Seniors or Low-Income Persons with Disabilities13-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0257E

013-0258E

Application for Tax Rebate Vacancies in Commercial and Industrial Buildings

EFinanceAudit BranchLand TaxesTo apply for Tax Rebate Vacancies in Commercial and Industrial Buildings15-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0258E

013-0265

Application for Certificate of Exemption for First Nations Individuals

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxTo be completed by an Indian, as defined in the Indian Act (Canada), to obtain a Certificate of Exemption (gas card) enabling the purchase of gasoline on a reserve exempt of tax for their exclusive use.12-Feb41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0265

013-0276E

Application and Declaration for the Exemption of Land Transfer Tax Pursuant to Ontario Regulation 70/91

EFinanceAudit BranchLand Taxes08-Nov51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0276E

013-0300E

Ontario Land Transfer Tax Refund Affidavit for First-Time Purchasers of Eligible Homes

EFinanceAudit BranchLand TaxesAllows taxpayers to manually claim the Ontario Land Transfer Tax first-time home buyers refund with respect to resale and newly-constructed homes.18-Jul752http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0300E

013-0316E

Notice of Revocation of Waiver - Corporations Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxOnline version 0316F (2006/09) - For use by corporations to revoke, under clause 80(12) (a) of the Corporations Tax Act, a waiver previously filed under subclause 80(11) (a) (iv), in respect of the time limit for issuing reassessments.14-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0316E

013-0329

Ontario Innovation Tax Credit (OITC) Claim Form and Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThe OITC is available to all public and private corporations.Corporations are eligible to claim the full OITC where their Ontario taxable paid-up capital and federal taxable income in the preceding taxation year do not exceed the amount specified.Nov-008http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329

013-0329E

Ontario Innovation Tax Credit (OITC) Claim Form and Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThe OITC is available to all public and private corporations.Corporations are eligible to claim the full OITC where their Ontario taxable paid-up capital and federal taxable income in the preceding taxation year do not exceed the amount specified.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329E

013-0329F

Ontario Innovation Tax Credit (OITC) Claim

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be used when claiming an Ontario innovation tax credit (OITC), if your corporation's taxation year ends after December 31, 2004.14-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0329F

013-0393E

Ontario CT Schedule 24

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule must be filed by corporations for the first year of filing after incorporation, amalgamation, or by parent corporations filing for the first time after winding-up a subsidiary corporation(s) under section 88 of the Income Tax Act during the 14-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0393E

013-0449E

Land Transfer Tax Affidavit

EFinanceAudit BranchLand TaxesMandatory for all registrations of transfers (conveyances)registered in land registry offices which are not part of the electronic land registry system. The financial information set out on the affidavit is required in order to determine the purchasers La18-Apr312http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0449E

013-0460E

Claim Form for Capital Tax Elimination for Manufacturing and Resource Activities

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis notice provides specific additional information and guidance for taxpayers on the measure related to the retroactive elimination of the capital tax effective January 1, 2007, for Ontario companies primarily engaged in manufacturing and resource activ14-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0460E

013-0477E

Ontario CT Schedule 44

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxWhere all or substantially all (90 per cent or more) of the assets of a non-arm's length corporation have been received in the taxation year, and subsection 85(1) or (2) of the federal Income Tax Act applied in respect of the disposition of any of the pro14-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0477E

013-0504E

Application to Register for Manufacturer, Wholesaler, Dyer, Importer, Exporter and Interjurisdictional Transporter - Gasoline Tax Act and/or Fuel Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0504E

013-0505E

Application to Register for Importer, Exporter and Interjurisdictional Transporter - Gasoline Tax Act and/or Fuel Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Aug18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0505E

013-0507E

Application to Register for a Fuel Acquisition Permit - Fuel Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax18-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0507E

013-0517E

Application to Register as a Railway Transporter- Fuel Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0517E

013-05181

The Motor Vehicle Accident Claims Fund

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionSep-935http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-05181

013-0518E

Application to Register as a Propane Retailer - Gasoline Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Jul21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0518E

013-0519E

Application to Register for Fuel Distributor - Fuel Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0519E

013-0526E

Application to Register Raw Leaf Tobacco

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0526E

013-0546E

Application for Refund Tax Exempt Usage (TEU)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax17-Apr120http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0546E

013-0547E

Application for Refund Tax Exempt Sales (TES)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax18-Aug49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0547E

013-0548E

Application for Refund Bad Debt (BDT)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax18-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0548E

013-0549E

Application for Refund Auxiliary Power Take Off (PTO) Equipment (PTO activity prior to July 1, 2017)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0549E

013-0550E

Application for Refund Loss of Product (PRL) / Overpayment of Tax

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax18-May23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0550E

013-0609E GUIDE

Mining Tax Return Guide

EFinanceAudit BranchMining Tax07-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0609E GUIDE

013-0644E

Application for Refund of Gasoline Tax Through a Collector - GT257N

EFinanceAdvisory, Objections, Appeals and Services BranchClient Services BranchThis form is only to be used to claim refund of tax paid on gasoline sold tax-exempt to status First Nations on a Reserve.18-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0644E

013-0679E

Investor/Lender Disclosure Statement For Brokered Transactions

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers09-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0679E

013-0693E

Guide to the Requirements to Evidence NIL Value of Consideration for Conveyances Involving Trusts - LT 106

EFinanceAudit BranchLand Taxes08-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0693E

013-0741E

Application and Undertaking for the Deferral of Land Transfer Tax

EFinanceAudit BranchLand Taxes13-Jan45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0741E

013-0775E

Return on The Acquisition of a Beneficial Interest in Land

EFinanceAudit BranchLand TaxesMandatory for dispositions of land which must be reported to the Ministry of Finance under section 3 of the Land Transfer Tax Act. The information set out in the form is used to determine provincial Land Transfer Tax liability on the disposition.18-Apr219http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0775E

013-0792E

Declaration and Allocation for the Mining Tax Exemption for Remote Mines

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxFor use by Operators electing under section 3.2 of the Mining Tax Act to exclude from taxation the profit from a remote mine in Ontario that qualifies for the mining tax exemption as a new remote mine as defined under this section.14-May5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0792E

013-0793

Declaration and Allocation for the Mining Tax Exemption for Non Remote Mines

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxFor use by Operators electing under section 3.1 of the Mining Tax Act to exclude from taxation the profit from a mine in Ontario that qualifies for the mining tax exemption as a new mine or a major expansion of an existing mine as defined under the Mining14-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0793

013-0794

Calculation of Profit Eligible for the Mining Tax Exemption for New Mine or Major Expansion of Existing Mine

EFinanceAudit BranchMining Tax12-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0794

013-0798E

Calculation of Profit Eligible for the Mining Tax Exemption for New Remote Mine and Profit from a Remote Mine

EFinanceAudit BranchMining Tax12-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0798E

013-0799E

Renewal Form - Investor/Lender Disclosure Statement for Brokered Mortgage on Renewal

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers09-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0799E

013-0929

Importation of Cigarettes and Other Tobacco Products Schedule - 8S

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxFor client to report imports of tobacco products08-May6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0929

013-0940E

Ontario Book Publishig Tax Credit (OBPTC) Claim

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be used when claiming an Ontario book publishing tax credit.14-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-0940E

013-10016E

Return on Dispositions of a Beneficial Interest in Land by Partners or Beneficiaries Holding an Interest in a Qualifying Entity (Ontario Regulation 343/18) Land Transfer Tax Act

EFinanceAudit BranchLand TaxesTo allow qualifying entities to report and remit land transfer tax liability pursuant to O. Reg 343/18.18-May31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10016E

013-10028E

Pre-Authorized Debit (PAD) Payor Agreement

EFinanceAccount Management and Collections BranchCollections OperationsMaking the PAD Agreement form available to the public will allow clients access to a form that is accessible anywhere, anytime and one that can be completed online or offline. PAD will be an additional form of payment for those AMCB clients wanting to set19-Aug23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10028E

013-10056PE

Form 1, Summons to a Witness

EFinanceOntario Securities CommissionOntario Securities CommissionEvery summons to a witness to appear before a person appointed to make an investigation under section 11 or 13 of the Securities Act is required to be in Form 1, Summons to the Witness.16-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10056PE

013-10057PE

Form 2, Affidavit of Service

EFinanceOntario Securities CommissionOntario Securities CommissionThe service of a summons on a witness, the payment or tender of fees and allowances to the witness and the service of a notice on a witness in respect of investigations conducted under the Securities Act may be proved by an affidavit in Form 2, Affidavit 16-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10057PE

013-10063PE

Form 8, Summons to a Witness Before a Person Designated Under Section 31 of the Act

EFinanceOntario Securities CommissionOntario Securities CommissionForm 8, Summons to a Witness Before a Person Designated under Section 31 of the Act is prescribed by Regulation 1015 made under the Securities Act to summon a witness to give evidence on oath or produce documents in respect of certain examinations.16-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10063PE

013-10090PE

Form 37, Report by a Registered Owner of Securities Beneficially Owned by an Insider

EFinanceOntario Securities CommissionOntario Securities CommissionForm 37, Report by a Registered Owner of Securities Beneficially Owned by an Insider is prescribed by Regulation 1015 made under the Securities Act for the purpose of section 109 of the Act.16-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10090PE

013-10091PE

Form 38, Report Under Section 117 of the Act

EFinanceOntario Securities CommissionOntario Securities CommissionEvery report required to filed under section 117 of the Securities Act is required by Regulation 1015 made under the Securities Act to be prepared in accordance with Form 38, Report Under Section 117 of the Act.16-Nov20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10091PE

013-10092PE

Form 39, Endorsement of Warrant

EFinanceOntario Securities CommissionOntario Securities CommissionForm 39, Endorsement of Warrant is prescribed in Regulation 1015 made under the Securities Act for the purpose of section 125 of the Securities Act.16-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-10092PE

013-107-MV-000-61

Application for Payment out of the Fund of Court Ordered Costs

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division02-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-107-MV-000-61

013-1155E

Sworn Statement for the Transfer of a Used Motor Vehicle in the Province of Ontario

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxTransfer of a Used Motor Vehicle in ON14-Jun315http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1155E

013-1157E

Sworn Statement for a Family Gift of a Used Motor Vehicle in the Province of Ontario

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxFamily Gift for a Used Motor Vehicle14-Apr7392http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1157E

013-1159E

Motor Vehicle Appraisal Record - Used Vehicle Information Program

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxUsed for Appraising a Vehicle19-May343http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1159E

013-1181E

Application for Refund of Ontario Retail Sales Tax for Motor Vehicles Purchased Privately

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxApplication for Refund of Ontario Retail Sales Tax for Motor Vehicles Purchased Privately19-Apr292http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1181E

013-1204E

Initial Family Business Affidavit - LT100

EFinanceAudit BranchLand Taxes18-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1204E

013-1205E

Affidavit, regarding the Exemption for the Conveyance or Disposition of Farmed Land

EFinanceAudit BranchLand Taxes18-Jul31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1205E

013-1206E

Affidavit Re Conveyance to Family Business Corporation - LT101

EFinanceAudit BranchLand Taxes18-Jul58http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1206E

013-1246E

Notice of Appeal - Various Acts

EFinanceObjections and Appeals BranchObjections and AppealsTo file an appeal16-Sep50http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1246E

013-1330E

Surtax on Canadian-Controlled Private Corporations

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is a supplemental schedule to the surtax calculation which should be completed by corporations that are associated with a Canadian or foreign corporation, if there is insufficient space on the CT23 Corporations Tax and Annual Return.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1330E

013-1332E

Instructions and Working Copy for the Retail Sales Tax Triple Return

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxA worksheet to assist in completing the RST triple Return. To be kept by the taxpayer.08-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1332E

013-1336E

Paid-Up Capital: Loans and Advances

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides a breakdown of the total loans and advances included in paid-up capital.14-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1336E

013-1337E

Share of Total Assets- Partnerships/Joint Ventures

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides the calculation of a corporation's share of partnership / joint venture total assets.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1337E

013-1349E

Eligible Investments - Partnerships/Joint Ventures

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides the calculation of a corporation's share of partnership / joint venture eligible investments for the investment allowance.14-May25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1349E

013-1351E

Paid-Up Capital- Partnerships/Joint Ventures

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule provides the calculation of a corporation's share of partnership / joint venture paid- up capital.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1351E

013-1352E

Corporate Minimum Tax- Associated Corporations

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is a supplemental schedule to the corporate minimum tax which should be completed by corporations that are associated with a Canadian or foreign corporation, if there is insufficient space on the CT23 Corporations Tax and Annual Return.14-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1352E

013-1399

2000 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401 (2000)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399

013-1399B

2001 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401A (2001)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399B

013-1399C

2002 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401B (2002)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399C

013-1399D

2003 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401C (2003)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return and information guide for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399D

013-1399E

2004/2005 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401D (2004/2005)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399E

013-1399F

2006 CT23 Short-Form Corporations Tax and Annual Return / Guide # 1401E (2006)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAnnual corporate tax return for smaller corporations with permanent establishments in Ontario and meeting specific requirements.19-Jan60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1399F

013-1473E

Ontario Current Cost Adjustment (OCCA)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxTo be completed when claiming the Ontario current cost adjustment for pollution control equipment.06-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1473E

013-1477E

Total Assets - Other Adjustments

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule itemizes other adjustments in calculating total assets for capital tax purposes.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1477E

013-1478E

Total of Other Items Not Allowed by Ontario but Allowed Federally

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule itemizes other deductions not allowed by Ontario but allowed federally in calculating net income / loss for Ontario purposes.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1478E

013-1480E

Taxable Capital of Associated Corporations (Schedule CT22)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule for capital tax should be completed by corporations that are associated with a Canadian or foreign corporation, if there is insufficient space on the CT23 Corporations Tax and Annual Return.14-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1480E

013-1487E

Total of Other Deductions Allowed by Ontario

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis supplemental schedule itemizes other deductions allowed by Ontario not previously deducted in calculating net income/loss for Ontario purposes.14-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1487E

013-1488E

Paid-Up Capital - Other Reserves

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule itemizes reserves not allowed as a deduction for income tax which must be included in the calculation of paid-up capital.14-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1488E

013-1490E

Ontario Charitable Donations and Gifts Schedule 2

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed when claiming a deduction for charitable donations and gifts for Ontario purposes.14-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1490E

013-1498E

Ontario Political Election Contributions - Schedule 2A

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed when claiming a deduction for Ontario political election contributions and is applicable for political contributions to registered Ontario candidates, constituency associations, or political parties.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1498E

013-1499E

Ontario Summary of Dispositions of Capital Property Schedule 6

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be completed by corporations that have disposed of capital property or claimed an allowable business investment loss, or both in a taxation year.14-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1499E

013-1502E

Ontario Capital Cost Allowance Schedule 8

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed to calculate Ontario capital cost allowance.14-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1502E

013-1508E

Ontario Cumulative Eligible Capital Deduction Schdeule 10

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed to calculate the deduction for Ontario cumulative eligible capital.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1508E

013-1510E

Ontario Continuity of Reserves Schedule 13

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed to provide a continuity of all reserves claimed which are allowed for tax purposes.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1510E

013-1511E

Ontario Manufacturing and Processing Profits Credit Schedule 27

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis form is to be completed by corporations that are claiming the Ontario manufacturing and processing profits credit and whose active business income is greater than $250,000.14-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1511E

013-1512E

Ontario Research and Developement Super Allowance Schedule 160

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxTo be completed when claiming the Ontario research and development super allowance.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1512E

013-1513E

General Allocation Schedule 5

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed by corporations that have permanent establishments in more than one jurisdiction.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1513E

013-1532E

Ontario Foreign Tax Credit

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be completed when claiming an Ontario foreign tax credit on investment income from jurisdictions outside Canada.14-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1532E

013-1534E

Ontario Capital Gains Refund Schedule18

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxTo be completed when claiming an Ontario capital gains refund by a corporation that has been an investment corporation or a mutual fund corporation throughout the taxation year.14-May24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1534E

013-1537E

Ontario Exploration Expenses Schedule 12

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxSchedule 12 covers the following resource related deductions; continuity of earned depletion base, cumulative Canadian exploration expense (CCEE), cumulative Canadian development expenses (CCDE), Ontario CCDE, Cumulative Canadian oil and gas property expe14-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1537E

013-1539E

Taxable Capital of Associated Corporations Schedule CT21

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule must be completed in determining the aggregate taxable capital of an associated group and/or partnership that has a permanent establishment in Canada.14-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1539E

013-1546E

Application to a Financial Institution to Withdraw or Transfer Money form an Ontario Locked-in Account - Form 5

EFinanceFinancial Services Commission of OntarioPension Division09-Jan19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1546E

013-1572

2000 MCCR Annual Return and Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis return contains non-tax information collected under the authority of the Corporations Information Act for the purpose of maintaining a public database of corporate information.14-May173http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1572

013-1626E

Application to the Superintendent of Financial Services for Consent to Withdraw Money from an Ontario Locked-in Retirement Account, Life Income Fund or Locked-in Retirement Income Fund Based on Financial Hardship - Form 6

EFinanceFinancial Services Commission of OntarioPension Division09-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1626E

013-1780E

Actuarial Information Summary

EFinanceFinancial Services Commission of OntarioPension DivisionAug-9912http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1780E

013-1794E

Instructions for completing a Summary of Contributions / Revised Summary of Contributions (Form 7)

EFinanceFinancial Services Commission of OntarioPension DivisionJun-008http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1794E

013-1795E

Summary of Contributions/ Revised Summary of Contributions-Form 7

EFinanceFinancial Services Commission of OntarioPension DivisionJun-0036http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1795E

013-1821E

Debt Retirement Charge (DRC) Return

EFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program12-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1821E

013-1822E

Debt Retirement Charge (DRC) Program - Registration

EFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program13-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1822E

013-1823E

Debt Retirement Charge (DRC) - Exemption Certificate

EFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program13-Jan20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1823E

013-1833E

Request for Registration

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxUse this registration form to request an account with the Ministry of Finance.14-May29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1833E

013-1848E

Response to Appeal (Form J)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1848E

013-1848E (INSTRUCTIONS)

Instructions for Response to Appeal (Form J)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1848E (INSTRUCTIONS)

013-1849E

Response to an Application for Mediation Form B

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1849E

013-1850E

Application for Arbitration Form C

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1850E

013-1851E

Response by Insurer to an Application for Arbitration Form E

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1851E

013-1852E

Response to Application for Variation/Revocation (Form M)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1852E

013-1855E

Statement of Service (Form F)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1855E

013-1856E

Summons to Witness (Form N)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1856E

013-1858E

Affidavit of Service for Summons to Witness (Form O)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1858E

013-1864E

Life Insurance Agent Application

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & Adjusters01-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1864E

013-1872

Annual Return and EFF Declaration and Guide

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxAn EFF Declaration Form is required to be filed within six months of the taxation year end for every taxation year in which the EFF criteria are met (listed on page 2 of form). An Annual Return is required to be filed for every corporation which is incorp14-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1872

013-1909E

Waiver of Time Limit for Issuing Reassessments

EFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)Waive time limits for assessments and reassessments under Employer Health Tax13-May16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1909E

013-1910E

Notice of Revocation of Waiver

EFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)Used by a taxpayer to revoke a waiver of time limit for issuing assessments or reassessments previously issued, under the Employer Health Tax.13-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1910E

013-1926E

Notice Of Objection - Ontario Guaranteed Annual Income Act

EFinanceObjections and Appeals BranchObjections and AppealsTo file an objection16-Sep26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1926E

013-1957E

Application for Vendor Permit-Insurance and Benefits Plans

EFinanceAdvisory, Objections, Appeals and Services BranchBusiness Operation ServicesRegistering a Business for purposes of Retail Sales Tax on the Insurance and Benefits Plans15-Feb135http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1957E

013-1963E

Application for Tobacco Retail Dealer's Permit

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesEffective July 1, 2010 retail dealers of tobacco products who do not have a valid Retail Sales Tax Act vendors permit on June 30, 2010, or a current authorization under Ontario's First Nations Cigarette Allocation System, must register for a tobacco retai18-May114http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1963E

013-1970

2001 CT23 Corporations Tax and Annual Return and CT8 Corporations Tax Return - 2001/2002 Update Form

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is an interim form and is to be used as a supplement to the 2001 version of the CT23 or CT8 tax return for taxation years ending after September 30, 2001. Once the 2002 versions of the CT23 or CT8 tax returns have been released this Update Form will 14-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1970

013-1974E

Application for Mediation Form A

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1974E

013-1975E

Reply by the Applicant for Arbitration (Form G)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1975E

013-1976E

Notice of Appeal (Form I)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1976E

013-1976E (INSTRUCTIONS)

Instructions for Notice of Appeal (Form I)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1976E (INSTRUCTIONS)

013-1977E

Application for Variation/Revocation Form L

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch03-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1977E

013-1977E (INSTRUCTION)

Instruction for Application for Variation/Revocation (Form L)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch08-May5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-1977E (INSTRUCTION)

013-2001E

Change of Address

EFinanceAdvisory, Objections, Appeals and Services BranchImaging and Revenue ProcessingUsed by Ministry of Finance clients to notify the ministry of a change of address.15-Sep483http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2001E

013-2009E

2001 CT 23 Short-Form Corporations Tax and Annual Return - 2001/2002 Update Form

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis is an interim form and is to be used as a supplement to the 2001 version of the CT23 Short-Form tax return for taxation years ending after September 30, 2001. Once the 2002 version of the Short-Form tax return has been released this Update Form will 14-May24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2009E

013-2083E

Ontario Scientific Research and Experimental Development Expenditures CT23 Schedule 161

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is used to calculate Ontario Scientific Research and Experimental Development Expenditures (SR & ED).08-Feb15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2083E

013-2093E

Guide for Gross Revenue Charge (GRC) Instalment Instructions

EFinanceAdvisory, Objections, Appeals and Services BranchGross Revenue Charge (GRC)17-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2093E

013-2260E

Schedule 2 Associated Employers Exemption Allocation

EFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)All eligible employers in an associated group must enter into an agreement and complete the schedule below allocating the tax exemption for the year.12-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2260E

013-2262E

Associated Employers Exemption Allocation

EFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)For 2010 and subsequent years. All eligible employers in an associated group must enter into an agreement to allocate the tax exemption for the year. One of the employers in the group must complete this form allocating the tax exemption and submit it to t18-Dec304http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2262E

013-2272E

How to complete your Employer Health Tax (EHT) Return

EFinanceAdvisory, Objections, Appeals and Services BranchEmployer Health Tax (EHT)18-Dec1001http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2272E

013-2274

Guide for Completing the Tobacco Tax Non - Collector Wholesaler Return – TT101A

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2274

013-2276

Guide for Completing the Tobacco Tax Return – TT101S

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax17-Jun22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2276

013-2279

Guide Tobacco Tax Interjurisdictional Transporter Return - TT103

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax17-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2279

013-2286E

Adjustment Schedule TT15

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxFor clients to report any adjustments to their tax liability08-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2286E

013-2290E

Guide for Completing the Application for Refund Summary and Schedule 22 TEU - Vehicle Testing or Export Out Of Ontario in Fuel Tanks of Vehicles

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2290E

013-2408E

Application for Refund of the Debt Retirement Charge (DRC)

EFinanceAdvisory, Objections, Appeals and Services BranchDebt Retirement Charge Program13-Jan25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2408E

013-2413E

2003 Capital Tax Election of Associated Group Agreement for Allocation of $5,000,000 Exemption

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's $5,000,000 taxable capital exemption based on the previous calender year's total assets.14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E

013-2413E-2004

2004 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2004 calendar ye14-May12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2004

013-2413E-2005

2005 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2005 calendar ye14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2005

013-2413E-2006

2006 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2006 calendar ye14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2006

013-2413E-2007

2007 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2007 calendar ye14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2007

013-2413E-2008

2008 Capital Tax Election of Associated Group Agreement for Allocation of Taxable Capital Deduction (TCD)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is to be used by an associated group of corporations who elect to allocate the tax effect from the group's taxable capital exemption based on the previous calender year's total assets. Applies to taxation years ending in the 2008 calendar ye14-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2413E-2008

013-2448E

Fuel and Gasoline Manufacturer Return

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline TaxIf you are registered as a Manufacturer under the FTA and/or the GTA, you must complete the Fuel and Gasoline Tax Manufacturer Return for the reporting period. You are required to complete a Return even if you did not have any activity during the reportin11-Aug14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2448E

013-2494E

Cooperative Education Tax Credit (CETC) - CT Schedule 113

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThe Co-operative Education Tax Credit CETC is a refundable tax credit available to taxpayers hiring eligible university or college students enrolled in a recognized post-secondary education program.14-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2494E

013-2495E

Apprenticeship Training Tax Credit (ATTC) - CT Schedule 114

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxComplete this form if salaries and wages are paid after May 18, 2004 and before January 1, 2011 to eligible apprentices during the first 36 months of an apprenticeship.14-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2495E

013-2496E

Corporate Minimum Tax (CMT)

EFinanceAdvisory, Objections, Appeals and Services BranchCorporations TaxThis schedule is used if your Total Assets exceeds $5,000,000 or Total Revenue exceeds $10,000,000. These amounts include the aggregate of the total assets and total revenue of any associated corporation, and the corporation's and/or any associated corpor14-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2496E

013-2506

Affidavit in Support of Application for Settlement

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division02-Feb16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2506

013-2526

Application for Insurance Corporation/Partnership Insurance Adjuster Corporation/Partnership Agent's (Other Than Life) Corporation/Partnership

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & AdjustersDec-009http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2526

013-2549E

Application for Registration of a Pension Plan Form 1

EFinanceFinancial Services Commission of OntarioPension Division05-Jun40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2549E

013-2551E

Application for Registration of a Pension Plan Amendment (Form1.1)

EFinanceFinancial Services Commission of OntarioPension DivisionJun-0042http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2551E

013-2555E

Waiver of Joint and Survivor Pension Form 3

EFinanceFinancial Services Commission of OntarioPension Division05-Jun37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2555E

013-2556E

Waiver of Pre-Retirement Death Benefit Form 4

EFinanceFinancial Services Commission of OntarioPension Division05-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2556E

013-2557E

Instructions for Completing the Standardized Wind up Report for Defined Contribution Pension Plans

EFinanceFinancial Services Commission of OntarioPension Division02-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2557E

013-2592E

Request for Hearing Financial Hardship Proceeding( Before the Financial Services Tribunal) - Instructions and Form 1.1

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2592E

013-2606E

Form D Agreement to Neutral Evaluation at the Commission (Fax-back Form)

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2606E

013-2654E

Audit Exemption Resolution Form for Co-ops with Between 16 and 50 Members

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers02-Feb0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2654E

013-2655

Superintendent of Financial Services - Summons to a Witness Before the Superintendent - Form 1(b)

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal01-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2655

013-2656

Superintendent of Financial Services-Summons to a Witness Before the Superintendent - Form 1(a)

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal01-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2656

013-2672

Superintendent's Response Financial Hardship Proceeding (Before the Financial Services Tribunal) (Form 1.2)

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2672

013-2673E

Joint Statement for Neutral Evaluation at the Commission (Fax-Back Form) - Form H

EFinanceFinancial Services Commission of OntarioDispute Resolution Branch01-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2673E

013-2684E

Offering Statement Template for Start Up Share Capital Cooperative

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers01-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2684E

013-2687E

Offering Stetement Template for Loan Capital Cooperative

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers01-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2687E

013-2688E

Offering Statement Template for Share Capital Cooperatives

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Mortgage Brokers01-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2688E

013-2702

Form 3(b) - Summons to a Witness Before the Financial Services Tribunal

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2702

013-2705

Form 3(a) - Summons to a Witness Before the Financial Services Tribunal

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2705

013-2707E

Financial Services Commission of Ontario - Reporting Form (Revised) Monthly Report - United Nations Suppression of Terrorism Regulations

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division - Deposit Institution07-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2707E

013-2709E

Wind up Report for Defined Contribution Pension Plans

EFinanceFinancial Services Commission of OntarioPension Division02-Jan27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2709E

013-2710E

Liability for Damage to Non-owned Automobiles and Drive Other Automobiles - Named Persons Endorsement (O.E.F. 82)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2710E

013-2720E

Open Lot Theft Endorsement – Customers' Automobiles (O.E.F. 75)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2720E

013-2721E

Open Lot Theft Endorsement – Owned Automobiles (O.E.F. 74)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2721E

013-2722E

Requesting for Hearing (for hearings before the Financial Services Tribunal) (Form 1)

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2722E

013-2723E

O.E.F. 73 ? Excluding Financed Automobile Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-9010http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2723E

013-2727E

O.E.F. 71 - Excluding Owned Automobiles Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-9010http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2727E

013-2732E

O.E.F. 72 ? Multiple Alteration Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-907http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2732E

013-2743E

Ontario Application for Automobile Insurance Garage Form (O.A.F. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun2http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2743E

013-2745E

Form 2 - Notice of Appeal

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2745E

013-2748E

Form 4 - Application for Party Status (for hearings before the Financial Services Tribunal)

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2748E

013-2750E

Applicant's Reply - Financial Hardship Proceeding (Before the Financial Services Tribunal) Form 1.3

EFinanceFinancial Services Commission of OntarioFinancial Services Tribunal04-Aug15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-2750E

013-3200

Guide for completing the Application for Refund Summary and Debtor Listing - Bad Debt (BDT) - Gasoline Tax Act, Fuel Tax Act and Tobacco Tax Act

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco Tax13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3200

013-3202

Guide for Completing the Application for Refund Summary and Schedule - Auxiliary Power Take Off Equipment (PTO activity prior to July 1, 2017)

EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3202

013-3206

Guide for Completing the Application for Refund Summary and Schedule 1-PRL - Loss of Product/Overpayment of Tax - Gasoline, Propane and Aviation Fuel

EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3206

013-3207

Guide for Completing the Application for Refund Summary and Clear Fuel Schedule 2 PRL - Loss of Product/Overpayment of Tax

EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3207

013-3208

Guide for Completing the Application for Refund Summary and Schedule 3 PRL - Loss of Product/Overpayment of Tax

EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3208

013-3214

Guide for Completing the Application for Refund Summary and Schedule 1 TES - Tax Exempt Sales to First Nations Individuals and Bands on a Reserve for their Exclusive Use

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3214

013-3215

Guide for Completing the Application for Refund Summary and Schedule 2 TES - Tax Exempt Deliveries, in Bulk, to First Nations Individuals and Bands on a Reserve for their Exclusive Use

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3215

013-3216

Guide for Completing the Application for Refund Summary and Schedule 3 TES - Tax Exempt Sales – Export to Quebec

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3216

013-3217

Guide for Completing the Application for Refund Summary and Schedule 4 TES - Tax Exempt Sales – Export to Quebec

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3217

013-3218

Guide for Completing the Application for Refund Summary and Schedule 5 TES - Tax Exempt Sales – Export Out of Ontario (Excluding Quebec)

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3218

013-3219

Guide for Completing the Application for Refund Summary and Schedule 6 TES - Tax Exempt Sales – Export Out of Ontario (Excluding Quebec)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3219

013-3220

Guide for Completing the Application for Refund Summary and Schedule 7 TES - Tax Exempt Sales to Consumers

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3220

013-3221

Guide for Completing the Application for Refund Summary and Schedule 8 TES - Tax Exempt Sales to Registered Consumers Holding a Fuel Acquisition Permit

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3221

013-3222

Guide for Completing the Application for Refund Summary and Schedule 9 TES - Tax Exempt Sales – Export Out of Ontario

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3222

013-3223

Guide for Completing the Application for Refund Summary and Schedule 10 TES - Tax Exempt Sales – Export Out of Ontario

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3223

013-3224

Guide for completing the Application for Refund Summary and Schedule 11 TES - Tax Exempt Sales to Registered Consumers Holding a Fuel Acquisition Permit - 1-K Kerosene

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3224

013-3225

Guide for Completing the Application for Refund Summary and Schedule 12 TES - Tax Exempt Sales – Export Out of Ontario

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3225

013-3226

Guide for Completing the Application for Refund Summary and Schedule 13 TES - Tax Exempt Sales to Visiting Armed Forces

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3226

013-3227

Guide for Completing the Application for Refund Summary and Schedule 14 TES - Tax Exempt Sales to Visiting Armed Forces

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3227

013-3228

Guide for Completing the Application for Refund Summary and Schedule 15 TES - Tax Exempt Sales to Visiting Armed Forces

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3228

013-3230

Guide for Completing the Application for Refund Summary and Schedule 1 TEU - Allowance to Retailers - Gasoline

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3230

013-3231

Guide for Completing the Application for Refund Summary and Schedule 2 TEU - Ambient Sales

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3231

013-3232

Guide for Completing the Application for Refund Summary and Schedule 3 TEU - Ambient Sales

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax10-Mar4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3232

013-3233

Guide for Completing the Application for Refund Summary and Schedule 4 TEU - Ambient Temperature Allowance - Gasoline

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3233

013-3234

Guide for Completing the Application for Refund Summary and Schedule 5 TEU - Ambient Temperature Allowance

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3234

013-3235

Guide for Completing the Application for Refund Summary and Schedule 6 TEU - Unlicenced Equipment

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3235

013-3236

Guide for Completing the Application for Refund Summary and Schedule 7 TEU - Boat Rentals

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3236

013-3237

Guide for Completing the Application for Refund Summary and Schedule 8 TEU - Vehicle Testing or Export Out Of Ontario in the Fuel Tanks of Vehicles

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3237

013-3238

Guide for Completing the Application for Refund Summary and Schedule 9 TEU - Aircraft

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3238

013-3239

Guide for Completing the Application for Refund Summary and Schedule 10 TEU - Railway Locomotives

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3239

013-3240

Guide for Completing the Application for Refund Summary and Schedule 11 TEU - Boats Used In Business Operations

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3240

013-3241

Guide for Completing the Application for Refund Summary and Schedule 12 TEU - Rental or Sale of Unlicenced Equipment

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3241

013-3242

Guide for Completing the Application for Refund Summary and Schedule 13 TEU - Unlicensed Equipment

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3242

013-3243

Guide for Completing the Application for Refund Summary and Schedule 14 TEU - Tax Paid Purchases Delivered On A Reserve

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3243

013-3244

Guide for Completing the Application for Refund Summary and Schedule 15 TEU - Firefighter Training

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3244

013-3245E

Foreign Diplomat - Gasoline Schedule 16 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and Schedule

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxThe information in this guide will help you complete the Application for Refund Summary Tax Exempt Sales (TES) and supporting Schedule(s). It also provides information about supporting documents, records retention, time limit for applying for a refund, di11-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3245E

013-3246E

Foreign Diplomat - Propane Schedule 17 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and Schedule

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxThe information in this guide will help you complete the Foreign Diplomat Propane Schedule 17 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank dep11-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3246E

013-3247E

Foreign Diplomat - Clear Fuel Schedule 18 - TEU, Fuel Tax Act - Guide for Completing the Application for Refund Summary and Schedule

EFinanceAdvisory, Objections, Appeals and Services BranchFuel TaxThe information in this guide will help you complete the Foreign Diplomat Clear Fuel Schedule 18 - TEU, Fuel Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct bank depo11-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3247E

013-3248E

Foreign Diplomat - Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act - Guide for Completing the Application for Refund Summary and Schedule

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline TaxThe information in this guide will help you complete the Foreign Diplomat Aviation Fuel Schedule 19 - TEU, Gasoline Tax Act. The guide also provides information about supporting documents, records retention, time limit for applying for a refund, direct ba11-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3248E

013-3249

Guide for Completing the Application for Refund Summary and Schedule 20 TEU - Emergency Stopover In Ottawa - Aviation Fuel

EFinanceAdvisory, Objections, Appeals and Services BranchGasoline Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3249

013-3432

Guide for Completing the Fuel Acquisition Permit Holder Return FT814

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3432

013-3435

Guide for Completing the Fuel Tax Interjurisdictional Transporter Return FT819

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3435

013-3436

Guide for Completing the Fuel Tax Railway Return FT826

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3436

013-3437E

Tobacco Products Inventory Report

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxThis form is used whenever tobacco tax rates are changed as a result of a budget amendment.17-Apr13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3437E

013-3445E

Application for Refund - Bad Debt (BDT)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco TaxUsed by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was sold to a purchaser but for which payment has not been received and the sale has become uncolle19-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3445E

013-3446E

Application for Refund - Summary Loss of Product (PRL)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax, Tobacco TaxUsed by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was stolen, destroyed (e.g., by fire), or lost (e.g., vehicle accident) prior to the sale of the b19-Jan121http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3446E

013-3448

Guide for Completing the Application for Refund - Loss of Product (PRL) Summary and Schedule

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax19-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3448

013-3465E

Beer Return Guide

EFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine Taxes19-Jun44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3465E

013-3466E

Wine and Wine Cooler Return Guide

EFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine TaxesThis guide will help wine tax collectors that do not operate a wine boutique located inside the shopping area of an authorized agent grocery store complete the Wine and Wine Cooler Return.19-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3466E

013-3468E

Application for Refund of Retail Sales Tax on Insurance or Benefit Plan Premium

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales Tax18-Mar106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3468E

013-3479E

Ontario Retail Sales Tax Purchase Exemption Certificate

EFinanceTax Advisory Services BranchTax Advisory ServicesThis form may be used by people who are qualified to claim an exemption from Retail Sales Tax on contracts of insurance or benefits plans.14-Jan66http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3479E

013-3480

Application for Small Beer Manufacturers' Tax Credit

EFinanceAccount Management and Collections BranchSpecialty Accounting Unit18-Feb0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3480

013-3483E

Wine and Wine Cooler Return - B - Guide (Wineries that have a Wine Boutique)

EFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine TaxesThis guide will help wine tax collectors that operate a wine boutique located inside the shopping area of an authorized agent grocery store complete the Wine and Wine Cooler Return - B and Schedules.19-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3483E

013-3490E

Spirits and Spirits Cooler Return Guide

EFinanceAdvisory, Objections, Appeals and Services BranchBeer and Wine TaxesThe information in this guide will help spirits tax collectors complete the Spirits and Spirits Cooler Return and Schedule.19-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3490E

013-3500

Guide for Completing the Application for Refund - Bad Debt (BDT) Summary and Schedule

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax19-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-3500

013-67452E

Ontario Garage Automoblie Policy (O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67452E

013-67454E

Certificate of Insurance - Ontario Garage Automobile Policy (O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67454E

013-67460E

O.E.F. 70 Named Chauffeur Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67460E

013-67474E

Liability for Comprehensive Damage to a Customer's Automobile Endorsement (Including Open Lot Theft) (O.E.F. 77)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67474E

013-67476E

O.E.F. 78 Reduction of Coverage for Named Persons Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionJul-909http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67476E

013-67477E

O.E.F. 78A Excluded Driver Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division05-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67477E

013-67478E

Owned Automoblie- Fire and Theft Deductible Endorsement (O.E.F. 79)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67478E

013-67480E

O.E.F 80 Specified Owned Automobile Physical Damage Coverage (for Ontario Garage Automobile Policy O.A.P.4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67480E

013-67481E

O.E.F. 81 Garage Family Protection Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division01-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67481E

013-67486E

Owned Automobiles- Agreed Limit for Automobile Electronic Accessories and Equipment (O.E.F. 84)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67486E

013-67488E

Customers' Automobiles - Fire & Theft Deductible Endorsement (O.E.F. 86)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-67488E

013-9950E

Affidavit re transfer between registered charities

EFinanceAudit BranchLand TaxesThe Affidavit re transfer between registered charities sets out information that taxpayers must provide in order to claim the exemption from land transfer tax set out in Ontario Regulation 386/10 (Exemption – Charity Reorganization) upon a paper registrat18-Jul28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9950E

013-9967E

Retail Sales Tax and Harmonized Sales Tax Information for the Transfer of Motor Vehicles Between Related Corporations or Corporations/Shareholders

EFinanceAdvisory, Objections, Appeals and Services BranchRetail Sales TaxThis publication outlines the Retail Sales Tax and Harmonized Sales Tax exemption (8% Ontario portion only) and required supporting documents for vehicle transfers between related corporations, and corporations and shareholders.19-Jan57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9967E

013-9980E

Direct Deposit Request

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesUsed to obtain direct deposit bank account information for refunds and rebates for certain AMCB programs.18-Aug590http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9980E

013-9983E

Notice of Objection

EFinanceObjections and Appeals BranchObjections and AppealsTo file an objection17-Jul355http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9983E

013-9986E

Prescribed Information for Purposes of Section 5.0.1 Land Transfer Tax Act

EFinanceAudit BranchLand TaxesEffective April 24, 2017, persons who purchase or acquire at least one and not more than six single family residences, and persons who purchase or acquire agricultural land, are required to provide additional prescribed information, as set out in O.Reg 1217-Apr500http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9986E

013-9987E

Guide for Completing the Application for Refund Summary and Schedule - Auxiliary Power Take Off Equipment (PTO activity on or after July 1, 2017)

EFinanceAccount Management and Collections BranchSpecialty Accounting Unit19-Feb85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9987E

013-9988E

Application for Refund Auxiliary Power Take Off (PTO) Equipment (PTO activity on or after July 1, 2017)

EFinanceAdvisory, Objections, Appeals and Services BranchFuel Tax, Gasoline Tax18-Mar249http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9988E

013-9990E

IRREVOCABLE STANDBY LETTER OF CREDIT - TOBACCO TAX ACT

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9990E

013-9991E

Irrevocable Standby Letter Of Credit - Fuel and Gas Tax Acts

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9991E

013-9992E

IRREVOCABLE STANDBY LETTER OF CREDIT - LAND TRANSFER TAX

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Land Transfer Tax Act allows the Minister to accept security for the payment of taxes in any form that the Minister considers satisfactory (being a letter of credit or cash). A Letter of Credit must be drawn on an Ontario-based financial institution.18-Nov45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9992E

013-9993E

Surety Bond - Fuel and Gas Tax Acts

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9993E

013-9994E

SURETY BOND - TOBACCO TAX ACT, R.S.O. 1990 c. T.10, as amended

EFinanceAdvisory, Objections, Appeals and Services BranchCorporate ServicesThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial i18-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-9994E

013-FSCO-AA2

Reporting Forms Regarding Life Agents

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & AdjustersJan-986http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-FSCO-AA2

013-FSCO-AA3

Notice of Termination of Agent Sponsorship

EFinanceFinancial Services Commission of OntarioLicensing & Compliance Division-Agents & AdjustersJan-984http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-FSCO-AA3

013-OCF-10/59

Election of Income Replacement, Non-Earner of Caregiver Benefit (OCF-10/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-10/59

013-OCF-11A

Designated Assessment Referral (OCF-11A)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionAug-999http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-11A

013-OCF-11B

Summary Report (OCF-11B)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionAug-998http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-11B

013-OCF-12

Activities of Normal Life (OCF-12)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance DivisionAug-9918http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-12

013-OCF-13

Declaration of Post-Accident Income and Benefits (OCF-13)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-13

013-OCF-14

Permission to Disclose Health Information to the Designated Assessment Centre (OCF-14)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-14

013-OCF-17/59

Notice of Stoppage of Weekly Benefits and Request for Assessment (OCF-17/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-17/59

013-OCF-18/59

Treatment Plan (OCF-18/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division08-Jan5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-18/59

013-OCF-19/59

Application for Determination of Catastrophic Impairment (OCF-19/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-19/59

013-OCF-2/59

Employer's Confirmation of Income (OCF-2/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-2/59

013-OCF-20/59

Catastrophic Impairment Determination and Request for Assessment (OCF-20/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-20/59

013-OCF-3/59

Disability Certificate (OCF-3/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division04-Nov25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-3/59

013-OCF-4

Death and Funeral Benefits Application (OCF-4)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-4

013-OCF-5

Permission to Disclose Health Information (OCF-5)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-5

013-OCF-6

Application for Expenses (OCF-6)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-6

013-OCF-9/59

Explanation of Benefits Payable by Insurance Company (OCF-9/59)

EFinanceFinancial Services Commission of OntarioAutomobile Insurance Division03-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-OCF-9/59

013-PI1509

Annual Information Return (Form 2) (AFP Form)

EFinanceFinancial Services Commission of OntarioPension Division04-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-PI1509

013-PI1513

Pension Benefits Guarantee Fund Assessment Certificate (Form 2.1) (AFP Form)

EFinanceFinancial Services Commission of OntarioPension Division04-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=013-PI1513

014-0005-54E

Certificate of Death

EHealth and Long-Term CareHospitals BranchHospitals BranchCertificate of Death – Form 1 to be completed by an attending physician or registered nurse in the extended class pursuant to s. 17(2)(a) of Reg. 965 – Hospital Management made under the Public Hospitals Act.17-Apr118http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0005-54E

014-0350-93

Forms Order Request

EHealth and Long-Term CareSupply Chain and Facilities BranchSupply Chain and Facilities BranchUsed by Ministry clients to order forms from OSS Distribution.17-Jun436http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0350-93

014-0403-67E

Application for Authorizer Status

EHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication for Authorizer Status16-Sep209http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0403-67E

014-0406-67E

Authorizer Agreement with the Assistive Devices Program

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the indi14-Jul243http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0406-67E

014-06-5040E

Long-Term Care Home Inspection Report Request

EHealth and Long-Term CareHealth Data BranchHealth Data UnitAll Long-Term Care Home (LTCH) Inspection reports are posted on the Long-Term Care Homes public website (http://publicreporting.ltchomes.net/en-ca/default.aspx), in English. To request an accessible version or a French version of an Inspection report for 16-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-06-5040E

014-0918-84

Remittance Advice Inquiry

EHealth and Long-Term CareClaim Services BranchClaims ServicesForm used by physicians to make inquiries regarding payment details on Remittance Advice15-Oct531http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-0918-84

014-1065-41E

Form 25 - Application to the Board to Review the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(1) of the Act

EHealth and Long-Term CareMental HealthMental Health16-Feb27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1065-41E

014-1066-41E

Form 26 - Notice to the Board of the Need to Schedule a Mandatory Review of the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(2) of the Act

EHealth and Long-Term CareMental HealthMental Health16-Feb24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1066-41E

014-1088-41

Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

EHealth and Long-Term CareMental HealthMental Health04-Nov192http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1088-41

014-1353-45

Time Card

EHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchEmergency Health Services Land/AirTo record staff working hours.12-Jan0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1353-45

014-1429-67E

Application for Funding for Insulin Syringes for Seniors

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.18-Aug1302http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1429-67E

014-1565-95E

Assistive Devices Program Confirmation of Payment Instructions

EHealth and Long-Term CareFinancial ManagementMinistry Support & TransactionThe form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.15-May25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1565-95E

014-1605-41E

Form 30 - Notice to Patient under Subsection 38(1) of the Act

EHealth and Long-Term CareMental HealthMental Health16-Feb339http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1605-41E

014-1612-53E

Form 2 - Application for Approval of X-ray Location

EHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection ServiceApplication for Approval of X-ray Location18-Aug81http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1612-53E

014-1782-53E

Form 1 - X-ray Equipment Registration

EHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection ServiceX-ray Equipment Registration18-Aug144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1782-53E

014-1787-41

Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

EHealth and Long-Term CareMental HealthMental HealthDec-0097http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1787-41

014-1819-67E

Application for Equipment Listing Wheelchairs, Positioning and Ambulation Aids

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved de15-Jul132http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1819-67E

014-1903-67E

Statement of Support for Device Listing Wheelchairs, Positioning and Ambulation Aids

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved de16-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1903-67E

014-1945-67E

Application for Funding Ostomy Grant

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThe information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.19-Aug1074http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1945-67E

014-1948-95E

Application for Direct Bank Payment - ADP

EHealth and Long-Term CareFinancial ManagementMinistry Support & TransactionUsed by clients/vendors to receive remuneration by direct deposit versus cheque.11-Jun222http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1948-95E

014-1972-41

Form 5 - Change to Informal or Voluntary Status Subsection 20(7) of the Act

EHealth and Long-Term CareMental HealthMental Health15-Dec275http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1972-41

014-1977-41

Form 7 - Confirmation by Attending Physician of Continued Involuntary Status under Subsection 48(12) of the Act

EHealth and Long-Term CareMental HealthMental Health15-Dec16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-1977-41

014-2196-67E

Application for Funding Mobility Devices

EHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication for Funding Mobility Devices19-Nov2863http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2196-67E

014-2203-64E

Toronto Clients Requisition for Biological Supplies (for use in M postal code areas only)

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by Toronto Clients to order Biological Supplies from Ontario Government Pharmaceutical and Medical Supply Service. 18-Nov389http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2203-64E

014-2352-88E

Application for Rehabilitation Incentive Grant

EHealth and Long-Term CareNorthern Health ProgramsNorthern Health ProgramsApplication form completed by rehabilitation professionals applying to Underserviced Area Program for financial incentives, in return for filling full-time vacancies in MOHLTC fully-funded positions in Northern Ontario. 15-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2352-88E

014-2451-67E

First Time Application for Funding Home Oxygen Therapy

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by first-time applicants to apply for funding for home oxygen therapy.19-Aug339http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2451-67E

014-2772-87E

Special Authorization (Allergen)

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchUsed for obtaining authorization for allergen exact as an ODB benefit19-Jun166http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2772-87E

014-2784-87E

Drug Benefit Claim Submission Form

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchUsed by pharmacies for submitting claims19-Jun75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2784-87E

014-2860-69E

Application for Reimbursement by The Province

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionApplication used by Homemaker and Nurses to request reimbursement from the Province for services provided.09-Jan32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2860-69E

014-2973-04E

Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov126http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2973-04E

014-2975-04E

Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov91http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2975-04E

014-2976-04E

Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board17-Sep144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2976-04E

014-2977-04E

Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act.

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2977-04E

014-2978-04E

Form E - Application to the Board for Permission to Depart from Wishes under Subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2978-04E

014-2980-04E

Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act.

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2980-04E

014-2981-04E

Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act.

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov109http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-2981-04E

014-3060-97E

Requisition for ODB Approved Non-Prescription Drugs

EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUsed by Long-Term Care Homes in Ontario to requisition approved non-prescription drugs from OGPMSS.18-Sep190http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3060-97E

014-3143-04

New Accused Information Sheet

EHealth and Long-Term CarePublic Health AgenciesOntario Review Board05-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3143-04

014-3183-67E

Application for Funding Limb Prostheses

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.19-Nov97http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3183-67E

014-3224-67E

Application for Funding Hearing Devices

EHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication used to determine eligibility for funding by ADP for Hearing Devices.19-Nov576http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3224-67E

014-3232-04E

Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board13-Nov29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3232-04E

014-3234-04

Form 18 - Application to the Board for a Review of a Finding of Incapacity to Manage Property under Subsection 20.2 (1) of the Substitute Decisions Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity BoardMar-9965http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3234-04

014-3237-04

Consent and Capacity Board Information Sheets

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board05-Dec20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3237-04

014-3264-54E

Hospital Chronic Care Co-payment Form

EHealth and Long-Term CareHospitals BranchHospitals BranchCalculation of Chronic Care Co-Payments for use by hospital staff, patients, and families.18-Dec129http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3264-54E

014-3266-54E

Application for Reduction of Assessed Co-payment Fees

EHealth and Long-Term CareAcute Services DivisionAcute ServicesThis form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.08-Jun50http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3266-54E

014-3296-64E

Non-Reusable Vaccine(spoiled or expired) Return Record - Toronto Clients

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by Toronto clients to return non-reusable vaccines (spoiled or expired)to the Ontario Government Pharmaceutical and Medical Supply Service19-May79http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3296-64E

014-3324E-53

Appointment of Radiation Protection Officer

EHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection Service18-Aug80http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3324E-53

014-3437-67E

Application for Funding of Changes/Modifications/New Options to ADP Approved Devices

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved de16-May57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3437-67E

014-3693-87E

Application for Trillium Drug Program (TDP)

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchFor ODB recipients to apply Trillium Drug Program19-Dec14866http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3693-87E

014-3715-82E

Seasonal Agricultural Workers Registration for Ontario Health Coverage

EHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisForm used to register specific migrant farm workers for OHIP number13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3715-82E

014-3750-84

Organ and Tissue Donor Registration

EHealth and Long-Term CareClaim Services BranchClaims ServicesForm completed by clients to record their wishes for organ/tissue donation16-Aug154http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3750-84

014-3760-41

Form 45 - Community Treatment Order

EHealth and Long-Term CareMental HealthMental HealthDec-0078http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3760-41

014-3761-41

Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

EHealth and Long-Term CareMental HealthMental HealthDec-0065http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3761-41

014-3764-41

Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

EHealth and Long-Term CareMental HealthMental HealthDec-0062http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3764-41

014-3766-41

Form 50 - Confirmation of Rights Advice

EHealth and Long-Term CareMental HealthMental Health19-Apr102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3766-41

014-3777-41E

Form 16 - Application to the Board to Review a Patient's Involuntary Status under Subsection 39(1) of the Act

EHealth and Long-Term CareMental HealthMental Health16-Feb115http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3777-41E

014-3780-41

Community Treatment Order (CTO) Information Record

EHealth and Long-Term CareMental HealthMental HealthDec-0051http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3780-41

014-3829-41E

Homes for Special Care (HSC) Licence Inspection Report

EHealth and Long-Term CareMental HealthMental Health12-Aug42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3829-41E

014-3889-22E

Clinician Aid A - Patient Request for Medical Assistance in Dying

EHealth and Long-Term CareStrategic Policy BranchStrategic Policy – Medical Assistance in DyingThe use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse prac19-Jun1151http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3889-22E

014-3889-84E

Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit Request

EHealth and Long-Term CareClaim Services BranchClaims ServicesPhysicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.19-Oct545http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3889-84E

014-3890-22E

Clinician Aid B - (Primary) “Medical Practitioner” or “Nurse Practitioner” Medical Assistance in Dying Aid

EHealth and Long-Term CareStrategic Policy BranchStrategic Policy – Medical Assistance in DyingThe use of this aid is voluntary. It is being provided to assist you in maintaining records of requests for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting medical as19-Jun220http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3890-22E

014-3891-22E

Clinician Aid C - (Secondary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying Aid

EHealth and Long-Term CareStrategic Policy BranchStrategic Policy – Medical Assistance in DyingComplete this voluntary aid (Clinician Aid C) if you have been asked by a “Medical Practitioner” or “Nurse Practitioner” to provide a written opinion confirming that the Patient meets the eligibility criteria to receive medical assistance in dying. You sh19-Jun210http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-3891-22E

014-4282-64E

Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2019/2020 Universal Influenza Immunization Program (UIIP)

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServicePrequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.19-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4282-64E

014-4298-82

Health Card Complex Renewal

EHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisTo be used for OHIP health card renewals by customers who have limited eligibility (i.e. where the expiry of the card is matched to the expiry of a Canadian immigration document). For questions about this form contact: Ken Whyte, Card Management Office 6116-Nov0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4298-82

014-4323-04

Notice of Withdrawal

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board04-Jul38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4323-04

014-4344-64E

Influenza Vaccine Order Form for the Universal Influenza Immunization Program

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceEligibility Criteria for Trivalent Inactivated Influenza Vaccine.19-Aug148http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4344-64E

014-4351-04E

Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4351-04E

014-4352-04E

Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4352-04E

014-4353-04E

Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4353-04E

014-4354-04E

Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4354-04E

014-4372-64E

Universal Influenza Immunization Program Reimbursement Form

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceVaccine utilization invoice form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.20-Jan85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4372-64E

014-4385-87

Blocking Access to Your Drug and Pharmacy Service Information

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch16-Nov24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4385-87

014-4387-87

Unblocking Access to Your Drug and Pharmacy Service Information

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch16-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4387-87

014-4392-67E

Application for Funding Breast Prosthesis Grant

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by clients to apply for funding for a silicone breast prosthesis(es)19-Aug217http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4392-67E

014-4420-84

Health Claim

EHealth and Long-Term CareClaim Services BranchClaims Services06-Feb216http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4420-84

014-4421-84

Reciprocal Claim

EHealth and Long-Term CareClaim Services BranchClaims ServicesClaim card used by physicians to receive reimbursement for reciprocal claims06-Feb41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4421-84

014-4422-84

Laboratory Requisition - Requisitioning Physician / Practitioner

EHealth and Long-Term CareLaboratories and Genetics BranchLaboratories and Genetics19-Jan1665http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4422-84

014-4423-87

Notification for Change of Information for Trillium Drug Program

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchPre-renewal notice to TDP Clients18-May159http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4423-87

014-4446-67E

Application for Funding Insulin Pumps and Supplies for Children

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by clients to request funding assistance for Insulin Pumps and Supplies for Children19-Aug64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4446-67E

014-4455-64E

Universal Influenza Immunization Program Pharmacy Form

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceVaccine utilization report form for influenza immunization clinics through the Universal Influenza Immunization Program.20-Jan329http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4455-64E

014-4462-97E

Pharmacy Return Authorization for Resalable Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs)

EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUse this form if you are an eligible pharmacy associated with LTCHs and wish to return resalable ODB Approved Non-Prescription Drugs (ANDPs) to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs that meet the criteria listed o13-Nov20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4462-97E

014-4463-97E

Pharmacy Requisition for Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs)

EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUse this form if you are an eligible pharmacy associated with LTCHs and need to order Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs) from OGPMSS. You are required to complete the form in its entirety for your orders to be processed.18-Sep82http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4463-97E

014-4471-44E

Restricting Access to Patient Records In theOntario Laboratories Information System

EHealth and Long-Term CareLaboratory ServicesOntario Laboratory Information System (OLIS)Complete this form if you wish to have the Ministry of Health and Long-Term Care restrict access to your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed. 13-Aug37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4471-44E

014-4473E-67

Prior Testing Disclosure - Manual Wheelchair

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.17-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4473E-67

014-4474E-67

Prior Testing Disclosure - Powered Mobility Devices

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by Manufacturers to report testing of Powered Mobility Devices19-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4474E-67

014-4475E-67

Prior Testing Disclosure - Ambulation Aids

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThis form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids19-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4475E-67

014-4478-84

Adjustment

EHealth and Long-Term CareClaim Services BranchClaims Servicesonline form to be available to providers and to Regional Operations staff on a permanent basis on the internet07-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4478-84

014-4495-97E

OGPMSS Requisition for Medical Supplies

EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementUse this form if you are an eligible OGPMSS client and wish to order medical supplies from OGPMSS. You are required to complete the form in its entirety for your orders to be processed.17-Oct131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4495-97E

014-4508-67E

Insulin Pump Product Evaluation

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to evaluate Insulin pumps15-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4508-67E

014-4509-67E

Application for Equipment Listing Insulin Pumps

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUse by vendor/manufacturer to apply for equipment listing insulin pumps.12-Oct31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4509-67E

014-4537-67E

Application for Funding Insulin Pumps and Supplies for Adults

EHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication used to determine elegibility for funding by ADP for insulin pumps and supplies19-Aug456http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4537-67E

014-4551-87E

Application and Consent for the Inherited Metabolic Diseases (IMD) Program

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchFor physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.19-Sep62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4551-87E

014-4564-85E

Application for Consent to Transfer a Licence

EHealth and Long-Term CareHealth Service BranchIndependent Health FacilitiesTransfer of ownership of independent health facilities (IHF) licence.14-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4564-85E

014-4574-64E

Vaccine Cold Chain Maintenance Inspection Report

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by public health units when conducting cold chain maintenance inspections in premises that store publicly funded vaccines.19-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4574-64E

014-4575-64E

Vaccine Cold Chain Incident Exposure/Wastage Report

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUsed by public health units to report vaccine cold chain incidents and wasted or exposed vaccine.19-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4575-64E

014-4578-64E

Laboratory Services Notification (LSN)

EHealth and Long-Term CarePublic HealthFood Safety And Safe Water UnitThe Laboratory Services Notification (LSN) form is to be used by small drinking water system owners/operators to notify the local public health unit in writing as to which licensed laboratories will test drinking water samples for their small drinking wat17-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4578-64E

014-4579-64E

Notice to Operate or Reopen a Small Drinking Water System

EHealth and Long-Term CarePublic HealthFood Safety And Safe Water UnitThe Small Drinking Water System Identification form is to be used by owners of small drinking water systems to notify in writing the medical officer of health in the health unit where their system is located before supplying drinking water to users of the17-Aug25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4579-64E

014-4580-64E

Notice of Adverse Test Results and Issue Resolution

EHealth and Long-Term CarePublic HealthFood Safety And Safe Water UnitThe Notice of Adverse Test Results and Issue Resolution form is to be used by licensed laboratories and owners/operators of small drinking water systems to support required written notifications pertaining to small drinking water system adverse water qual17-Aug79http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4580-64E

014-4589-64E

Response to Adverse Drinking Water Quality Incidents - Issue

EHealth and Long-Term CarePublic HealthPublic HealthThis form is completed by Public Health Boards when MOH site is down.17-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4589-64E

014-4590-64E

Response to Adverse Drinking Water Quality Incidents - Resolve

EHealth and Long-Term CarePublic HealthPublic HealthThis form is completed by Public Health Boards when MOH site is down.17-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4590-64E

014-4598-67

PAP Device Evaluation Form

EHealth and Long-Term CareAssistive DevicesAssistive Devices15-Nov71http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4598-67

014-4603-82E

Change your home address

EHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisChange your address for your driver's licence, vehicle registration, health card and Outdoors Card quickly and easily in one secure, simple transaction. You can choose to notify one or more of three ministries of your address change – Ministry of Transpo09-Sep45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4603-82E

014-4618-67E

Application for Equipment Listing - Pressure Modification Devices

EHealth and Long-Term CareAssistive DevicesAssistive Devices12-Aug36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4618-67E

014-4619-67E

Statement of Support for Device Listing - Pressure Modification Devices

EHealth and Long-Term CareAssistive DevicesAssistive Devices12-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4619-67E

014-4620-67E

Manufacturer Checklist - Request for ADP Listing of Pressure Modification Devices

EHealth and Long-Term CareAssistive DevicesAssistive Devices12-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4620-67E

014-4637-67E

Application for Rehabilitation Assessor/Fitter/Dispenser Status

EHealth and Long-Term CareAssistive DevicesAssistive DevicesApplication for Rehabilitation Assessor/Fitter/Dispenser Status 11-Mar41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4637-67E

014-4638-67E

Authorizer Application - Attachment B

EHealth and Long-Term CareAssistive DevicesAssistive DevicesAuthorizer Application - Attachment B16-Sep113http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4638-67E

014-4645-87E

Respiratory Syncytial Virus (RSV) Prophylaxis for High Risk Infants Program Enrolment

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo provide healthcare practitioners a standard form to enroll their patients in this program based on listed clinical criteria.19-Sep36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4645-87E

014-4652-87E

Request for Myozyme®

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch17-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4652-87E

014-4658-67E

Application for Funding Ocular Prostheses

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Ocular Prostheses19-Nov103http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4658-67E

014-4717-87E

Submission of Patient Evidence

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyTo provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.10-Apr20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4717-87E

014-4723-87E

Submission of Patient Evidence Patient Advocacy Groups - Registration Form

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyTo allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.10-Apr21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4723-87E

014-4727-88E

Application for Northern and Rural Recruitment and Retention Initiative

EHealth and Long-Term CareNorthern Health ProgramsNorthern Health ProgramsApplication for physicians to apply for HFO Northern and Rural Recruitment & Retention Program15-Oct71http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4727-88E

014-4767-69E-LHIN

Application for Determination of Eligibility for Long-Term Care Home Admission (LHIN)

EHealth and Long-Term CareLicensing and PolicyAging and Long-Term Care UnitTo be filled out by LTC home applicants as part of the process for determination of eligibility for admission to a LTC home. This form is for use effective the date when LHINs become designated as the placement co-ordinators for long-term care homes by th17-May306http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4767-69E-LHIN

014-4768-69E-LHIN

Health Assessment - Local Health Integration Network (LHIN)

EHealth and Long-Term CareLicensing and PolicyAging and Long-Term Care UnitTo be used for completion of the assessment required under the Long-Term Care Homes Act, 2007 when a person applies for a determination of eligibility for long-term care home admission. This form is for use effective the date when LHINs become designated 17-May656http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4768-69E-LHIN

014-4777-87E

Request for Zavesca® - Niemann Pick Type C (NPC)

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).17-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4777-87E

014-4791-67E

Application for Funding Enteral Feeding Pump and Supplies

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Enteral Feeding Pump and Supplies19-Aug582http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4791-67E

014-4792-67E

Application for Funding Ventilator Equipment and Supplies

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Ventilator Equipment and Supplies19-Aug131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4792-67E

014-4793-67E

Application for Funding - Respiratory Equipment & Supplies

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Respiratory Equipment & Supplies19-Aug820http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4793-67E

014-4803-69E

Application for Reduction in Long-Term Care Home Basic Accommodation - Resident with a Notice of Assessment and Transitioning to new Government Benefit(s)

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.19-May70http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4803-69E

014-4804-69E

Application for Reduction in Long-Term Care Home Basic Accommodation Resident Receiving ODSP Form

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.16-May124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4804-69E

014-4805-69E

Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule A: Spouse Dependant

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if they would like to reque16-May62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4805-69E

014-4806-69E

Long-Term Care Home Application for Rate Reduction - Schedule B: Child Dependant

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if they would like to reque19-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4806-69E

014-4807-69E

Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule C: Continuation of Previous Dependant Deduction

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if their LTC home has notif16-May20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4807-69E

014-4808-69E

Application for Reduction in Long-Term Care Home Basic Accommodation - Resident With a Notice of Assessment (NOA)

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who have a Notice of Assessment.19-May238http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4808-69E

014-4809-69E

Application for Reduction in Long-Term Care Home Basic Accommodation - Resident Without Notice of Assessment (NOA)

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who do not have a Notice of Assessment. 19-May49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4809-69E

014-4810-99E

2020/2021 Re-Entry Program Information

EHealth and Long-Term CareHealth Workforce Planning BranchHealth Workforce Planning and Programs UnitInstruction sheet is to provide information about the purpose of the program, its eligibility requirement, application procedure and return of service requirement.19-Oct184http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4810-99E

014-4811-99E

Application to Re-enter Postgraduate Medical Training - Specialty of Interest and Location of Training

EHealth and Long-Term CareHealth Workforce Planning BranchHealth Workforce Planning and Programs UnitThe Specialty of Interest and Location of Training selection form is for applicants to enter the specialty of training and the preferred location of training.19-Oct87http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4811-99E

014-4812-99E

Application to Re-enter Postgraduate Medical Training

EHealth and Long-Term CareHealth Workforce Planning BranchHealth Workforce Planning and Programs UnitThe Application Form collects information from applicants regarding their contact information, medical practice and education history.19-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4812-99E

014-4815-69E

Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident Eligibly

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This d10-Dec25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4815-69E

014-4816-69E

Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident without NOA

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This d10-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4816-69E

014-4817-69E

Long-Term Care Home Support Document List - Submitting NOA that included benefit(s) that a resident is no longer receiving because they have transitioned to new benefit(s)

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This d11-May15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4817-69E

014-4818-69E

Long-Term Care Home Support Document List - Resident Receiving ODSP

EHealth and Long-Term CareCorporate and Direct Services DivisionLong Term Care DivisionTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This d10-Dec38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4818-69E

014-4819-67E

Application for Funding Orthotic Devices

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses19-Nov500http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4819-67E

014-4820-67E

Application for Funding Maxillofacial Intraoral Prostheses

EHealth and Long-Term CareAssistive DevicesAssistive DevicesFor Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.19-Nov96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4820-67E

014-4821-67E

Application for Funding Maxillofacial Extraoral Prostheses

EHealth and Long-Term CareAssistive DevicesAssistive DevicesFor Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.19-Aug78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4821-67E

014-4823-67E

Application for Funding Pressure Modification Devices

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Pressure Modification Devices19-Nov307http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4823-67E

014-4824-67E

Application for Funding Visual Aids

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Visual Aids19-Nov216http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4824-67E

014-4825-67E

Application for Funding Communication Aids

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to apply for Funding for Communication Aids19-Nov236http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4825-67E

014-4846-87E

Request for Aldurazyme®

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease16-Feb9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4846-87E

014-4853-44E

Reinstating Access to Information in the Ontario Laboratories Information System (OLIS)

EHealth and Long-Term CareLaboratory ServicesOntario Laboratory Information System (OLIS)Complete this form if you wish to have the Ministry of Health and Long-Term Care reinstate your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed. 14-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4853-44E

014-4858-87E

Request for Ilaris® (canakinumab)

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchApplication for drug funding17-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4858-87E

014-4871-64E

User Agreement for Pharmacies with a Licensed Injection-Trained Pharmacist Requesting Publicly Funded Influenza Vaccines for the 2019/2020 Universal Influenza Immunization Program (UIIP)

EHealth and Long-Term CarePublic HealthPublic Health - Disease Control ServiceUser Agreement for Pharmacies Requesting Publicly Funded Influenza Vaccine in accordance with the UIIP Prequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.19-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4871-64E

014-4872-88E

Application for Northern Physician Retention Initiative

EHealth and Long-Term CareNorthern Health ProgramsNorthern Health ProgramsApplication form completed by physicians to apply to Northern Physician Retention Initiative for financial incentives.19-Dec1693http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4872-88E

014-4874-77E

PPLBP Application, Income Declaration, Income Confirmation, Notification of Birth/Adoption Statement/ Stillbirth

EHealth and Long-Term CareNegotiationsPregnancy and Parental Leave Benefit ProgramPPLBP forms gather necessary information to help determine the applicant eligibility for the program.19-Dec604http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4874-77E

014-4882-83E

Oral and Maxillofacial Rehabilitation Program (OMRP) Application

EHealth and Long-Term CareProfiles Analysis ServicesProfiles Analysis ServicesForm allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.14-Aug22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4882-83E

014-4885-84E

Change of Address for Health Care Professionals

EHealth and Long-Term CareClaim Services BranchClaims Services13-Nov467http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4885-84E

014-4890-84E

Request for Access to Personal Claims History (PCH) Information by Individual or Individual's Substitute Decision Maker

EHealth and Long-Term CareClaim Services BranchClaims ServicesReceive information required to process Personal Claims History information requests from individuals or individual's substitute decision makers.19-Nov1527http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4890-84E

014-4891-84E

Third Party Request for Personal Claims History Information

EHealth and Long-Term CareClaim Services BranchClaims ServicesForm authorizes the ministry to disclose an individual's personal claims history information directly to a third party.14-Feb96http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4891-84E

014-4895-64E

Statement of Medical Exemption – Immunization of School Pupils Act

EHealth and Long-Term CarePublic HealthPublic HealthA physician or nurse practitioner must complete a Statement of Medical Exemption for children who require a medical exemption from vaccine requirements under the Immunization of School Pupils Act.13-Aug870http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4895-64E

014-4896-64E

Notice of Transfer from a School - Immunization of School Pupils Act

EHealth and Long-Term CarePublic HealthPublic HealthNotice of Transfer from a School - Immunization of School Pupils Act13-Aug12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4896-64E

014-4897-64E

Statement of Conscience or Religious Belief – Immunization of School Pupils Act

EHealth and Long-Term CarePublic HealthPublic HealthA parent must complete a Statement of Conscience or Religious Belief and have it witnessed by a commissioner for taking affidavits if they wish to obtain a non-medical exemption for their child from vaccine requirements under the Immunization of School Pu17-Jul2285http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4897-64E

014-4900-85E

Physician Independent Health Facility (IHF) Affiliation Authorization

EHealth and Long-Term CareIndependent Health FacilitiesIndependent Health Facilities14-Aug65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4900-85E

014-4901-97E

Requisition for Naloxone

EHealth and Long-Term CareSupply Chain and Facilities BranchOntario Government Pharmacy/ProcurementRequisition for Naloxone18-Oct22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4901-97E

014-4906-87E

Fabry Disease Enzyme Replacement Therapy (Agalsidase) Assessment

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyApplication form for drug therapy for Fabry disease15-Jul11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4906-87E

014-4907-87E

Fabry Disease Enzyme Replacement Therapy (Agalsidase) Renewal

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchDrug Programs Policy and StrategyRenewal form dor drug therapy for Fabry disease15-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4907-87E

014-4908-87E

Initial Request for Compassionate Review Policy

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo help physicians to submit requests for drug funding for their ODB-eligible patients under the Compassionate Review Policy.15-May134http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4908-87E

014-4917-67E

Vendor Registration Application

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of assistive devices who is requesting registration with the Assistive Devices Program.15-May92http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4917-67E

014-4918-57E

Request for Rights Advice Mental Health Inpatient

EHealth and Long-Term CarePsychiatric Patient Advocate OfficePsychiatric Patient Advocate OfficeUsed by Mental Health Inpatient Unit staff to request Rights Advice. Form is completed when a physician issues a Mental Health Act form that requires the provision of Rights Advice. Fax form to the PPAO and Rights Adviser will be assigned16-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4918-57E

014-4919-57E

Request for Rights Advice Community Treatment Order (CTO)

EHealth and Long-Term CarePsychiatric Patient Advocate OfficePsychiatric Patient Advocate OfficeUsed by Mental Health Professional to request Rights Advice for both patient and SDM (if indicated). Form completed when Community Treatment Plan (CTP) and Form 49 are issued by physician. Form, CTP and Form 49 faxed to PPAO.14-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4919-57E

014-4929-87E

Trillium Drug Program Application Signature Request

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe "Trillium Drug Program Application Signature Request" form supports the collection of missing signatures that were not provided with the original submitted Trillium Drug Program (TDP) application. For enrolment in the TDP, all household members 16 yea18-Jun438http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4929-87E

014-4930-87E

Request to Remove a Household Member(s) from the Trillium Drug Program

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch18-Jun167http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4930-87E

014-4931-87E

Annual Deductible Re-Assessment Request

EHealth and Long-Term CareDrug Programs Delivery BranchOntario Drug BenefitMOHLTC form for Trillium Drug Program (TDP) Households to request a re-assessment of their TDP Household's deductible.19-Jul92http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4931-87E

014-4940-87E

Exceptional Access Program (EAP) Request OxyNEO (Oxycodone Hydrochloride Controlled Release) Tablets

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun336http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4940-87E

014-4941-87E

Exceptional Access Program (EAP) Request Fragmin (Dalteparin Sodium) Therapy

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun86http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4941-87E

014-4942-87E

Exceptional Access Program (EAP) Request Innohep (Tinzaparin Sodium) Therapy

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4942-87E

014-4943-87E

Exceptional Access Program (EAP) Request Lovenox (Enoxaparin Sodium) Therapy

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.17-Jun64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4943-87E

014-4951-87E

Respiratory Syncytial Virus (RSV) Prophylaxis for High-Risk Infants Program Synagis® Order Form for Single or Multiple Infants

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo provide healthcare practitioners a standard form to order palivizumab for patients enrolled in the program.16-Oct45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4951-87E

014-4953-64E

Healthy Smiles Ontario – Application

EHealth and Long-Term CarePublic HealthPublic HealthMain application form for the core services stream of the Healthy Smiles Ontario program. This form applies to: (A) applicants that have a valid SIN and have filed statement of income or tax return with CRA; OR (B) applicants who do not have a valid SIN o15-Dec3250http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4953-64E

014-4954-64E

Public Health Unit Requisition for Specimen Shipping Supplies

EHealth and Long-Term CarePublic HealthInfectious Diseases Policy and ProgramsPublic Health Unit requisition for specimen shipping supplies for rabies testing14-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4954-64E

014-4955-64E

Healthy Smiles Ontario – Authorizing or Cancelling a Representative

EHealth and Long-Term CarePublic HealthPublic HealthPaper application required to register via mail. This form is submitted to authorize the MOHLTC (Oshawa) to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for HSO pro15-Dec46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4955-64E

014-4956-64E

Healthy Smiles Ontario – Change of Information

EHealth and Long-Term CarePublic HealthPublic HealthPaper application required to register via mail. This Form is submitted as a result of a change during any benefit year that may result in the re-determination process step. e.g. Change/remove child, Add/remove spouse, Address Change. This Form is only re15-Dec304http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4956-64E

014-4963-84E

Request for Prior Approval for Full Payment of Insured Out-of-Province (OOP) Health Services (in another province/territory)

EHealth and Long-Term CareClaim Services BranchHealth Services15-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4963-84E

014-4971-67E

Vendor Agreement

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the indi15-Aug28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-4971-67E

014-5023-67E

Power Dynamic Positioning Devices - Justification for Funding Chart

EHealth and Long-Term CareAssistive DevicesAssistive Devices19-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5023-67E

014-5024-41E

Form 4A - Certificate of Continuation

EHealth and Long-Term CareMental HealthMental Health15-Dec26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5024-41E

014-5025-41E

Form 51 - Application to the Board for Section 41.1 Orders under Subsection 39(6) of the Act

EHealth and Long-Term CareMental HealthMental Health15-Dec54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5025-41E

014-5026-41E

Form 52 - Application to the Board for an Involuntary Patient's Transfer to Another Psychiatric Facility under Section 39(8) of the Act

EHealth and Long-Term CareMental HealthMental Health15-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5026-41E

014-5027-41E

Form 53 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(9) of the Act

EHealth and Long-Term CareMental HealthMental Health15-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5027-41E

014-5028-41E

Form 54 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(10) of the Act

EHealth and Long-Term CareMental HealthMental Health15-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5028-41E

014-5036-64E

Healthy Smiles Ontario - Ontario Works First Nations Verification Form

EHealth and Long-Term CarePublic HealthPublic HealthFirst Nations clients receiving Ontario Works will fill out this form and mail it to the HSO Program Administrator in order to enroll in the Healthy Smiles Ontario Program.16-Aug40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5036-64E

014-5037-67E

Renewal of Funding Home Oxygen Therapy

EHealth and Long-Term CareAssistive DevicesAssistive DevicesUsed to renew funding for home oxygen therapy.19-Aug35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5037-67E

014-5048-45E

AEMCA Examination Application

EHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchCertification and Patient Care StandardsThe application form is for candidates who have either successfully completed the Paramedic training program provided by an approved College or Training Institution or have been considered equivalent through the MOH Standard Paramedic Equivalency Process 19-Oct382http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5048-45E

014-5050-67E

Vendor Registration Application - Home Oxygen Therapy

EHealth and Long-Term CareAssistive DevicesAssistive DevicesThe Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of home oxygen therapy who is requesting registration with the Assistive Devices Program.16-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5050-67E

014-5052-45E

AEMCA Examination Withdrawal and Refund Application

EHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchCertification and Patient Care StandardsThe withdrawal form is to be completed by individuals who have applied and paid to write the Ministry of Health (MOH) Advanced Emergency Medical Care Assistant (AEMCA) exam and now wish to withdraw from the exam.19-Oct63http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5052-45E

014-5053-20E

Tobacconist Registration

EHealth and Long-Term CareHealth Improvement Policy and Programs BranchSpecialty Store RegistrationFor retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.19-Dec36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5053-20E

014-5055-67E

Authorizer Registration Change Request

EHealth and Long-Term CareAssistive DevicesAssistive DevicesTo maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program18-Jan98http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5055-67E

014-5056-87E

Information Available to Health Care Providers through the Digital Health Drug Repository

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch“The Digital Health Drug Repository (DHDR) Reference Guide may be used by health care providers to understand the inclusions and limitations of the information available through the DHDR.”17-Feb29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5056-87E

014-5059-20E

Warrant - Regulation 572, Health Protection and Promotion Act

EHealth and Long-Term CareHealth PromotionHealth Promotion17-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5059-20E

014-5063-67E

Addendum for Ventilator Equipment and Supplies Application Form

EHealth and Long-Term CareAssistive DevicesAssistive DevicesAddendum for Ventilator Equipment and Supplies Application19-Aug75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5063-67E

014-5068-39E

Health and Well-Being Grant Program Statement of Interest

EHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs UnitStatement of Interest application form for the Health and Well-Being Grant Program17-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5068-39E

014-5069-39E

Health and Well-Being (HWB) Grant Program Full Project Proposal Application Form - Evaluation

EHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs Unit18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5069-39E

014-5069-87E

Drug Benefit Claim Reversal Form

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchUsed by pharmacies for submitting claims or reversals19-Jun641http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5069-87E

014-5070-39E

Health and Well-Being Grant Program Project Proposal Application Form – Training

EHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs Unit18-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5070-39E

014-5071-39E

Health and Well-Being (HWB) Grant Program Full Project Proposal Application Form - Community Development

EHealth and Long-Term CareHealthy Living Policy and Program BranchHealth Improvement Policy and Programs Unit18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5071-39E

014-5095-87E

Consent to the Ministry of Health and Long-Term Care's Disclosure and Collection of Personal Health

EHealth and Long-Term CareDrug Programs Delivery BranchOntario Drug BenefitMOHLTC form that allows an Ontario Drug Benefits (ODB) Recipient to submit their express consent to disclose their personal health information to a third party and consent for the Ministry to collect that information from a third party.18-Jul150http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5095-87E

014-5109-20E

Specialty Vape Store Registration

EHealth and Long-Term CareHealth Improvement Policy and Programs BranchSpecialty Store RegistrationFor retailers that primarily sell vapour products to apply for a specialty vape store registration.19-Dec262http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5109-20E

014-5132-04E

Form Y1 - Application to the Board to Review a Determination of Incapacity under Subsection 304(3) of the Child, Youth and Family Services Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5132-04E

014-5133-04E

Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5133-04E

014-5134-04E

Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5134-04E

014-5135-04E

Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services Act

EHealth and Long-Term CarePublic Health AgenciesConsent and Capacity Board19-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5135-04E

014-5486-92E

Invoice Summary - Homes for Special Care

EHealth and Long-Term CareAccounting Policy and Financial Reporting BranchAccounting Policy and Financial Reporting BranchThe Invoice Summary is used by home owners, suppliers and hospital staff to document the cost of goods and services provided to residents of Homes for Special Care.08-May60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-5486-92E

014-6427-1787-41

Form 1 + Form 42 - Mental Health Act

EHealth and Long-Term CareMental HealthMental HealthThis auto-populated version of the Form 1 and 42 is only to be used within psychiatric facilities where the Form 42 will be immediately issued to the recipient by the same physician that is completing the Form 1.10-May312http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6427-1787-41

014-6427-41

Form 1 - Application by Physician for Psychiatric Assessment

EHealth and Long-Term CareMental HealthMental HealthDec-00179http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6427-41

014-6428-41

Form 2 - Order for Examination under Section 16

EHealth and Long-Term CareMental HealthMental HealthDec-0073http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6428-41

014-6429-41

Form 3 - Certificate of Involuntary Admission

EHealth and Long-Term CareMental HealthMental HealthDec-00142http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6429-41

014-6430-41

Form 4 - Certificate of Renewal

EHealth and Long-Term CareMental HealthMental HealthDec-0088http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6430-41

014-6437-41E

Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the Act

EHealth and Long-Term CareMental HealthMental Health16-Feb56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6437-41E

014-6615-53E

Form 3 - X-ray Equipment and Shielding Specifications

EHealth and Long-Term CareLong-Term Care Inspections BranchX-Ray Inspection ServiceX-ray Equipment and Shielding Specifications18-Aug61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-6615-53E

014-9998E-82

Ontario Health Insurance Plan (OHIP) Document List

EHealth and Long-Term CareOperational Support and AnalysisOperational Support and AnalysisThis is accompaniment to Registration for OHIP & Change of Information forms. Lists acceptable ID documents when applying for Ontario health coverage.16-Jan2930http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=014-9998E-82

016-0006

Schedule A - List of Employees (Certification) -- Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0006

016-0007

Schedule C - List of Employees (Termination ) --Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0007

016-0007A

Employer's Report of Injury/Disease - Form 7

ELabourWorkplace Safety and Insurance BoardCreative Services01-Oct21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0007A

016-0008

Schedule A -List of Employees (Certification)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0008

016-0008A

Health Professional's Report - Form 8

ELabourWorkplace Safety and Insurance BoardCreative Services01-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0008A

016-0009

Schedule B - List of Employees

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0009

016-0010

Schedule C - List of Employees (Termination)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0010

016-0069E

Notice of Diving Operations

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by employers to notify the Ministry of Labour prior to the start of a diving operation in Ontario.14-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0069E

016-0070E

Notice of Trench Work

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by constructors to notify the Ministry of Labour, before work is begun at a construction project, if the project includes work on a trench more than 1.2 metres deep into which a worker may enter.12-May83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0070E

016-0071E

Notice of Window Cleaning Work

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by employers, contractors or sub-contractors to notify the Ministry of Labour prior to carrying out window cleaning work at a building in Ontario if a suspended scaffold, boatswain's chair or similar single-point equipment is to be used.12-May17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0071E

016-0072E

Notice of Asbestos Removal Work

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by constructors or employers to notify the Ministry of Labour before beginning a Type 3 asbestos removal operation and certain Type 2 asbestos removal operations in Ontario.12-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0072E

016-0073E

Notice of Mining Activities

ELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by employers to notify a Ministry of Labour inspector of: the installation of portable crushing, screening or associated washing equipment or to notify of exploring, dewatering or resuming work at a mine where mining operations have been12-Apr17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0073E

016-0074E

Notice of the Operation of a Test Drill

ELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by employers in the mining sector to notify a Ministry of Labour inspector before a test drill is operated at the surface to prove mineral bearing substances, rock, earth, clay, sand or gravel.11-Apr19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0074E

016-0075E

Notice of Magazine or Use of Explosives

ELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by the operator of a surface magazine or a mine using explosives to notify the Ministry of Labour and the joint health and safety committee or health and safety representative, if any, before first use of a surface magazine or explosives12-May25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0075E

016-0076E

Notice of a Reportable Incident

ELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is used by mining companies to notify the Ministry of Labour of reportable incidents as identified in section 53 of the Occupational Health and Safety Act and section 21(5) of the Regulation for Mines and Mining Plants. It includes notification 12-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0076E

016-0077E

Notice for Tunnels, Shafts, Caissons and Cofferdams

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramThis form is used by employers to notify the Ministry of Labour before beginning construction work on a tunnel, shaft, caisson or cofferdam.12-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0077E

016-0078E

Notice of Diesel-Powered Equipment

ELabourOccupational Health and Safety BranchMining Health and Safety ProgramThis form is completed by employers, as required by section 182 (1) of the Regulation for Mines and Mining Plants, before diesel equipment is first used in an underground mine The completed form must be kept readily available at the mine site.12-May26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0078E

016-0079E

Asbestos Work Report

ELabourOccupational Health and Safety BranchHealth Care and Occupational Medicine UnitThis form is used by employers of workers in Type 2 or Type 3 asbestos operations. The form must be completed for each such worker at least once in each 12-month period and immediately on the termination of the employment of the worker. The form is submit12-May99http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0079E

016-0080E

Notice of use of a suspended work platform system

ELabourOccupational Health and Safety BranchOccupational Health and SafetyIf you're the Constructor on a construction project, you must notify the Ministry of Labour at least 48 hours before a suspended work platform system is used for the first time. A copy of the completed notice must be kept clearly visible at the worksite f17-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0080E

016-0200E

Request for Information - Non-Union Employee Applicant

ELabourPay Equity CommissionPay Equity CommissionThe Non-Union Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office12-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0200E

016-0201E

Request for Information - Union/Employer Questionnaire

ELabourPay Equity CommissionPay Equity CommissionThe Union/Employer Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.12-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0201E

016-0202E

Request for Information - Represented Employee Questionnaire

ELabourPay Equity CommissionPay Equity CommissionThe Represented Employee Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.12-May7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0202E

016-0203E

Request for Information - Employee Reprisal Questionnaire

ELabourPay Equity CommissionPay Equity CommissionThe Employee Reprisal Questionnaire is used to gather information in regards to a complaint filed with the Pay Equity Office.12-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0203E

016-0208E

Application for Review Services

ELabourPay Equity CommissionPay Equity CommissionThe Application for Review Services is used to make a complaint if there has been a contravention of the Pay Equity Act or a contravention of an Order issued by the Pay Equity Office or the Pay Equity Tribunal. 13-Mar54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0208E

016-0275E

Hoist Operator's Medical Certificate

ELabourOccupational Health and Safety BranchOccupational Health and SafetyAmendments to Regulation 854 for Mines and Mining Plants made under the Occupational Health and Safety Act, which came into effect on January 1, 2012, included changes to the medical certificate prescribed under section 238 of the regulation. Under these 13-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0275E

016-0279E

Crane Operator's Medical Certificate

ELabourOccupational Health and Safety BranchOccupational Health and SafetyAmendments to Regulation 854 for Mines and Mining Plants made under the Occupational Health and Safety Act, which came into effect on January 1, 2012, included changes to the medical certificate prescribed under section 195 of the regulation. Under these 13-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0279E

016-0283E

Consent to Disclose Personal Information Complaints and Work Refusals

ELabourOccupational Health and Safety BranchOccupational Health and SafetyComplaints and Work Refusals Worker consent to authorize the Ministry of Labour and the Workplace Safety and Insurance Board to disclose personal information for the purposes of administering and enforcing the Occupational Health and Safety Act and Sectio13-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0283E

016-0287E

Application for Employment

ELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramApplication for Employment to be used in the upcoming Industrial Health & Safety Inspector recruitment for the Ministry of Labour. Applicants will download the form from the Ministry of Labour website and complete the application in order to apply for an 16-Mar26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0287E

016-0288E

Application for Employment - Construction

ELabourOccupational Health and Safety BranchConstruction Health and Safety Program15-Feb28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0288E

016-0289E

Application for Employment - Mining

ELabourOccupational Health and Safety BranchMining Health and Safety Program15-Feb31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-0289E

016-1000E

Registration of Constructors and Employers Engaged in Construction

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramEach constructor and employer engaged in a construction project in Ontario must complete this registration form. This form must be at the project while the employer is working there.17-Sep4079http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1000E

016-1552E

Form 1 - Notice of Termination of Employment under Subsection 58 (2) of The Employment Standards Act, 2000

ELabourEmployment Practices BranchEmployment Standards ProgramFor employers who are terminating 50 or more employees in a 4-week period, they are required to provide notice in the Form 1 to the Director of Employment Standards under the ESA. Once MOL receives the notice, the notice of termination period can begin.15-Dec550http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1552E

016-1909E

Notice of Requirement to Achieve and Maintain Pay Equity

ELabourPay Equity CommissionPay Equity CommissionThis notice is posted in the employer's workplace as required by Section 7.1 of the Pay Equity Act, R.S.O. 1990, c.P.7, as amended.12-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1909E

016-1910E

Notice of Inability to Achieve Pay Equity

ELabourPay Equity CommissionPay Equity CommissionAs required by the Pay Equity Act, as amended, the employer described below hereby notifies the Pay Equity Office that it has at least one female job class for which a pay equity comparison cannot be made within an establishment by either the job-to-job o12-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1910E

016-1911E

Certificate of Posting

ELabourPay Equity CommissionPay Equity CommissionCertificate of Posting12-Oct35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1911E

016-1931E

Training Program Assessment for Workers

ELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitTraining Program Assessment for Workers - This guidance tool can help employers assess whether their occupational health and safety awareness training program meets the minimum requirements of the Occupational Health and Safety Awareness and Training Regu14-May2115http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1931E

016-1932E

Training Program Assessment for Supervisors

ELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitTraining Program Assessment for Supervisors - This guidance tool can help employers assess whether their occupational health and safety awareness training program meets the minimum requirements of the Occupational Health and Safety Awareness and Training 14-May352http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1932E

016-1933E

Record Keeping Template

ELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitThe Record Keeping Template – This guidance tool is one way that an employer can record the basic occupational health and safety awareness training for their workers and supervisors. This guidance tool is a sample template.14-May537http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1933E

016-1934E

Knowledge Check for Supervisors

ELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitKnowledge Check for Supervisors - This guidance tool is one way an employer can verify that a supervisor's previous awareness training meets the minimum requirements.14-May178http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1934E

016-1935E

Knowledge Check for Workers

ELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitKnowledge Check for Workers - This guidance tool is one way an employer can verify that a worker's previous awareness training meets the minimum requirements.14-May415http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1935E

016-1938E

Multi-workplace Joint Health and Safety Committee Self-evaluation Checklist

ELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramThis Self-evaluation checklist has been developed to assist you in the process of applying for a Multi-workplace Joint Health and Safety Committee (MJHSC) granted under a Minister's Order pursuant to subsection 9(3.1) of the Occupational Health and Safety14-Sep89http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1938E

016-1950E

Working at Heights Training Provider Application

ELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThis is the training provider application form a training provider must complete and submit to the Chief Prevention Officer, pursuant the authority under subsection 7.1(2) and 7.2(2) of the Occupational Health and Safety Act (OHSA), for the purpose of th14-Dec105http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1950E

016-1963E

Joint Health and Safety Committee (JHSC) Certification Training Provider Application

ELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThe JHSC Training Provider Application is designed to support the new Joint Health and Safety Committee Training Provider & Training Program standards by allowing training provider applicants to submit their JHSC Part One and/or Part Two and/or Refresher 15-Sep46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1963E

016-1964E

Joint Health and Safety Committee (JHSC) Certification Training Program Extension or Exemption Request

ELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThe Joint Health and Safety Committee Certification (JHSC)Training Program – Extension Or Exemption Request form allows JHSC learners to apply for a one-time extension, or it allows fully certified JHSC members to apply for a one-time exemption from Refre18-Nov296http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1964E

016-1965E

Request for Voluntary Withdrawal of Application or Training Program

ELabourHealth and Safety Program Administration and Certification UnitOccupational Health and Safety Training ProgramsThe Request for Voluntary Withdrawal of Application or Training Program form allows Training Provider applicants seeking Chief Prevention Officer (CPO) approval, or currently approved Training Providers to voluntarily withdraw their program(s). By submitt15-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1965E

016-1966E

Child Performers Claim Form

ELabourEmployment Practices BranchEmployment Standards ProgramTo enable child performers or their parents or guardians to file a claim under the Protecting Child Performers Act, 2015, which sets out the minimum requirements for employers, child performers and parents or guardians.16-Feb22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1966E

016-1973E

Application for Employment - Employment Standards Officer

ELabourOperations BranchOperations Integration & Coordination UnitThe form is required for candidates to apply to the Employment Standards Officer job posting from August 28 - September 29, 2017.18-Apr6186http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1973E

016-1975E

Application for Employment Occupational Health and Safety Inspector - Industrial

ELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramApplication for Employment to be used in the upcoming Industrial Health & Safety Inspector recruitment for the Ministry of Labour. Applicants will download the form from the Ministry of Labour website and complete the application in order to apply for an 19-Feb30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1975E

016-1977E

Application for Employment Occupational Health and Safety Inspector - Construction

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramApplication for Employment Occupational Health and Safety Inspector - Construction18-Apr28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1977E

016-1986E

Self-Assessment Questionnaire for Candidates Interested in an Employment Standards Officer Position

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramBefore you complete the Application Form for the Occupational Health and Safety Inspector position, take a moment to see if you meet some of the important qualifications. Please note that this questionnaire was developed for your personal use only.16-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1986E

016-1997E

Self-Assessment Questionnaire for Candidates Interested in an Occupational Health and Safety Inspector Position

ELabourOccupational Health and Safety BranchIndustrial Health and Safety ProgramSelf-Assessment Questionnaire for Candidates Interested in an Occupational Health and Safety Inspector Position 16-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-1997E

016-2010E

Application for Registration with the Radiation Protection Service

ELabourOccupational Health and Safety BranchRadiation Protection ServiceIf you are an employer planning to use X-ray sources at your workplace, you must use this form to apply for registration with the Ministry of Labour, before using any X-ray sources at your workplace.18-Mar104http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2010E

016-2011E

Application for Review of Permanent X-ray Location

ELabourOccupational Health and Safety BranchRadiation Protection ServiceIf you are an employer planning to install an X-ray source or use a mobile or portable source regularly in one location you must submit an application for review of the permanent location for the X-ray source, along with plan location drawings to the Mini18-Mar87http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2011E

016-2018E

Application for Employment Occupational Health and Safety Inspector - Mining

ELabourOccupational Health and Safety BranchConstruction Health and Safety ProgramApplication for Employment Occupational Health and Safety Inspector - Mining19-Feb21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2018E

016-2019E

Request for Appointment of Conciliation Officer

ELabourDispute Resolution ServicesDispute Resolution Services BranchA trade union or employer can apply to the Ministry of Labour for assistance in reaching a collective agreement. Conciliation is the process that the parties must complete to be in a legal strike or lockout position, as outlined in the Labour Relations Ac19-Jan130http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2019E

016-2020E

Request for Appointment of Single Arbitrator Under Section 49 (Expedited Arbitration)

ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator through an expedited process, as outlined in section 49 of the Labour Relations Act, 1995.19-Jan69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2020E

016-2021E

Request for Appointment of Single Arbitrator Under Section 53.0.1 (Expedited Arbitration)

ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator through an expedited process, as outlined in section 53.0.1 of the Fire Protection and Prevention Act, 1997.19-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2021E

016-2022E

Request for Appointment of Arbitrator/Chair/Nominee Under Section 48

ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator, chair or nominee in the case of a failure to appoint, as outlined in section 48 of the Labour Relations Act, 1995.19-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2022E

016-2023E

Request for Appointment of Single Arbitrator Under Section 53

ELabourDispute Resolution ServicesDispute Resolution Services BranchA party to a collective agreement can request the appointment of a single arbitrator, as outlined in section 53 of the Fire Protection and Prevention Act, 1997.19-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2023E

016-2024E

Application for Approval as an Arbitrator

ELabourDispute Resolution ServicesDispute Resolution Services BranchThis form is for individuals who wish to apply to have their name added to the Minister of Labour's list of approved grievance arbitrators.19-Jan30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2024E

016-2026E

File a workplace health and safety complaint

ELabourOperations DivisionOccupational Health and Safety Contact CentreComplete and submit this form to file a complaint with the Ministry of Labour, Training and Skills Development's Health and Safety Contact Centre about a workplace health and safety concern.19-Nov1197http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-2026E

016-5086E

Electric Vehicle Chargers Ontario (EVCO) Program Application

ETransportationTransportation Policy BranchSustainable and Innovative Transportation OfficeApplication for the Electric Vehicle Chargers Ontario program15-Dec18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-5086E

016-C-10E

Notice to Responding Party and/or Affected Party of Application Regarding Unlawful Strike or Lock-out

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-10E

016-C-11E

Notice to Responding Party and/or Affected Party of Application for Interim Order

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-11E

016-C-12E

Notice to Responding Party and/or Affected Party of Application under Section 96 of the Act (Unfair Labour Practice)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-12E

016-C-13E

Notice to Responding Party and/or Affected Party of Application for Consent to Institute Prosecution

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-13E

016-C-14E

Notice to Union and Employer of Application under Section 74 of the Act (Union's Duty of Fair Representation)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-14E

016-C-15E

Notice to Union of Application under Section 75 of the Act (Union's Duty of Fair Referral)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-15E

016-C-16E

Notice to Responding Party and/or Affected Party of Application for Termination of Bargaining Rights under Section 64, 65 or 66 of the Act

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-16E

016-C-17E

Notice to Responding Party and/or Affected Party of Application for Religious Exemption

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-17E

016-C-18E

Notice to Responding Party and/or Affected Party of Application Concerning Work Assignment (Jurisdictional Dispute)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-18E

016-C-19E

Notice to Responding Party and/or Affected Party of Application under Part IV of the Crown Employees Collective Bargaining Act, 1993

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-19E

016-C-20E

Notice to Responding Party and/or Affected Party of Application Regarding Employee Status

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-20E

016-C-21E

Notice to Responding Party and/or Affected Party of Application Regarding Failure to Comply with Terms of Settlement

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-21E

016-C-22E

Notice to Responding Party and/or Affected Party of Application Concerning Failure to Furnish Financial Statement

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-22E

016-C-23E

Notice to Responding Party and/or Affected Party of Application Concerning Inadequate Financial Statement

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-23E

016-C-24E

Notice of Request for Reconsideration

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-24E

016-C-25E

Notice to Responding Party and/or Affected Party of Application under Section 77 of the Act (Colleges Collective Bargaining Act)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-25E

016-C-26E

Notice to Employer and/or Affected Party of Application under Section 50 of the Act (Unlawful Reprisal) (Occupational Health and Safety Act)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-26E

016-C-27E

Notice to Employer and/or Affected Party of Application under Section 8 of the Act (Unlawful Reprisal) (Smoking in the Workplace Act)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-27E

016-C-28E

Notice to Employer and/or Affected Party of Application under Section 174 of the Act (Unlawful Reprisal) (Environmental Protection Act)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-28E

016-C-29E

Notice to Employer and/or Affected Party of Application under Section 105 of the Act (Unlawful Reprisal) (Environmental Bill of Rights Act)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-29E

016-C-2E

Notice to Employees of Application for Certification

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-2E

016-C-30E

Notice to Responding Party and/or Affected Party of Application under Section 21, 22 or 23 of the Act (Public Sector Labour Relations Transition Act, 1997)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-30E

016-C-31E

Notice to Responding Party and/or Affected Party of Application under the Act

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-31E

016-C-32E

Notice to Employer of Application for Certification, Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-32E

016-C-33E

Notice to Employees of Application for Certification, Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-33E

016-C-34E

Notice to Union of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-34E

016-C-35E

Notice to Employer of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-35E

016-C-36E

Notice to Employees of Application for Termination of Bargaining Rights under Section 63 or 132 of the Act, Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-36E

016-C-37E

Notice to Responding Party and/or Affected Party of Application under Section 127.2 of the Act (Termination of Bargaining Rights, Non-Construction Employer)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-37E

016-C-38E

Notice of Responding Party and/or Affected Party of Referral of Grievance to Arbitration (Construction Industry)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-38E

016-C-39E

Notice to Responding Party and//or Affected Party of Application for Accreditation, Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-39E

016-C-3E

Notice to Union of Application for Termination of Bargaining Rights under Section 63 of the Act

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-3E

016-C-40E

Notice to Responding Party and/or Affected Party of Application Concerning Sector Dispute in the Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-40E

016-C-41E

Notice to Responding Party and/or Affected Party of Application under the Ambulance Services Collective Bargaining Act, 2001

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-41E

016-C-43E

Notice to Responding Party and/or Affected Party of Notice of Jurisdictional Dispute in the Construction Industry

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-43E

016-C-4E

Notice to Employer of Application for Termination of Bargaining Rights under Section 63 of the Act

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-4E

016-C-5E

Notice to Employees of Applicatin for Termination of Bargaining Rights under Section 63 of the Act

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-5E

016-C-6E

Notice to Responding Party and/or Affected Party of Application for Rights of Access

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-6E

016-C-7E

Notice to Responding Party of Application under Section 43 of the Act (Direction that a First Collective Agreement be Settled by Arbitration)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-7E

016-C-8E

Notice to Responding Parties and/or Affected Party of Application for Declaration Concerning Status of Successor Trade Union

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-8E

016-C-9E

Notice to Responding Party and/or Affected Party of Application under Section 69 and/or Subsection 1(4) of the Act (Sale of Business and/or Related Employer)

ELabourOntario Labour Relations BoardOntario Labour Relations Board02-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-C-9E

016-JPO-001E

Contractor Registration Application for Specialized Work

ELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used by contractors who want to bring their workers into Quebec to do specialized construction work. This type of work is usually associated with the provision of a warranty.11-Jan42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-001E

016-JPO-002E

Worker Registration Application Specialized for Work

ELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used by workers who want to work in Quebec with their Ontario contractor to do specialized construction work. This type of work is usually associated with the provision of a warranty.11-Jan40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-002E

016-JPO-003E

Contractor Registration Application Trade Activities

ELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used by contractors who want to bring their qualified but uncertified workers to do work in Quebec. These workers normally have experience in certain aspects of a voluntary trade but do not hold a certificate for that trade.11-Jan44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-003E

016-JPO-004E

Worker Registration Application for Trade Activities

ELabourOntario-Quebec Jobs Protection OfficeOntario-Quebec Jobs Protection OfficeThis form is used for workers who have experience in certain aspects of a voluntary trade and want to work in Quebec with their Ontario employer but who do not hold a certificate for that trade.11-Jan36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-JPO-004E

016-MOL-ES-002E

Employment Standards Claim Kit

ELabourEmployment Practices BranchEmployment Standards ProgramEmployment standards are enforced under the Employment Standards Act, 2000 (ESA), which sets out the minimum standards that employers and employees must follow.18-Jan3606http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-002E

016-MOL-ES-016E

Employment Protection for Foreign Nationals Claim Form

ELabourEmployment Practices BranchEmployment Standards Program19-Apr43http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-016E

016-MOL-ES-024E

Notification of Compliance

ELabourEmployment Practices BranchEmployment Standards Program16-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-024E

016-MOL-ES-039E

Severance Pay Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of severance pay your employer may owe you.18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-039E

016-MOL-ES-040E

Public Holiday Pay Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of public holiday pay your employer may owe you.18-Jun25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-040E

016-MOL-ES-041E

Termination Pay Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of termination pay your employer may owe you.18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-041E

016-MOL-ES-047E

Notification of Section 112 Settlement Form

ELabourEmployment Practices BranchEmployment Standards ProgramThe claimant and employer, in the matter of the claim referenced filed in accordance with s. 96(1) of the Employment Standards Act, 2000, notify the Ministry of Labour of the settlement of the claim.15-Nov109http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-047E

016-MOL-ES-048E

Section 112 Terms of Settlement

ELabourEmployment Practices BranchEmployment Standards ProgramThe claimant, in the matter of the claim referenced filed in accordance with s. 96(1) of the Employment Standards Act, 2000, notify the Ministry of Labour of the settlement of the claim/terms.15-Nov65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=016-MOL-ES-048E

017-0104E

Tenant's Motion to Void an Eviction Order for Arrears of Rent

EMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0104E

017-0106E

Request to Re-open an Application

EMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0106E

017-0107E

Request to Review an Order

EMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal07-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-0107E

017-10550P

Notice of Extension of Campaign Period – Form 6

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a candidate who has a deficit at the end of the regular campaign period and wishes to extend their campaign. Must be filed with the municipal clerk.18-Apr12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10550P

017-10551P

Notice of Registration - Third Party - Form 7

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by an individual, corporation or trade union that wishes to incur expenses for a question on a municipal ballot. Must be filed with the municipal clerk.18-Apr11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10551P

017-10552P

Financial Statement - Auditor's Report Third Party - Form 8

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by every registrant for a question on the ballot in a municipal or school board election. Must be filed with the municipal clerk.18-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10552P

017-10554PE

Declaration of Identity – Form 9

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed at the voting place by a person who is on the voters' list, but who does not have proof of identity and proof of residence. 18-Apr56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-10554PE

017-2006E

Form 1 – Request for Fence-Viewers<br>Line Fences Act, subsection 4 (1), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2006E

017-2007E

Form 2 – Clerk's Notice to Parties (Dispute)<br>Line Fences Act, subsection 4 (2), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2007E

017-2008E

Form 3 – Clerk's Notice to Fence-Viewers (Dispute)<br>Line Fences Act, subsection 4 (2), O Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2008E

017-2009E

Form 4 – Award<br>Line Fences Act, subsection 8 (1), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2009E

017-2010E

Form 5 - Owner's Notice of Appeal from Fence-Viewers' Award<br>Line Fences Act, subsection 10 (1), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2010E

017-2011E

Form 6 – Affidavit of Service of Notice of Appeal<br>Line Fences Act, subsection 10 (1), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2011E

017-2012E

Form 7 – Clerk's Notice to Parties (Certification)<br>Line Fences Act, subsection 11 (8), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2012E

017-2013E

Form 8 – Clerk's Notice to Fence-Viewers (Certification)<br>Line Fences Act, subsection 11 (8), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2013E

017-2014E

Form 9 – Certification of Default (Work Not Done)<br>Line Fences Act, subsection 12 (1) (a), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2014E

017-2015E

Form 10 – Certification of Default (Payment Not Made)<br>Line Fences Act, clause 12 (1) (b), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2015E

017-2016E

Form 11 – Treasurer's Notice of Amount Owed to Municipality by Defaulting Owner<br>Line Fences Act, subsection 12 (8), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2016E

017-2017E

Form 12 – Determination with Directions<br>Line Fences Act, subsection 13 (6), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2017E

017-2018E

Form 13 – Decision of Fence-Viewers Where No Award, Certificate, etc. is Made<br>Line Fences Act, subsection 14 (1), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2018E

017-2019E

Form 14 – Agreement<br>Line Fences Act, section 16, O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2019E

017-2020E

Form 15 – Agreement (Where One Party is a Municipality or Local Board)<br>Line Fences Act, subsection 23 (3), O. Reg. 127/14

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration15-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2020E

017-2021E

Form 1 - Award<br>Line Fences Act, R.R.O. 1990, Reg. 716

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2021E

017-2022E

Form 2 - Notice of Appeal from Fence-Viewer's Award<br>Line Fences Act, R.R.O. 1990, Reg. 716

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2022E

017-2023E

Form 3 - Certificate of Default (Work Not Done)<br>Line Fences Act, R.R.O. 1990, Reg. 716

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2023E

017-2024E

Form 4 - Agreement<br>Line Fences Act, R.R.O. 1990, Reg. 716

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchProgram Administration13-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2024E

017-2028E

Form to be forwarded for approval of an Adopted Official Plan or Plan Amendment

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis form is to be used by municipalities and planning boards for the approval of an adopted official plan or plan amendment if the Ministry of Municipal Affairs and Housing is the approval authority.17-Mar25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2028E

017-2029E

Application for Consent

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used to apply for consent to sever lands if the Minister of Municipal Affairs and Housing is the consent granting authority.17-Mar59http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2029E

017-2030E

Application to Amend or Revoke a Minister's Zoning Order

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis form is to be used for applications to amend or revoke a Minister's zoning order (MZO).17-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2030E

017-2031E

Application for Matching Education Property Tax Assistance

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitThis form is to be used by municipalities to apply to the Province of Ontario's Brownfields Financial Tax Incentive Program.16-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2031E

017-2032E

Annual Progress Report Brownfields Financial Tax Incentive Program

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitThis form is to be used by municipalities to provide annual progress reports under the Province of Ontario's Brownfields Financial Tax Incentive Program.16-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2032E

017-2034E

Application for Validation Order

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used where the Minister of Municipal Affairs and Housing has the authority under the Planning Act to grant validation orders.17-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2034E

017-2035E

Application for Approval of a Plan of Subdivision and Condominium

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used when the Minister of Municipal Affairs and Housing is the approval authority for a proposed plan of subdivision or proposed plan of condominium.17-Mar21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2035E

017-2036E

Application for amendment to the Parkway Belt West Plan

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchInformation and Analysis UnitThis application form is to be used to request for an amendment to the Parkway Belt West Plan as provided for by the Ontario Planning and Development Act.17-Mar23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2036E

017-2100E

Places to Grow Implementation Fund Application

EMunicipal Affairs and HousingOntario Growth SecretariatPartnerships and ConsultationThe form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund.16-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2100E

017-2233E

Endorsement of Nomination - Form 2

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy Section18-Apr41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2233E

017-2234E

Disaster Recovery Assistance for Ontarians: Application Form for Homeowners and Tenants

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitDisaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligibl19-Mar42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2234E

017-2235E

Disaster Recovery Assistance for Ontarians: Application Form for Small Businesses, Farms and Not-For-Profit Organizations

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach UnitDisaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligibl19-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2235E

017-2236E

Disaster Recovery Assistance for Ontarians: Request for Reconsideration

EMunicipal Affairs and HousingMunicipal Programs and Analytics BranchMunicipal Programs and Outreach Unit19-Jul45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-2236E

017-9499P

Nomination Paper - Form 1

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a person wishing to be a candidate in a municipal or school board election. Must be filed with the clerk of the municipality responsible for conducting the election, along with the prescribed fee.18-Apr60http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9499P

017-9502P

Appointment for Voting Proxy – Form 3

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a qualified elector to appoint another person who is a qualified elector in the same municipality to vote or his or her behalf. Two copies of the completed form must be presented to the municipal clerk.18-Apr52http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9502P

017-9503P

Financial Statement - Auditor's Report Candidate - Form 4

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by every candidate in a municipal or school board election. Must be filed with the municipal clerk.18-Apr37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9503P

017-9504P

Financial Statement – Subsequent Expenses Form 5

EMunicipal Affairs and HousingLocal Government Policy BranchMunicipal Governance Policy SectionTo be completed by a candidate who incurs costs related to a recount, controverted election or compliance audit after the supplementary campaign period has passed, and who receives the surplus funds from their campaign held in trust from the clerk. Must b18-Apr20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-9504P

017-S2E

Motion to Set Aside an Ex Parte Order

EMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-S2E

017-S3E

Landlord's Motion to Set Aside an Order to Void

EMunicipal Affairs and HousingOntario Rental Housing TribunalOntario Rental Housing Tribunal02-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=017-S3E

018-0178E

Avoidance Alternatives Form for activities that may require an overall benefit permit under clause 17(2)(c) of the Endangered Species Act

ENatural Resources and ForestrySpecies at Risk BranchSpecies at Risk ProgramThe purpose of this Avoidance Alternatives Form (AAF) is to assist the proponent with considering alternatives that would not adversely affect protected species or habitat(s). The completion of the Avoidance Alternatives Form (AAF) by the proponent is req12-Feb83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0178E

018-0179E

Application for an overall benefit permit under clause 17(2)(c) of the Endangered Species Act

ENatural Resources and ForestrySpecies at Risk BranchSpecies at Risk ProgramThis form supplies to MNR the necessary information for a Minister's decision on the issuance of an overall benefit permit under section 17 of the Endangered Species Act. The combined information provided in the Information Gathering Form (IGF), Avoidance12-Feb85http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0179E

018-0180E

Information Gathering Form for activities that may affect species or habitat protected under the Endangered Species Act

ENatural Resources and ForestrySpecies at Risk BranchSpecies at Risk ProgramThe purpose of this form is to gather the information that proponents need to submit to the Ministry of Natural Resources (MNR) to inform the Ministry's determination of whether or not a proposed activity is likely to contravene subsection 9(1) or 10(1) o12-Feb128http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0180E

018-0181E

Land Stewardship and Habitat Restoration Program (LSHRP) Application 2015/16

ENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements Unit14-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0181E

018-0233E

Private Gas Well Licence Application

ENatural Resources and ForestryIntegration BranchPetroleum OperationsThis form only to be used for the licensing of existing wells.12-Jul13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0233E

018-0235E

Well Evaluation Private Gas Well Incentive Program

ENatural Resources and ForestryIntegration BranchProgram Coordination Section12-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0235E

018-0427E

Notice of Possession

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis is the notice of possession form a person must complete and submit to the Minister to satisfy the notice requirements set out in subsection 23.15 (6) of Ontario Regulation 242/08 under the Endangered Species Act, 2007 and sections 2 and 3.2 of Ontari13-Jul43http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0427E

018-0428E

Notice of Butternut Impact Form

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis is the notice of butternut impact form a person must complete and submit to the Minister to satisfy the notice requirements set out in section 23.7 of Ontario Regulation 242/08 under the Endangered Species Act, 2007 for the purpose of impacting butte13-Jul32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0428E

018-0433E

Notice of Activity Form to Register for Activities on Public Land and Shore Lands under the Public Lands Act

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionThis is the Notice of Activity on Public Land and Shorelands form a person must complete and submit to the Minister to satisfy the notice requirements set out in subsection 8 (3) 2 and 5 (2) 3 of Ontario Regulation 239/13 under the Public Lands Act, R.S.O13-Dec49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0433E

018-0434E

Application for Aquaculture-Related Licences for Community Hatcheries

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionThis form is to be used by community hatcheries only to apply for an Aquaculture Licence, a Licence to Collect Fish for Aquaculture, and/or a Licence to Stock Fish.18-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0434E

018-0446E

Elk Seal Transfer Application

ENatural Resources and ForestrySpecies Conservation Policy BranchFish and Wildlife Services BranchThis form documents a group applicant's request to transfer his/her elk seal to another hunter in the group.14-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0446E

018-0447E

Adult Moose Validation Tag Transfer Application

ENatural Resources and ForestrySpecies Conservation Policy BranchFish and Wildlife Services BranchThis form documents a group applicant's request to transfer his/her moose validation tag to the designated alternate in the group.14-Jul17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0447E

018-0448E

Ice Hut Registration

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionThis Ice Hut Registration form is to be used to obtain a number required for ice fishing hut(s) in Fisheries Management Zones 9 – 12 and 14 – 20. For more information, please see ontario.ca/icefishing14-Jul217http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0448E

018-0451E

Examiner Reports

ENatural Resources and ForestryIntegration BranchPetroleum OperationsThe form provides a template for Examiner's to provide well information for annual and semi-annual examinations. These reports are legislated through the Provincial Operating Standards. Examinations take place under the Exameriner's Program, which is admi19-Feb20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0451E

018-0456E

Ontario FireRanger Employment Application Form

ENatural Resources and ForestryAviation, Forest Fire & Emergency ServicesScience and Technology/Integrated Services SectionBeing a FireRanger with Aviation, Forest Fire and Emergency Services is a rewarding job, physically demanding and can involve weeks away from home. Ontario FireRangers participate in resource management projects, training, equipment maintenance and fire p17-Dec1505http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0456E

018-0457E

Seasonal or Temporary Employment Application Form

ENatural Resources and ForestryAviation, Forest Fire & Emergency ServicesScience and Technology/Integrated Services SectionBeing a Data Entry Clerk, a Driver, a Hose Plant Labourer or any of the other available seasonal or temporary employment with Aviation, Forest Fire and Emergency Services can be rewarding. Seasonal and temporary employees participate in resource managemen15-Feb34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0457E

018-0469E

Licence to Collect Fish for Scientific Purposes – Mandatory Collection Report

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionThere is a reporting requirement for activities carried out under a Licence to Collect fish for Scientific Purpose. This form is an electronic version of the mandatory report. The specific regulation requiring this report reads: O. Reg. 664-98 34.1 & O. R16-Sep23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0469E

018-0470E

Kids' Fish Art Contest - Entry Form

ENatural Resources and ForestryFish and Wildlife Services BranchBusiness and Integration Services SectionThis form is used when submitting an entry to the Kids' Fish Art Contest.18-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0470E

018-0471E

Independent Electricity System Operator Feed-In Tariff 5 (IESO FIT 5) Program

ENatural Resources and ForestryNatural Resources Conservation Policy BranchResource Development SectionThis procedural guidance document is intended for those proponents with renewable energy projects proposed in whole or in part on provincial Crown land who have received a Feed-In Tariff (FIT) 5 energy procurement contract offer by the Independent Electri16-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0471E

018-0472E

Notice of Activity Form - Aquatic Species Activities in the habitat of certain fish or mussels

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Aquatic Species - Activities in the habitat of certain fish or mussels (s.23.4) under the Endangered Species Act, 2007.16-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0472E

018-0473E

Notice of Activity Form Barn Swallow – Activities in built structures that are habitat

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Barn Swallow – Activities in built structures that are habitat under the Endangered Species Act, 2007.16-Dec23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0473E

018-0474E

Notice of Activity Form Bobolink and Eastern Meadowlark – Activities impacting 30 hectares or less of habitat

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Bobolink and Eastern Meadowlark – Activities impacting 30 hectares or less of habitat under the Endangered Species Act, 2007.16-Dec21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0474E

018-0475E

Notice of Activity Form Chimney Swift – Activities in chimneys that are habitat

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Chimney Swift – Activities in chimneys that are habitat under the Endangered Species Act, 2007.16-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0475E

018-0476E

Notice of Drainage Works

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Drainage Works under the Endangered Species Act, 2007.16-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0476E

018-0477E

Notice of Activity Form Early Exploration Mining

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Early Exploration Mining under the Endangered Species Act, 2007.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0477E

018-0478E

Notice of Activity Form Ecosystem protection

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Ecosystem Protection – Activities to maintain, enhance or restore native ecosystems under the Endangered Species Act, 2007.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0478E

018-0479E

Notice of Activity Form – Threats to Human Health or Safety- Activities to protect against non-imminent threats

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Threats to Human Health or Safety- Activities to protect against non-imminent threats under the Endangered Species Act, 2007.16-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0479E

018-0480E

Notice of Activity Form Hydro-Electric Generating Stations- Operations

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Hydro-Electric Generating Stations- Operations under the Endangered Species Act, 2007.16-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0480E

018-0481E

Notice of Activity Form Notice of Incidental Trapping

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Notice of Incidental Trapping Form under the Endangered Species Act, 2007.16-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0481E

018-0482E

Notice of Activity for Newly Listed and Transition Species

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity or Notice of Drainage Works for Newly Listed and Transition Species – Eligible development activities under the Endangered Species Act, 2007.16-Dec10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0482E

018-0483E

Notice of Activity Form - Pits and Quarries – Operations of an eligible pit or quarry

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Pits and Quarries – Operations of an eligible pit or quarry under the Endangered Species Act, 2007.16-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0483E

018-0484E

Notice of Activity Form Possession for Scientific or Educational Purposes

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Possession of Scientific of Educational Purposes under the Endangered Species Act, 2007.16-Dec9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0484E

018-0485E

Notice of Activity Form - Safe Harbour

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Safe Harbour – Activities in created or enhanced habitat under the Endangered Species Act, 2007.16-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0485E

018-0486E

Notice of Activity Form - Safe Harbour

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Safe Harbour – Activities in created or enhanced habitat under the Endangered Species Act, 2007.16-Dec18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0486E

018-0487E

Notice of Activity Form - Wind Facilities Operations

ENatural Resources and ForestryIntegration BranchInformation Coordination SectionThis form is to be used to register activities that require a Notice of Activity, Wind Facilities Operations under the Endangered Species Act, 2007.16-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0487E

018-0488E

Application Form for Cage Aquaculture Facilities in Ontario

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionThe purpose of this Application Form is to provide MNRF with the necessary information to process and review a request for a new (Type A), revised (Type B) or renewed (Type C) license for Cage Aquaculture Facilities.17-Jul13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-0488E

018-2365E

Building Construction Part 2

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo collect information regarding work requested to take place on private property without municipal organization and located within a restricted area or for structures proposed on Crown land.14-Aug39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2365E

018-2366E

Application to do Work on Shorelands Part 3

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionCollect information regarding work to take place on shore lands.14-Aug102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2366E

018-2367E

Road or Trail Construction/Water Crossings Part 4

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo provide information regarding work requested to take place for purposes of road or trail or watercrossings14-Aug64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2367E

018-2368E

Works within a Waterbody Part 5

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo provide information regarding work requested to take place wihtin a waterbody14-Aug45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2368E

018-2369E

Application for Work Permit Part 1

ENatural Resources and ForestryIntegration BranchProgram Coordination SectionTo collect applicant/contractor information and site specific information regarding activities proposed on public land or shore lands14-Aug294http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2369E

018-2370E

Seed Purchase Order

ENatural Resources and ForestryRegional Operations DivisionOntario Tree Seed PlantAllows clients to access order form at any time. Allows clients to mail/fax/email order form at their convenience rather than wait for regular business hours.14-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2370E

018-2371E

Bait Harvest Area Application

ENatural Resources and ForestryBiodiversity BranchFisheries Policy SectionMechanism to apply for a bait harvest area (BHA). BHA's are an allocated portion of the resource and is the scale at which commercial bait harvesters are allowed to harvest baitfish and leeches. A commercial bait harvester can obtain as many BHAs as are 15-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2371E

018-2372E

Application for a Commercial Bait Licence to Deal in Bait

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionApplication for a Commercial Bait Licence to Deal in Bait16-Apr106http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2372E

018-2374E

Application for a Commercial Bait Licence to Harvest in Bait

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionApplication for a Commercial Bait Licence to Harvest in Bait16-May66http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2374E

018-2375E

Application for Transfer of a Commercial Bait Licence

ENatural Resources and ForestryBiodiversity BranchFisheries Policy SectionMechanism to transfer a commercial bait licence from one licence holder to another.15-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2375E

018-2376E

Application for Change of Information Regarding Designates Listed on a Commercial Bait Licence

ENatural Resources and ForestryBiodiversity BranchFisheries Policy SectionMechanism to change information (e.g., address) of a designate or remove a designate from a commercial bait harvest licence. Designates are persons 16 years (or older) that are granted the authority to harvest bait on behalf of the licence holder in the15-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2376E

018-2377E

Designate Acknowledgement for Commercial Bait Harvesting

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionDesignate Acknowledgement for Commercial Bait Harvesting16-May44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2377E

018-2378E

Licensees Compliance Assessment Report - Aggregate Resources Act

ENatural Resources and ForestryNatural Resources Conservation Policy BranchResource Development SectionLicensees are required, under the Aggregate Resources Act, to conduct an annual self-assessment of their aggregate site's compliance with the rules and submit a Compliance Assessment Report. The report is submitted to the Ministry of Natural Resources and16-May76http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2378E

018-2380E

Well Location Sketch - Existing Private Gas Well

ENatural Resources and ForestryIntegration BranchPetroleum OperationsThis form is used to collect spatial information to identify the exact location of a private well.15-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2380E

018-2382E

Ontario Managed Forest Tax Incentive Program - Landowner Report

ENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements UnitMust be completed to stay eligible in program. MFTIP Landowner Report must include your 19 digit property tax number14-Apr102http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2382E

018-2383E

Planning Template for Preparing a Stewardship Plan for Natural Areas

ENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements UnitTo provide eligible landowners a full package of forms18-Nov48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2383E

018-2390E

Aggregate Permittees Compliance Assessment Report - Aggregate Resources Act

ENatural Resources and ForestryNatural Resources Conservation Policy BranchResource Development SectionPermittees are required, under the Aggregate Resources Act, to conduct an annual self-assessment of their aggregate site's compliance with the rules and submit a Compliance Assessment Report. The report is submitted to the Ministry of Natural Resources an16-May44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2390E

018-2391E

Crown Land Survey Request Form

ENatural Resources and ForestryMapping and Information ResourcesOffice of the Surveyor General / Crown Land SurveysTo request any type of crown survey plan, field notes, diary or instructions.14-Dec30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2391E

018-2392E

Geographic Name Application

ENatural Resources and ForestryMapping and Information ResourcesOffice of the Surveyor General / Crown Land SurveysTo request a new name or change an existing name for a place or feature anywhere in Ontario14-Dec45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2392E

018-2400E

Managed Forest Tax Incentive Program (MFTIP) - Ten-Year Application

ENatural Resources and ForestryIntegration BranchProgram Services Section - Incentives and Agreements Unit10 Year application for the MFTIP program14-May207http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2400E

018-2401E

Application for Crown Land

ENatural Resources and ForestryCrown Forests and Lands Policy BranchCrown Lands SectionApplication for Crown Land18-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2401E

018-2404E

Work Permit Application for Works on Shore Lands for Erosion Control

ENatural Resources and ForestryRegional Operations DivisionRegions (Northeast, Northwest, Southern)Online registration for members of the public20-Jan273http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-2404E

018-FW1007E

Head Trapper Application

ENatural Resources and ForestrySpecies Conservation Policy BranchWildlife SectionDetermines compliance of applicant with regulated licence pre-requisites, and allows for selection of most suitable applicant through evaluation of applicant's qualifications.10-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1007E

018-FW1014E

Application for an Aquaculture Licence

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionProvides necessary information for Ministry determine whether or not to issue a licence, and what terms and conditions are applicable if the decision is to issue a licence18-Jul35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1014E

018-FW1015E

Application for a License to Collect Fish for Aquaculture

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionProvides necessary information for Ministry to determine whether or not to issue a licence18-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1015E

018-FW1016E

Application for a License to Stock Fish

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionProvides necessary information for Ministry determine whether or not to issue a licence, and what terms and conditions are applicable if the decision is to issue a licence18-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1016E

018-FW1021E

Application for a License to Transport Live Fish Taken from Ontario Waters

ENatural Resources and ForestryPolicy DivisionBiodiversity BranchA licence to Transport Live Fish is issued under authority of the Fish and Wildlife Conservation Act and is required to transport live fish or live spawn, other than baitfish, that have been taken from Ontario waters. This form allows an individual to app15-Oct24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1021E

018-FW1031E

Application For a License to Collect Fish for Scientific Purposes

ENatural Resources and ForestrySpecies Conservation Policy BranchFisheries SectionRequest a licence to fish14-Nov59http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=018-FW1031E

019-0044E

Application for Extension of Time to Perform and/or File Work

ENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionThis form is used by clients if they need to apply for an extension of time to perform and/ or file the required amount of assessment work on their mining claim(s).06-Jan38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0044E

019-0239E

Transfer of Unpatented Mining Claim(s)

ENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionWhen the holder of a mining claim transfers all or part of their interest in a mining claim, this form must be used to record the transfer in the Provincial Recording Office. Form is updated and simplified for your convenience. The “AFFIDAVIT OF SUBSCRIBI11-Nov22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0239E

019-0271E

Affidavit Concerning Hazards on Mining Lands

ENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionWhen the holder or a mining lease, or licence of occupation or patented mining lands wants to surrender title to the land, they must verify that to the best of their knowledge there are no hazards on the land.06-Jan24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0271E

019-0297E

Northern Industrial Electricity Rate Program - 2017

ENorthern Development and MinesCoordination and Analysis UnitNorthern Industrial Electricity Rate ProgramAn application to the Northern Industrial Electricity Rate Program17-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0297E

019-0298E

Application for Exemption from Mining Land Tax

ENorthern Development and MinesMineral Development and Lands BranchMining Lands Section11-Jan31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0298E

019-0299E

Application for an Order Opening Crown Mining Rights in Ontario

ENorthern Development and MinesMineral Development and Lands BranchMining Lands Section11-Jan37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0299E

019-0300E

Application for an Order Withdrawing Crown Mining Rights in Northern Ontario

ENorthern Development and MinesMineral Development and Lands BranchMining Lands Section11-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0300E

019-0305E

Notice of Project Status - Form 1 - Mining Act

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionThis form is used by proponents to report advance exploration or mine production project status under subsections 140(1), 141(1) or 144(1) of the Mining Act.17-Sep18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0305E

019-0306E

Notice to Require Hearing Under Part VII of the Act - Form 5 - Mining Act

ENorthern Development and MinesMineral Development and Lands BranchMine Rehabilitation, Inspection and Compliance OfficeThis form is used by proponents to require a hearing concerning rehabilitation of mining lands under Part VII of the Mining Act.12-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0306E

019-0307E

Notice of Material Change-Under the Mining Act

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionThis form is used by proponents to report changes that could substantially affect adequacy of a closure plan under subsection 144(2) of the Mining Act.12-Oct44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0307E

019-0311E

Application for an Order Withdrawing a Site of Aboriginal Cultural Significance for the purposes of Mining Act, Section 35

ENorthern Development and MinesMineral Development and Lands BranchMining Lands SectionLands that meet the criteria prescribed in regulations to the Mining Act as a site of Aboriginal cultural significance are eligible to be considered for withdrawal to protect them from prospecting, staking, sale or lease. Communities who wish to have land12-Oct26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0311E

019-0312E

Activity Details Report

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development Section18-Oct54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0312E

019-0313E

Aboriginal Consultation Report

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development Section12-Oct49http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0313E

019-0316E

Bulk Sample Evaluation Report Mining Act, Section 52

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionPersonal information if any, collected on this form is obtained under the authority of sections 52 and 178.2 (1) of the Mining Act. This information will be used for the purposes of processing report and to communicate with the named Contact Person in th12-Oct16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0316E

019-0317E

Application for Bulk Sample Permission Mining Act, Section 52

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development SectionPersonal information collected on this form is obtained under the authority of sections 52 and 178.2 (1) of the Mining Act. This information will be used for the purposes of processing the application for a permission to extract and test bulk sample and 12-Oct25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0317E

019-0320E

Notice to Surface Rights Owner (SRO) of Intent to Submit an Exploration Plan

ENorthern Development and MinesMineral Development and Lands BranchStrategic Support UnitForm for use by early exploration proponent (proponent) submitting an Exploration Plan to notify the surface rights owner (SRO) of the proponents' intent to submit an Exploration plan to MNDM for exploration activities on the SRO's land.16-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0320E

019-0321E

Notice to Surface Rights Owner (SRO) of Intent to Apply for an Exploration Permit

ENorthern Development and MinesMineral Development and Lands BranchStrategic Support UnitForm for use by the early exploration proponent (proponent) applying for an Exploration Permit to notify the surface rights owner (SRO) of the proponents' intent to apply for an Exploration Permit with MNDM for exploration activities on the SRO's land.16-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0321E

019-0322E

Voluntary Rehabilitation Application

ENorthern Development and MinesMineral Development and Lands BranchMineral Exploration and Development Section12-Dec15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0322E

019-0323E

Northern Ontario Heritage Fund Corporation (NOHFC) Applicaton - Northern Ontario Internship Program

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project17-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0323E

019-0324E

Northern Business Opportunity Program - Business Expansion Projects Stream - Small Business Start-up Projects Stream - New Investment Projects Stream

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 18-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0324E

019-0325E

Northern Business Opportunity Program - Film & Television Industry Projects Stream

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0325E

019-0326E

Northern Innovation Program

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0326E

019-0327E

Strategic Economic Infrastructure Program - Northern Community Capacity Building Program

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 17-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0327E

019-0328E

Northern Ontario Crew Content

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund Corporationthe purpose of the Application Form is to determine potential eligibility of the Applicant and the proposed project 14-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-0328E

019-1001E

Northern Communities Investment Readiness Application and Guide

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Communities Investment Readiness ProgramThis guide is intende to assist clients in completeing a project proposal for the Northern Communities Investment Readiness (NCIR) initiative.18-Aug22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=019-1001E

0209E

Application for Appointing Officials

ESolicitor GeneralExternal RelationsPublic Safety Projects14-Sep22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0209E

021-0368E

Application Guidelines for Determination under the Foreign Cultural Objects Immunity From Seizure Act (FCOISA)

ETourism, Culture and SportCulture Agencies BranchCulture Agencies UnitApplication guidelines for the administration of the Foreign Cultural Objects Immunity From Seizure Act (FCOISA). Cultural/educational institution representatives must submit this form in order to have works on loan from foreign institutions protected un16-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0368E

021-0459E

One Week Survey of Public Library Use (Typical Week Survey)

ETourism, Culture and SportPrograms and ServicesCulture ProgramsTypical Week Survey helps Ontario public libraries and First Nations public libraries to record, and then report on, their public library usage. Typical Week Survey is annually done in November and data from it is used in the Annual Survey of Public Lib14-Oct25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0459E

021-0478E

Criteria for Evaluating Archaeological Potential

ETourism, Culture and SportPrograms and ServicesCulture Services UnitThe purpose of the checklist is to determine if a property(ies) or project area may contain archaeological resources i.e., have archaeological potential.15-Nov69http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0478E

021-0483E

REA Checklist: Consideration of Potential for Heritage Resources

ETourism, Culture and SportPrograms and ServicesCulture Services Unit12-Aug8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0483E

021-0484E

REA Checklist: Consideration of Potential for Archaeological Resources

ETourism, Culture and SportPrograms and ServicesCulture Services Unit12-Aug10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0484E

021-0493E

IGNITE Ontario Application Guide

ETourism, Culture and SportInvestment & Development OfficeProduct Development & Investment ServicesTo inform stakeholders and potential applicants about IGNITE Ontario program details and guidelines on submitting an application for the grant.14-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0493E

021-0494E

Tourism Development Fund Application Guide

ETourism, Culture and SportTourism DivisionTourism Development FundThe Tourism Development Fund supports projects that encourage three key streams: tourism investment, tourism product development and industry capacity building.17-Jul22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0494E

021-0495E

Celebrate Ontario Blockbuster- Event Bid and Event Hosting Application Guide

ETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)Celebrate Ontario Blockbuster applicants are also required to download, complete and attach an Additional Information Package with the online application. The Celebrate Ontario Blockbuster Event Bid and Event Hosting Application Guide provides detailed in18-May14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0495E

021-0496E

Celebrate Ontario 2019 - Application Guide

ETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)Celebrate Ontario 2019 applicants are also required to download, complete and attach the Celebrate Ontario Project Application Form with the online application. The Celebrate Ontario 2019 Application Guide provides detailed instructions on the program and18-Nov26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0496E

021-0500E

Criteria for Evaluating Potential for Built Heritage Resources and Cultural Heritage Landscapes

ETourism, Culture and SportPrograms and ServicesCulture Services UnitThe purpose of the checklist is to determine if a property(ies) or project area: • is a recognized heritage property • may be of cultural heritage value16-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0500E

021-0502E

Celebrate Ontario 2017 - Frequently Asked Questions

ETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Frequently Asked Questions provide answers to common questions applicants to the Celebrate Ontario 2017 program may ask.17-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0502E

021-0503E

Criteria for Evaluating Marine Archaeological Potential

ETourism, Culture and SportPrograms and ServicesHeritage Program UnitEvaluating Marine Archaeological Potential16-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0503E

021-0504E

Ontario 150 Community Celebration Program

ETourism, Culture and SportInvestment & Development OfficeProduct Development & Investment Services16-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0504E

021-0510E

License or Event Permit Application

ETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan169http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0510E

021-0511E

Initial and Annual Examination Form

ETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0511E

021-0512E

Report on Professional MMA Contest or Exhibition

ETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0512E

021-0513E

Report on Professional Boxing / Kickboxing Contest or Exhibition

ETourism, Culture and SportPolicy BranchOffice of the Athletics Commissioner17-Jan18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0513E

021-0515E

Celebrate Ontario Project Application Form 2018 - Multi-Year

ETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Celebrate Ontario Project Application Form - Multi-Year must be submitted as part of a Celebrate Ontario 2018 program application and via the Grants Ontario web platform.17-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0515E

021-0516E

Celebrate Ontario Project Application Form 2018 – Single-Year

ETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Celebrate Ontario Project Application Form - Single-Year must be submitted as part of a Celebrate Ontario 2018 program application and via the Grants Ontario web platform.17-Sep24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0516E

021-0517E

Celebrate Ontario 2019 At a Glance

ETourism, Culture and SportTourism DivisionFestival and Event Attraction and Support Program (Celebrate Ontario)The Celebrate Ontario At a Glance document provides a high level overview of the program, eligibility requirements and application steps for Celebrate Ontario.18-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-0517E

0211E

Bench Warrant Form 1

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerTo Facilitate Coroners Act 40(3)15-Jan19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0211E

021-22-240E

Project Information Form (PIF) Archaeological Fieldwork

ETourism, Culture and SportPrograms and ServicesCulture ProgramsThis form provides information about a planned archaeological fieldwork project and the names of licensed archaeologists supervising the fieldwork. Licensed archaeologists must file it with the ministry's Licensing Coordinator before the archaeological fi11-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-22-240E

021-52-208E

2020-21 Ontario Sport Hosting Budget

ETourism, Culture and SportSport, Recreation and Community ProgramsCelebrate Ontario 2014 International Amateur Sport Hosting ProgramOutline event budget19-Nov24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=021-52-208E

022-12-1537E

Application for Trade Activity Card

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit06-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1537E

022-12-1539E

2013 Minister's Awards for Apprenticeship Training

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations UnitThis form is to be used by the public to communicate to the Ministry of Training, Colleges and Universities the merits of an employer who through their actions has demonstrated excellence in their support of apprenticeship training. The Guide provides mem13-Jun28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1539E

022-12-1554E

Signing Authority Guidelines For Modular Training

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit06-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1554E

022-12-1661E

Application for Apprenticeship Training

ETraining, Colleges and UniversitiesProgram Delivery Support BranchApprenticeship UnitApplication for Apprenticeship Training19-Feb665http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1661E

022-12-1666E

Income Support while Attending Apprenticeship Classroom Training

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations UnitThe Ontario Skills Development Program provides temporary financial assistance to apprenticeship clients who are eligible for Employment Insurance (EI) benefits or who were in receipt of EI benefits in the past. This notice is a summary only.19-Jan318http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1666E

022-12-1756E

Ontario Youth Apprenticeship Program (OYAP) - Participant Application Form

ETraining, Colleges and UniversitiesProgram Delivery Support BranchApprenticeship UnitForm used to register students who are participating in the Ontario Youth Apprenticeship Program (OYAP). 19-Feb61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1756E

022-12-1791E

Application for Access Training Delivery Agent (TDA) Subscriber

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit19-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1791E

022-12-1792E

Inactivation/Reset Number Training Delivery - Agent Subscriber / Private Identification Number

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations Unit19-Jan17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1792E

022-12-1885E

Application for Apprenticeship Training Delivery Agent

ETraining, Colleges and UniversitiesProgram Delivery Support BranchOperations UnitInstitutions, agencies or organizations interested in delivering apprenticeship in-school training must submit this application. Apprenticeship Training Delivery Agents are approved by the Employment and Training Division, Ministry of Training, Colleges a19-Jan90http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-12-1885E

022-13-1352E

Postsecondary Student Unpaid Work Placement Workplace Insurance Claim

ETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)Track Post secondary students who incur a serious occurance on work placements17-Oct573http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-13-1352E

022-1993E

Payment Claim / Activity Report for Ontario Labour Market Partnerships (OLMP) Agreements

ETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)Used by Recipients to make payment claims and to report on activities related to Ontario Labour Market Partnerships Agreements 16-Oct28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-1993E

022-1994E

Payment Claim / Activity Report for Ontario Job Creation Partnerships (OJCP) Agreements

ETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)Used by Recipients to make payment claims and to report on activities related to Ontario Job Creation Partnerships Agreements16-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-1994E

022-2938-87E

Ontario Employment Assistance Services Participant Information

ETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario Programs19-Jul31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-2938-87E

022-3033E

SkillsAdvance Ontario Employer Registration

ETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThis form is used for eligible employers who are interested in offering job placements to SkillsAdvance Ontario participants. This is an employer registration form and attestation. It is a “signature required” form.18-Oct42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3033E

022-3034E

Skills Advance Ontario Participant Registration

ETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThis form is used for eligible participants who wish to participate in SkillsAdvance Ontario's sector-focused employment and training services. This is a participant application form and attestation. It is a “signature required” form.19-Mar73http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3034E

022-3035E

SkillsAdvance Ontario Training Placement Agreement

ETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitSkills Advance Ontario18-Jun43http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3035E

022-3045E

Supported Employment Financial Support Agreement

ETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitOutlines the roles and responsibilities to Participants, Employers and Service Providers in the event of a Job Trial or a Job Match. Attached to the agreement is a Participant Employment Plan, which provides the opportunity for the Service Provider and t18-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-3045E

022-34-1646E

Ontario Graduate Scholarship Program - Summary Sheet

ETraining, Colleges and UniversitiesStudent Financial Assistance BranchInformation Systems Unit07-Jul0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1646E

022-34-1651E

Request for Assessment on Spouses' Estimated Income

ETraining, Colleges and UniversitiesStudent Financial Assistance BranchInformation Systems Unit07-Apr9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1651E

022-34-1892E

Ranked Candidates - Ontario Graduate Scholarship

ETraining, Colleges and UniversitiesStudent Financial Assistance BranchInformation Systems Unit09-Aug0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-34-1892E

022-58-1715E

Student Contact Information Form

ETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career CollegesPlease complete this form if you are a student that has been affected by the closure of a private career college. 12-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1715E

022-58-1722E

Administrative Monetary Penalties – Request for Review Form

ETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career CollegesPlease complete this form if you have been issued a Notice of Contravention by the Superintendent of Private Career Colleges and would like to request a review of this decision.16-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1722E

022-58-1807E

Program Assessment Report (Distance Education)

ETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career CollegesIn order to obtain program approval, private career colleges must have their programs assessed by third party program assessors who have expertise in the evaluation of such programs and have been approved by the Superintendent.12-Dec17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1807E

022-58-1959E

Private Career Colleges Branch - Instructor Qualification Form

ETraining, Colleges and UniversitiesPrivate Career Colleges BranchPrivate Career Colleges17-Apr129http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-58-1959E

022-87-1736E

Employment Service - Training Incentive Placement Agreement

ETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)17-Aug234http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1736E

022-87-1737E

Employment Service - Training Incentive Placement Agreement for Participant on Service Provider Payroll

ETraining, Colleges and UniversitiesPrograms BranchLiteracy and Basic Skill (LBS)19-Apr37http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1737E

022-87-1760E

Ontario College of Trades Governance Boards and Roster of Adjudicators Application

ETraining, Colleges and UniversitiesProgram Delivery Support BranchApprenticeship Unit13-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1760E

022-87-1788E

Literacy and Basic Skills - Exit and Follow-Up

ETraining, Colleges and UniversitiesProgram Delivery SupportLiteracy and Basic Skill (LBS)To be used by Literacy and Basic Skills Service Providers to capture outcomes of LBS learners at exit 3, 6 and 12 months.19-May110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1788E

022-87-1790E

Ontario Postsecondary Application Ontario Postsecondary Application Fee Reimbursement Program For Individuals Who Are/Were In Extended Society Care 2020-2021 Academic Year Application for Reimbursement

ETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchOntario Crown Ward Postsecondary Application Fee Reimbursement ProgramApplication form allows the program to reimburse current and former Ontario Crown wards for the cost of applying to eligible postsecondary schools and postsecondary programs.20-Jan118http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-1790E

022-87-3038E

Council of the Federation Literacy Award

ETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchProgram DevelopmentNomination form and instructions for the Council of Federation Literacy Award (Ontario)19-Jun22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-87-3038E

022-89-1824E-EMP5209E

Sponsors Application for Funding

ETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitTo enable sponsor to apply to become Self Employment Coordinators07-Mar30http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1824E-EMP5209E

022-89-1839E-EMP5335E

Ontario Job Creation Partnerships – Client Application

ETraining, Colleges and UniversitiesBusiness Systems Management BranchOntario EBSM: (Employment Benefits and Support Measures)This form is used for eligible unemployed workers who are facing difficulty finding and keeping on-going employment and/or are seeking assistance under JCP. This is a client application form and attestation. It is a "signature required" form.19-Jun45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1839E-EMP5335E

022-89-1859E-EMP5362E

Application for Direct Deposit for Ontario EBSMs

ETraining, Colleges and UniversitiesBusiness Systems Management BranchOntario EBSM: (Employment Benefits and Support Measures)application07-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1859E-EMP5362E

022-89-1889E

Application for Financial Assistance - Second Career (SC)

ETraining, Colleges and UniversitiesProgram Delivery Support BranchSecond CareerThis form is completed by individuals applying to the Second Career program.19-Apr299http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-89-1889E

022-97-1982E

Youth Job Connection and Youth Job Connection: Summer Training Incentive Placement Agreement

ETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchYouth Job Connection and Youth Job Connection: Summer16-Oct84http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-97-1982E

022-97-1983E

Youth Job Connection and Youth Job Connection: Summer Training Incentive Placement Agreement for Participant on Service Provider Payroll

ETraining, Colleges and UniversitiesOrganizational & Business Excellence BranchYouth Job Connection and Youth Job Connection: Summer16-Oct33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=022-97-1983E

023-0127E

Claim for Lien

ETransportationOffice Delivery Partnership BranchContract Management Office15-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0127E

023-0128E

Release of Lien

ETransportationOffice Delivery Partnership BranchContract Management Office15-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0128E

023-0129E

Illegal Passing of A School Bus Reporting

ETransportationSafety Policy and Education BranchRoad User Saftey Division07-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0129E

023-0132E

Individual Vehicle Distance Records (IVDR) Forms

ETransportationProjects and Change Management BranchInternational Registry Program07-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0132E

023-0134E

RAQs Login

ETransportationOffice Delivery Partnership BranchContract Management Office07-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0134E

023-0135E

Road Test Booking

ETransportationContract Management and Operations BranchLicensing Services ProgramRoad Test booking is primarily an automateds process (DABS). Form usage is very low as per Stock Management (Kingston)02-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0135E

023-0137E

Commercial Vehicle Operator Record - Driver Abstract

ETransportationContract Management and Operations BranchLicensing Services ProgramCommercial vehicle driver record (abstract), level 101-May198http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0137E

023-0138E

Commercial Vehicle Operator Summary - Public Abstract

ETransportationContract Management and Operations BranchLicensing Services ProgramAbstract or information on the company and not on the individual drivers.02-Oct31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0138E

023-0139E

Used Vehicle Information Package

ETransportationLicensing Services BranchLicensing Administration OfficeRequest a uvip package07-Mar47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0139E

023-0142E

Certified Plate Search - Recent Owner

ETransportationLicensing Services BranchLicensing Administration OfficeApplication for a vehicle abstract06-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0142E

023-0144E

List of Excellent Carriers

ETransportationCarrier Safety and Enforcement BranchData Management SectionThe information on this list can be used by the public to make an informed decision when selecting/hiring a trucking/bussing operator.02-Oct6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0144E

023-0145E

List of Unsatisfactory/Cancelled Carriers

ETransportationCarrier Safety and Enforcement BranchData Management SectionThe information on this list can be used by the public to make an informed decision when selecting/hiring a trucking/bussing operator.02-Oct7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0145E

023-0146E

Commercial Vehicle Operator Record - For Carriers Only

ETransportationLicensing Services BranchLicensing Administration OfficeApplication for a level 2 carrier abstract03-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0146E

023-0147E

Carrier Safety Rating Enquiry

ETransportationLicensing Services BranchLicensing Administration Office02-Oct14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0147E

023-0148E

Driver Licence Check

ETransportationLicensing Services BranchLicensing Administration Office02-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0148E

023-0149E

Copy of Collision Report

ETransportationLicensing Services BranchLicensing Administration OfficeRequest copy of a collison report02-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0149E

023-0150E

Driver's Licence History Search

ETransportationLicensing Services BranchLicensing Administration OfficeRequest copy of a driver history astract Restricted: may only be requested and delivered to the Driver)06-Jun13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0150E

023-0152E

5-Year Statement of Driving Record

ETransportationLicensing Services BranchLicensing Administration OfficeRequest copy of a 5 year driver record (Restricted: may only be requested and delivered to the Driver)06-Jun17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0152E

023-0155E

Vehicle Population Statistics: Annual Report

ETransportationLicensing Services BranchLicensing Administration OfficeThere is no application for this product, you can order online or submit a request via mail.06-Jun5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0155E

023-0156E

Carrier Search by Name

ETransportationLicensing Services BranchLicensing Administration OfficeTo order a carrier abstractApr-0011http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0156E

023-0157E

Driver's Licence - Copies of Documents

ETransportationLicensing Services BranchLicensing Administration Office06-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0157E

023-0158E

Vehicle - Copies of Documents

ETransportationLicensing Services BranchLicensing Administration Office06-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0158E

023-0159E

Certified Driver and Vehicle Documents

ETransportationLicensing Services BranchLicensing Administration Office06-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0159E

023-0160E

Certified Driver's Licence History Search

ETransportationLicensing Services BranchLicensing Administration Office(Restricted: may only be requested and delivered to the Driver) 06-Jun16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0160E

023-0161E

Certified 3 Year Statement of Driving Record

ETransportationLicensing Services BranchLicensing Administration Office06-Jun23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0161E

023-0162E

Certified 5 Year Statement of Driving Record

ETransportationLicensing Services BranchLicensing Administration Office(Restricted: may only be requested and delivered to the Driver)06-Jun18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0162E

023-0163E

Certified Driver's Licence - Copies of Documents

ETransportationLicensing Services BranchLicensing Administration Office06-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0163E

023-0164E

Certified Plate Search - Date Specific

ETransportationLicensing Services BranchLicensing Administration Office06-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0164E

023-0165E

Certified Owner by Vehicle Identification Number (VIN) - Date Specific

ETransportationLicensing Services BranchLicensing Administration Office06-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0165E

023-0166E

Certified Vehicle - Copies of Documents

ETransportationLicensing Services BranchLicensing Administration Office06-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-0166E

023-05004E

Special Vehicle Configuration Permit Application Long Combination Vehicle (LCV) Project

ETransportationCarrier Safety and Enforcement BranchCarrier Safety Policy Office12-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05004E

023-05005E

LCV Origin/Destination Location Application Long Combination Vehicle (LCV) Program

ETransportationCarrier Safety and Enforcement BranchCarrier Safety Policy Office11-Feb18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05005E

023-05006E

LCV Origin/Destination Location - Road Authority Consent Long Combination Vehicle (LCV) Program

ETransportationCarrier Safety and Enforcement BranchCarrier Safety Policy Office11-Feb14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05006E

023-05011E

Change your home address

ETransportationLicensing Services BranchDriver Improvement OfficeChange your address for your driver's licence, vehicle registration, health card and Outdoors Card quickly and easily in one secure, simple transaction. You can choose to notify one or more of three ministries of your address change – Ministry of Transpor09-Sep51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05011E

023-05016E

Electric and Hydrogen Vehicle Incentive Program (EHVIP) Vehicle Eligibility Submission Form

ETransportationTransportation Policy BranchElectric Vehicle Incentive Program18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05016E

023-05017E

Application for MTO Exempt Dealer Program

ETransportationProgram Development and Evaluation BranchVehicle Programs OfficeThis application form must be completed by dealers exempt from the Motor Vehicle Dealers Act, 2002 (MVDA, 2002), in order to qualify for MTO Highway Traffic Act (HTA) dealer exemptions.17-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05017E

023-05023E

ServiceOntario centres which offer the full suite of EDL services and are EDL card pick-up locations

ETransportationRoad User Safety DivisionService Management and Business Integrity Office12-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05023E

023-05045E

Application for Demonstrator Vehicles with extended Mileage

ETransportationTransportation Policy BranchSustainable Transportation Policy OfficeThe extended mileage limit allows dealers to register a demonstrator vehicle with mileage above 2,000 kilometers as eligible for the EVIP. A dealer is permitted two eligible electric vehicles under the EVIP per calendar year with the extended mileage limi17-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05045E

023-05060E

Damage Claim Report

ETransportationRisk Management and Insurance Services BranchClaimsThe purpose of this form is to provide an online reporting tool to submit claims for vehicle damage that were sustained while on a Provincial roadway. The report is for use by the general public15-Oct633http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-05060E

023-2096E

Electric and Hydrogen Vehicle Incentive Program (EHVIP) Incentive Application for Individuals and Businesses

ETransportationTransportation Policy BranchElectric Vehicle Incentive Program18-Aug61http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-2096E

023-5025E

Estimated Distance Declaration

ETransportationProgram Development and Evaluation BranchVehicle Programs Office14-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5025E

023-5026E

Established Place of Business Questionnaire

ETransportationProgram Development and Evaluation BranchVehicle Programs OfficeEstablished Place of Business Questionnaire19-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5026E

023-5048E

User Account

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionThis form needs to be filled out by a Carrier registrant and the requirements indicated submitted along with the form so that User Accounts can be created for the purpose of submitting and processing online applications for the International Registration 16-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5048E

023-5049E

Pre-Paid Account / Registrant Acknowledgment

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionThis form has to be filled out by a Carrier registrant if they wish to establish a Pre-Paid Account from which the Ministry of Transportation may debit amounts owing under the International Registration Plan (IRP) and Oversize/Overweight (O/O) Programs up16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5049E

023-5061E

Service Provider Authorization

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionThis form needs to be filled out by a Carrier registrant and the requirements indicated submitted along with the form if the Carrier wishes to designate a Service Provider (Permitting Agency) to act on their behalf of the Oversize/Overweight (O/O) Program16-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5061E

023-5075E

Cycling Training Fund 2015 & 2016 - Application Guide

ETransportationTransportation Policy BranchSustainable Transportation Policy OfficeApplication form to apply for cycling or instructor training funding and curriculum or public education funding from the Cycling Training Fund in 2015 and 2016 from the Ministry of Transportation15-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5075E

023-5076E

Cycling Training Fund: Cycling Skills and Instructor Training Final Report

ETransportationTransportation Policy BranchSustainable Transportation Policy OfficeFinal report form to report on the results of delivering approved cycling training and cycling instructor training projects under the Cycling Training Fund from the Ministry of Transportation15-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5076E

023-5077E

Cycling Training Fund: Cycling Curriculum and/or Public Education Report Form (for Final Report or Annual Report)

ETransportationTransportation Policy BranchSustainable Transportation Policy OfficeFinal report and annual report form to report on the results of delivering public education or cycling curriculum projects under the Cycling Training Fund from the Ministry of Transportation15-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5077E

023-5078E

Commercial Vehicle Operator's Registration (CVOR) Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeCVOR registration.19-Jul4125http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5078E

023-5083E

Connecting Links Program Application

ETransportationContract Management and Operations BranchOperations OfficeThrough the Connecting Links Program, the Province of Ontario is investing $30 million in 2020 - 2021 for the construction and repair of roads and bridges on connecting links. Connecting links are municipal roads designated under the Public Transportation19-Aug56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5083E

023-5084E

Automated Vehicle (AV) Pilot Application Form

ETransportationProgram Development and Evaluation BranchVehicle Programs Office18-Dec56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5084E

023-5085E

Application for the Manufacturer Plate Program

ETransportationProgram Development and Evaluation BranchVehicle Programs OfficeApplication for the Manufacturer Plate Program15-Dec108http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5085E

023-5096E

Electric and Hydrogen Vehicle Incentive (EHVIP)

ETransportationTransportation Policy BranchElectric Vehicle Incentive ProgramIf the EVIP applicant has purchased an extended mileage demonstrator vehicle, than this form must be completed by the dealer or leasing company and attached to the incentive application.18-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5096E

023-5104E

Appendix A to the Grants Ontario Application

ETransportationTransportation Policy BranchPassenger Transportation OfficeCompleting this form is a mandatory requirement for applicants to the Electric School Bus Pilot Program. 17-Aug20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5104E

023-5108E

Medical Condition Report

ETransportationLicensing Services BranchDriver Improvement Office19-May1814http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5108E

023-5109E

Vision Report to the Registrar of Motor Vehicles

ETransportationLicensing Services BranchDriver Improvement Office19-May161http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-5109E

023-AIR-01E

Application to Increase Rating

ETransportationOffice Delivery Partnership BranchContract Management Office18-Dec12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-AIR-01E

023-CRF-01E

Contractor Registration Form (CRF)

ETransportationOffice Delivery Partnership BranchContract Management Office07-Feb23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-CRF-01E

023-CWA-01E

Contractor Work Appraisal "Qualification Purposes Only"

ETransportationOffice Delivery Partnership BranchContract Management Office18-Dec14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-CWA-01E

023-MOA-01E

Memordandum of Agreement

ETransportationOffice Delivery Partnership BranchContract Management Office07-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-MOA-01E

023-PH-A-041

Building And Land Use Permit

ETransportationConstruction and Operations BranchConstruction and Operations11-Apr0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-PH-A-041

023-SR-E-127E

Special Vehicle Configuration Permit Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office07-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-127E

023-SR-E-135E

Letter of Clearance in Reference to the Application for Permit to Move Used Buildings on Kings Highway

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section07-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-135E

023-SR-E-205E

Application for a Motor Vehicle Inspection Station Licence

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station UnitApplication for a Motor Vehicle Inspection Station Licence19-Jul846http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-205E

023-SR-E-209E

Safety Standards Certificate and Inspection Stickers Order Form

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit19-Jul1048http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-209E

023-SR-E-215

Notification of Addition to List of Directors or Corporate Officers / Notification of Termination to List of Directors or Corporate Officers

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit18-Apr53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-215

023-SR-E-217

Garage Register - Issued Pursuant to the Highway Traffic Act

ETransportationCarrier Safety and Enforcement BranchCarrier Enforcement Program Office20-Jan207http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-217

023-SR-E-241

List of Signing Authorities

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit15-Jun269http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-241

023-SR-E-291

Structural Inspection Certificate Order Form

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit19-Jul55http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-E-291

023-SR-L-105A-E

Oversize/Overweight Permit Application Annual Permit Only

ETransportationLicensing Services BranchLicensing Administration OfficeOversize/Overweight Permit Application Annual Permit Only19-Jul54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-105A-E

023-SR-L-105PP-E

Oversize/Overweight Permit Application Project Permit Only

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-105PP-E

023-SR-L-105ST-E

Oversize/Overweight Permit Application - Single Trip Permit Only

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionA single trip permit is issued to facilitate an oversize/overweight move for a one way trip along for a limited time period.17-Jan34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-105ST-E

023-SR-LC-016E

Application for Out-of-Province Requests

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeOrdering Products12-Jul16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LC-016E

023-SR-LC-112E

Record Search Application (with or without address)

ETransportationLicensing Services BranchLicensing Administration Office18-Sep2240http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LC-112E

023-SR-LD-040E

Declaration from a Guarantor

ETransportationLicensing Services BranchClient Services OfficeAn Ontario Photo Card (OPC) applicant must provide an identity document to prove signature. If the applicant does not have a proof of signature document, the Declaration from a Guarantor form will allow a guarantor to vouche for the applicant's signature.16-Apr1712http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-040E

023-SR-LD-043E

Commercial Vehicle Inspection Report Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeRequest Commercial Vehicle Inspection Reports.16-Jun62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-043E

023-SR-LD-049

Application for Ontario Photo Card - Ontario Residents Only

ETransportationLicensing Services BranchClient Services OfficeIt is used for the original application, renewal, replacement and data change transactions. The form also serves as a receipt for the applicant.14-Mar1411http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-049

023-SR-LD-050E

Ontario Photo Card - Address Requirement for the Homeless or Marginally Housed Applicants

ETransportationLicensing Services BranchClient Services OfficeIn order to obtain an Ontario Photo Card, an Ontario resident address is required. This form authorizes the applicant who is without a permanent and principal residence to use a recognized institution address to acquire an Ontairo Photo Card11-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-050E

023-SR-LD-054E

Application for Ontario Driver's Licence

ETransportationLicensing Services BranchClient Services Office17-Nov563http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-054E

023-SR-LD-327E

Application for Search of a Motor Vehicle Accident Report Record

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeOrdering Products18-Sep72http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-327E

023-SR-LD-433E

Third Party Letter of Authorization

ETransportationLicensing Services BranchClient Services OfficeInstructions for completing the Third Party Letter of Authorization (LOA)19-Apr285http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LD-433E

023-SR-LH-112E

Voluntary Termination of Commercial Vehicle Operator's Registration (CVOR) Certificate

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation OfficeTerminating CVOR certificate15-Oct28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LH-112E

023-SR-L-PR-13E

International Registration Plan (IRP) Application

ETransportationProgram Development and Evaluation BranchVehicle Programs OfficeForm 1 - Carrier Fleet Information, Form 2 - Fleet Distance Declaration, Form 3 - Gross Vehicle Weight Schedule, Form 4 - Vehicle Information14-Oct110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-L-PR-13E

023-SR-LV-025E

Low-Speed Vehicle (LSV) Registration Declaration

ETransportationProgram Development and Evaluation BranchVehicle Programs Office17-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-025E

023-SR-LV-034E

Credit Card Authorization Form

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionTo provide credit card authorization for MTO product/service17-Jan2603http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-034E

023-SR-LV-040E

Replacement Declaration

ETransportationLicensing Services BranchClient Services OfficeComplete this form when validated plate / unvalidated plate / both plates / trailer or off-road plate / motorized snow vehicle decal / accessible parking permit. 14-Sep1111http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-040E

023-SR-LV-139E

Spouse Declaration and/or Plate Transfer Declaration

ETransportationLicensing and Control Branch - PlanningCard Operations OfficeThis form is a dual purpose form used to declare that a vehicle is being transferred to an eligible spouse in order to exempt them from the Safety Standards Certificate and the Drive Clean emissions test requirements. This form is also used to declare tha15-May2889http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-SR-LV-139E

023-TRF-01E

Tender Registration Form (TRF)

ETransportationOffice Delivery Partnership BranchContract Management Office07-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=023-TRF-01E

024-3048E

Ontario Autism Program (OAP) Behaviour Plan Budget

EChildren and Youth ServicesPolicy Development and Program Design DivisionOntario Autism Program Project TeamIf a family chooses to receive direct funding to purchase evidence based behavioural services through the Ontario Autism Program (OAP), an OAP Behaviour Plan Budget must be completed by a Clinical Supervisor and submitted to a single point of access provi18-Mar118http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=024-3048E

025-0005E

Agency Designation Plan and Evaluation Tool

EFrancophone AffairsOffice of Francophone AffairsOffice of Francophone AffairsThis form is intended for agencies that receive transfer payments from the government of Ontario who wish to obtain official designation pursuant to the French Language Services Act, as well as for agencies already designated under the Act.14-Jun26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=025-0005E

025-0007E

Nomination Form

EFrancophone AffairsOffice of Francophone AffairsOffice of Francophone Affairs18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=025-0007E

026-0173E

Notice of a Change in Officers, Directors or Partners of Agencies that Provide Security Guard and/or Private Investigator Services

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchThis form is to be used by the agency to notify the Private Security and Investigative Services Branch (PSISB) of any change in officers, directors or partners per section 8 (2) of the Private Security and Investigative Services Act (PSISA), 2005.19-Dec22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0173E

026-0174E

Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships19-Dec5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0174E

026-0175E

Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Corporations

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Corporations 19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0175E

026-0176E

Application for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Agency Licence - Sole Proprietorships19-Dec29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0176E

026-0177E

Application for a Security Guard and/or Private Investigator Agency Licence - Corporations

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Agency Licence - Corporations 19-Dec87http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0177E

026-0178E

Security guard and/or private investigator licence: Guarantor Information Form

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services Branch15-Sep3120http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0178E

026-0180E

Information and Declaration/Consent for Background Check (For Officers, Directors and Partners of Security Guard and/or Private Investigator Agencies)

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInformation and Declaration/Consent for Background Check (For Officers, Directors and Partners of Security Guard and/or Private Investigator Agencies)19-Dec100http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0180E

026-0188E

Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence19-Dec35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0188E

026-0189E

Application to Replace a Business Registration Certificate – For Employers of Security Guards/Private Investigators

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication to Replace a Business Registration Certificate – For Employers of Security Guards/Private Investigators19-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0189E

026-0190E

Instructions for Completing the Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing the Application to Change Licence Category of an Existing Security Guard and/or Private Investigator Licence19-Dec5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0190E

026-0200E

Notification to Coroner of Organ Retention: Disposition Request of Retained Organs

ESolicitor GeneralOntario Forensic Pathology ServiceOntario Forensic Pathology ServiceNotification to Coroner of Organ Retention: Disposition Request of Retained Organs17-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0200E

026-0201E

Application for a Security Guard and/or Private Investigator Agency Licence – Partnerships

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchApplication for a Security Guard and/or Private Investigator Agency Licence – Partnerships19-Dec36http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0201E

026-0202E

Instructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Partnerships

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchInstructions for Completing an Application for a Security Guard and/or Private Investigator Agency Licence - Partnerships19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0202E

026-0204E

Change of name Form for a Security Guard and/or Private Investigator Licence

ESolicitor GeneralPrivate Security and Investigative Services BranchPrivate Security and Investigative Services BranchTo provide change of name service to existing licensees.19-Dec8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0204E

026-0234E

Invoice for Expert Death Review Committee Members

ESolicitor GeneralOffice of the Chief CoronerForensic Pathology Unit19-Jul11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0234E

026-0251E

Death Investigation Oversight Council Complaint Form

ESolicitor GeneralDeath Investigation Oversight CouncilDeath Investigation Oversight CouncilThe Death Investigation Oversight Council (DIOC) administers a public complaints process through its Complaints Committee, which reviews complaints regarding death investigations, specifically, complaints against a coroner or a forensic pathologist workin18-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0251E

026-0257E

Instruction Guide to the OCC-OFPS Secure Web Form

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief Coroner18-Dec27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0257E

026-0260E

Information to Obtain a Warrant / Telewarrant Authorizing Entry - Form 1

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0260E

026-0261E

Warrant Authorizing Entry - Form 2

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0261E

026-0262E

Information to Obtain an Order for the Production of Records - Form 3

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0262E

026-0263E

Order for the Production of Records - Form4

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May27http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0263E

026-0264E

Urgent Demand for Records - Form 5

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-May41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0264E

026-0265E

Urgent Demand for Records Report - Form 6

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-Jun24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0265E

026-0266E

Urgent Demand for Records Report Appendix - Notice of Request Form 6A

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0266E

026-0267E

Annual Report Template - Form 7

ESolicitor GeneralCorrections and Community Safety Policy BranchCorrections and Community Safety Policy Branch19-Jun39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-0267E

026-LE219E

Criminal Record Check

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThis check is intended for applicants who are currently or will potentially be a volunteer or employee where a basic Criminal Record Check is requested. This search is NOT intended for the Vulnerable Sector. The Record Check is intended for applicants who18-Nov2657http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE219E

026-LE220E

Vulnerable Sector Check

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThis check is to be used by applicants seeking a paid or volunteer position with vulnerable persons. “Vulnerable person" means a person who, because of their age, a disability or other circumstances, whether temporary or permanent, are (a) in a position o18-Nov3019http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE220E

026-LE221E

Security Screening Check

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThis form is used by private contractors and/or employees to have a criminal background check completed and to identify what level of check is required.14-Mar63http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE221E

026-LE238E

Image(s), Audio and/or Visual Record(s) Consent, Waiver and Release of Liability

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceTo obtain the consent from participants at an OPP event to be recorded in any matter, which could be used for OPP promotional items; users are made aware of this before any recordings are taken13-Sep13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-LE238E

026-ON00019E

Guide to the OCC-OFPS Secure Web Form

ESolicitor GeneralOffice of the Chief CoronerOffice of the Chief CoronerGuide to the OCC-OFPS Secure Web Form20-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-ON00019E

026-PCS104

Pre-Employment Application Questionnaire - Casual Part-time Policing

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PolicePCS104 is to be completed by the Manager/Supervisor requesting any new casual/part-time position, or renewing any existing contracts in place, and shall be included in the final Ontario Provincial Police (OPP) Casual Part-time Policing program application17-May5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-PCS104

026-PCS119E

Amalgamating Police Officer Application

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceThe PCS119 is used by Police Services that are amalgamating into the Ontario Provincial Police (OPP) in order for their Police Officers to apply for a position. It allows OPP's Uniform Recruitment to review personal and occupational information about each18-Jul82http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=026-PCS119E

028-0001E

Age-Friendly Communities Recognition Award

ESeniors and AccessibilityStrategic Policy and Stakeholder RelationsPublic Education and Awareness UnitThe Ontario Age-Friendly Communities (AFC) Recognition Program celebrates and showcases Ontario communities that are taking steps to become age-friendly and is aimed at recognizing the efforts and achievements of communities engaged in age friendly initia17-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=028-0001E

028-0002E

Fire Sprinkler Retrofit Program for Licensed Small or Rural Retirement Homes Grant Application

ESeniors and AccessibilityStrategic PolicyDirector’s OfficeTo administer a grant based funding program for the cost of installing automatic fire sprinklers in licensed retirement homes17-Oct10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=028-0002E

0329E

NOHFC Application Northern Community Capacity Building Program Event Partnership Projects

ENorthern Development and MinesNorthern Ontario Heritage Fund CorporationNorthern Ontario Heritage Fund CorporationSingle stage application form to replace the existing form on the site.17-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0329E

033-0041E

Energy and Water Reporting and Benchmarking (EWRB) Exemption Notice

EEnergy, Northern Development and MinesConservation Programs and Partnerships Branch (CPPB)Energy and Water Reporting and Benchmarking (EWRB)If you are eligible for a reporting exemption according to the criteria set out in O. Reg. 506/18: Reporting of Energy Consumption and Water Use, this form lets you submit the documentation required to show that you qualify for an exemption. This form su19-Mar39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0041E

033-0042E

EWRB Reporting Lead Contact Update

EEnergy, Northern Development and MinesConservation Programs and Partnerships Branch (CPPB)Energy and Water Reporting and Benchmarking (EWRB)The EWRB Reporting Lead is the person who will receive EWRB emails for each of the buildings which the corporations owns. This form allows you to update the contact information for that person. The contact information will be updated and automatically app19-Mar19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0042E

033-0048E

Annual Hydro One Compensation Disclosure

EEnergy, Northern Development and MinesDeputy Minister's OfficeDeputy Minister's OfficeThe Compensation Disclosure regulation gives effect to the disclosure provision of the Hydro One Accountability Act, 2018 and clarifies requirements of the public disclosure. The Annual Hydro One Compensation Disclosure form, referenced by the regulation,19-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=033-0048E

0387E

Attestation for Other Persons Providing Child Care or Services to a Child in a Child Care Centre

EEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitThis form will assist child care licensees in meeting regulatory requirements for attestations for other persons under the Child Care and Early Years Act (CCEYA).17-Jan100http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0387E

0388E

Offence Declaration for Other Persons Providing Child Care or Services to a Child in a Child Care Centre

EEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitThis form will assist child care licensees in meeting regulatory requirements for offence declarations for other persons under the Child Care and Early Years Act (CCEYA).17-Jan144http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0388E

04-0201E

Non-Agricultural Source Materials (NASM) Plan Registration Form

EAgriculture, Food and Rural AffairsEnvironmental Management BranchAgricultural Drainage Licensing ProgramTo register agricultural operations that intend to land apply Catergory 2 non-agricultural source materials (NASM) with a low metals content.11-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=04-0201E

043-0028E

Application to the Ontario-China Research and Innovation Fund (OCRIF) - Ontario Call for Proposals 2015

EResearch, Innovation and ScienceINTERNATIONAL TRADESOUTH AMERICA, RUSSIA/EASTERN EUROPE, ASIA PACIFIC AND MIDDLE EAST15-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=043-0028E

0439E

Request to Obtain Official Copies of Crown Land Patent Records

ENatural Resources and ForestryIntegration BranchLand and Water Services SectionRequest a certified or uncertified copy of the record of the original Crown patent for a specific property19-May124http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0439E

044-0032E

Municipal Infrastructure Investment Initiative, Funding for Asset Management, Expression of Interest

EInfrastructureInfrastructure Partnerships BranchMunicipal Infrastructure UnitOn August 16, 2012, the Government of Ontario launched the Municipal Infrastructure Investment Initiative. As part of the initiative, funding is being made available to improve asset management planning in small municipalities and Local Services Boards (L12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0032E

044-0033E

Municipal Infrastructure Investment Initiative, Funding for Social Housing Asset Management, Expression of Interest

EInfrastructureInfrastructure Partnerships BranchMunicipal Infrastructure UnitOn August 16, 2012, the Government of Ontario launched the Municipal Infrastructure Investment Initiative. As part of the initiative, funding is being made available for eligible Service Managers to improve asset management planning of their social housin12-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0033E

044-0034E

Municipal Infrastructure Investment Initiative Capital Program – Expression of Interest

EInfrastructureInfrastructure Partnerships BranchMunicipal Infrastructure UnitTo allow eligible applicants to submit an Expression of Interest to the MIII Capital Program. Through the program, up to $51 million will be made available to address necessary road, bridge, water and wastewater projects identified as top priorities throu12-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0034E

044-0035E

Places to Grow Implementation Fund Application

EInfrastructureOntario Growth SecretariatPartnerships and ConsultationThe form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund.14-Apr9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0035E

044-0037AE

New Building Canada Fund Small Communities Fund (SCF) - Intake 2 - Expression of Interest (EOI)

EInfrastructureInter-governmental Policy BranchInter-governmental Infrastructure PolicyNew Building Canada Fund Small Communities Fund (SCF) - Intake 2 - Expression of Interest (EOI)15-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0037AE

044-0044E

Natural Gas Grant Program

EInfrastructureInter-governmental Policy BranchMunicipal Infrastructure PolicyNatural Gas Grant Program Application Form17-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0044E

044-0047E

Surplus Property Transition Initiative Application Form

EInfrastructureCommunity Hubs DivisionSurplus Property Transition InitiativeThese forms are used to apply for the Surplus Property Transition Initiative. The initiative allows community proponents to request additional time to support planning for potential re-development of surplus public properties into community hubs.18-Apr31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0047E

044-0050E

Application Form - Facilitation Program

EInfrastructurePlanning and ImplementationFacilitation ProgramThe Community Hubs Facilitation Program provides funding to successful applicants to engage service providers who will provide assistance in advancing their community hub development projects.18-May35http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0050E

044-0059E

Asset Management Planning Regulation (0. Reg. 588/17) Completeness Questionnaire

EInfrastructureInter-governmental Policy BranchMunicipal Infrastructure PolicyTo provide information on the progress municipalities who are eligible to receive provincial infrastructure funding have made so far in meeting the requirements of the Asset Management Planning regulation.19-Aug41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=044-0059E

045-06538E

Application for Licence or Registration New, Reinstatement or Renewal

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario09-Nov65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06538E

045-06538EINFO

Application for Licence or Registration New, Reinstatement or Renewal

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario08-Nov47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06538EINFO

045-06550E

Application to close a cemetery or part of a cemetery

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchCemeteries Regulation UnitApplication to request closure of a cemetery or part of a cemetery. 12-Jun23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-06550E

045-12104E

Application for Licence Payday Loans Act, 2008

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioApplication for Licence Payday Loans Act, 2008 19-Jun176http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-12104E

045-12106E

Notice of Appeal

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioTo appeal an Order of Administrative Penalty imposed under the Payday Loans Act, 200818-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=045-12106E

046-0002E

Personal Disclosure and Conflict of Interest Form for Public Appointment Candidates

ETreasury Board SecretariatPublic Appointments and Agency Governance BranchPublic Appointments SecretariatThis Personal Disclosure and Conflict of Interest Form is to be used when applying for appointments to provincial agencies, short term advisory bodies or other entities, as well as special advisors to ministers/Premier.19-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-0002E

046-0026E

Application for Appointment to Agencies, Boards and Commissions

ETreasury Board SecretariatCentre for Leadership and LearningPublic Appointments Secretariat18-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-0026E

046-5191E

Broader Public Sector Compensation Information Questionnaire

ETreasury Board SecretariatTotal Compensation Strategy BranchBroader Public Sector Compensation Policy UnitThe purpose of the form is to assist in the collection of compensation information from designated employers under the Broader Public Sector Executive Compensation Act, 2014 (the Act). Issued in accordance with the Act, the Broader Public Sector Compensat15-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-5191E

046-5200E

Local Poverty Reduction Fund Funding Stream for Indigenous-led Projects Application

ETreasury Board SecretariatPoverty Reduction Strategy OfficePoverty Reduction Strategy OfficeFor Indigenous communities and Indigenous-led organizations to apply to the Local Poverty Reduction Fund - Funding Stream for Indigenous-led Projects.17-May11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=046-5200E

047-2229E

Residential Tenancy Agreement (Standard Form of Lease)

EMunicipal Affairs and HousingMarket Housing BranchResidential Tenancies UnitThis form is a residential tenancy agreement (lease). Starting April 30, 2018 landlords of most private market rental units will be required to use this form (lease) when they enter into a tenancy with a tenant.18-Jan45977http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=047-2229E

05039E

Electric Vehicle Charging Incentive Program (EVCIP) - New Electric Vehicle Charger Application Form

ETransportationTransportation Policy BranchSustainable Transportation Policy OfficeThe purpose of this form is to assist the Province of Ontario in assessing whether Level 2 (208V or 240V) private (residential/fleet) electric vehicle supply equipment (EVSE) can become eligible for the Ontario Electric Vehicle Charging Incentive Program 17-May9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=05039E

0506E

Application to Register Tobacco Products

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax18-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0506E

0511E

Application to Register for Interjurisdictional Transporter

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0511E

0515E

Application to Register for a Wholesaler's Permit

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax18-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0515E

0518E

Marine Archaeology Licence Application

ETourism, Culture and SportCulture Agencies BranchCulture Agencies UnitApplication for individuals/companies to conduct marine archaeological surveys. Both consulting and non-consulting projects. Archaeology, Marine, Licence, Underwater18-May8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0518E

0521E

Application to Register for Transit Permit

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax13-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=0521E

05245E

Notice of Appeal (for appeal of an Order of Administrative Penalty under the Collection and Debt Settlement Services Act)

EGovernment and Consumer ServicesConsumer Protection OntarioBusiness Process Modernization BranchNotice of Appeal?(for appeal of an Order of Administrative Penalty under the Collection and Debt Settlement Services Act)18-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=05245E

081-10022E-OF

Sidewalk Artist/Busker Permit Application

EMunicipality - City of TorontoMunicipal Licensing and StandardsLicensing ServicesApplication for musicians and performers (buskers) wishing to perform on City of Toronto sidewalks. 12-Aug11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=081-10022E-OF

081-10023E-OF

Temporary Fireworks Permit Application

EMunicipality - City of TorontoMunicipal Licensing and StandardsLicensing ServicesApplication for any person wishing to sell fireworks in the City of Toronto.10-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=081-10023E-OF

09-0011E

Ontario Research Fund – Research Excellence Round 9 - Notice of Intent

EResearch, Innovation and ScienceResearch and Innovation DivisionEconomic Development and Innovation DirectorateNotice of Intent to submit an application to Round 9 of the Ontario Research Fund – Research Excellence program, which provides funding for leading edge research in Ontario's universities, colleges, hospitals, and non-profit research organizations. See Mi17-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-0011E

09-0012E

Ontario Research Fund – Research Excellence Round 10 Application

EResearch, Innovation and ScienceResearch and Innovation DivisionEconomic Development and Innovation DirectorateApplication to Round 10 of the Ontario Research Fund – Research Excellence program, which provides funding for leading edge research in Ontario's universities, colleges, hospitals, and non-profit research organizations. See Ministry website for full appli19-May101http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-0012E

09-174E

Ontario – Quebec Health Study Program

ETraining, Colleges and UniversitiesFrench-Language Priorities BranchFrench-Language Continued Learning UnitTo be considered for admission to a Quebec university under the Ontario-Quebec Health Study Program, applicants must also complete this Notice of Application form and submit it to the Ministry of Training, Colleges and Universities no later than March 1.20-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=09-174E

11315E

Application for Post Adoption Birth Information Under Section 48.1 or 48.2 of the Vital Statistics Act

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo allow birth parents and adopted persons submit a service request to the Office of the Registrar General to apply for Post Adoption Birth Information under the Adoption Information Disclosure Act, 2005.10-May348http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E

11315E-A

Adoption Information Disclosure, Adopted Person's Guide to Completing and Submitting an Application for Post Adoption Birth Information

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo provide adopted persons with options when submitting a service request to the Office of the Registrar General to complete and submit an application for Post Adoption Birth Information.09-May363http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E-A

11315E-B

Adoption Information Disclosure, Birth Parent's Guide for Completing and Submitting an Application for Post Adoption Birth Information

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralTo provide birth parents with options when submitting a service request to the Office of the Registrar General to apply for Post Adoption Birth Information under the Adoption Information Disclosure Act, 2005.09-May110http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11315E-B

11327E

Application for a Change of Sex Designation on a Birth Registration of a Child (17 years of age and under)

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralApplication for a Change of Sex Designation on a Birth Registration of a Child (17 years of age and under)19-May92http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11327E

11328E

Statutory Declaration for a Change of Sex Designation on a Birth Registration of a Child

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralDeclaration for a Change of Sex Designation on a Birth Registration of a Child19-Aug46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11328E

11329E

Consent for a Change of Sex Designation on a Birth Registration of a Child

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralConsent for a Change of Sex Designation on a Birth Registration of a Child14-Dec104http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11329E

11330E

Notice of Change of Sex Designation on a Birth Registration of a Child

EGovernment and Consumer ServicesServiceOntarioOffice of the Registrar GeneralNotice of Change of Sex Designation on a Birth Registration of a Child14-Dec46http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11330E

11351E

Settling Debt - What You Need To Know

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Collection and Debt Settlement Services Act requires this to be the first page of any debt settlement/credit counselling contract.17-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11351E

11352E

Repaying Debt And Credit Counselling - What You Need To Know

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Collection and Debt Settlement Services Act requires this to be the first page of any debt settlement/credit counselling contract.17-Jan13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11352E

11353E

Consumer-Initiated Calls: Water Heater Contracts

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Consumer Protection Act requires this to be the first page of any door-to-door contract for a water heater for customer-initiated calls.17-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11353E

11354E

Unsafe Or Recalled Water Heaters - What You Need To Know

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Consumer Protection Act requires this to be the first page of any door-to-door contract for an unsafe or recalled water heater.17-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11354E

11355E

Water Heater Contracts - What You Need To Know

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioOntario's Consumer Protection Act requires this to be the first page of any door-to-door contract for a water heater.17-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11355E

11356E

Water heater contract mandatory statement - when the 20-day cooling-off period does apply

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario17-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11356E

11357E

Water heater contract mandatory statement - when the 20-day cooling-off period does not apply

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection Ontario17-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=11357E

130-7540-1016

Oaths and Affirmations of Office and Allegiance

EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningEvery public servant must swear or affirm two oaths. This is part of the ethical framework set out in the Public Service of Ontario Act.17-Nov41http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1016

130-7540-1055E

Conflict of Interest Declaration for Public Servants (Ministry Employees, Public Body Employees/Appointees and Ontario Provincial Police Employees - Civilian and Uniform)

EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningFor disclosure of potential conflict of interest for public servants including ministry employees and public body employees/appointees. Note: Adobe Reader version 11.0.04 or up is needed for the full functionality of the form.19-Mar101http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1055E

130-7540-1097E

Disclosure of Wrongdoing for Public Servants and Former Public Servants (Ministry and Public Body)

EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningFor disclosure of wrongdoing for public servants including ministry employees, ministers' office and public body employees/appointees.14-Oct25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1097E

130-7540-1107E

Post-service Activity Conflict of Interest Form for Current and Former Public Servants (Ministry, Public Body and Ontario Provincial Police)

EOPS Internal Administration FormsHR Policy and Planning BranchPolicy and Strategic PlanningTo be used by current/former ministry employees, current/former public body employees/appointees requesting a determination from their ethics executive regarding the application of the conflict of interest rules to a post-service to a post-service activit19-Mar98http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1107E

130-7540-1539E

Access or Correction Request

EOPS Internal Administration FormsFreedom of Information and Protection of PrivacyFreedom of Information and Protection of PrivacyTo help requesters get access to government records using the Freedom of Information and Protection of Privacy Act or to correct their personal information19-Dec1037http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=130-7540-1539E

14-5054-64E

Form 3 – Notification of New Active – Leprosy (Hansen's Disease)

EHealth and Long-Term CarePublic HealthInfectious Diseases Policy and Programs17-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=14-5054-64E

16-MOL-ES-034E

Regular Pay Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of pay your employer may owe you if you weren't paid for work you performed.18-Jan31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-034E

16-MOL-ES-035E

Vacation Pay Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of vacation pay your employer may owe you.18-Jan51http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-035E

16-MOL-ES-036E

Unauthorized Deductions Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of pay your employer may owe you, if your employer made deductions from your wages that were not authorized by statue, court order, or by you in writing.18-Jan7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-036E

16-MOL-ES-037E

Overtime Pay Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of overtime pay your employer may owe you.18-Jan10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-037E

16-MOL-ES-038E

Minimum Wage Worksheet

ELabourEmployment Practices BranchEmployment Standards ProgramUse this worksheet to calculate the amount of pay your employer may owe you if you were paid less than minimum wage for all the hours that you worked in a pay period.18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=16-MOL-ES-038E

1960E

Health and Safety Checklist

ELabourTraining and Awareness BranchHealth and Safety Training Administration and Certification UnitThe purpose of this checklist is to help employers increase their knowledge about their main responsibilities under the Occupational Health and Safety Act (OHSA), and to evaluate how well they are complying with their duties to ensure their workplaces are16-Feb1051http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=1960E

2018-024-0378E

Form 2: Follow-up Report to Child Abuse Register

EChildren and Youth ServicesChild Welfare SecretariatChild WelfareThis form is completed by a children's aid society to provide additional information regarding child abuse that has been verified by the society.18-Mar0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2018-024-0378E

2097E

Great Lakes Guardian Community Fund - Application 2015

EEnvironment, Conservation and ParksProgram Planning and Implementation BranchProgram Development15-Aug15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2097E

2159

Renewable Energy Approval Site Plan Approval and Buidling Permit Request

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesThis form is intended to standardize the way in which applicants of wind facilities request copies of site plan approvals (issued under section 41 of the Planning Act) and building permits (issued under s. 8 of the Building Code Act, 1992) from municipali16-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2159

2172E

Report of a Waste Audit - Large Construction and Demolition Projects

EEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared before construction or demolition begins at the site. The waste audit must be retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2172E

2173E

Report of a Waste Reduction Work Plan - Large Construction and Demolition Projects

EEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared before construction or demolition begins at the site. The waste reduction work plan must be retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2173E

2174E

Report of a Waste Audit - Industrial, Commercial and Institutional Establishments

EEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared 6 months before becoming subject to O. Reg. 102/94 and a copy retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2174E

2175E

Report of a Waste Reduction Work Plan - Industrial, Commercial and Institutional Establishments

EEnvironment, Conservation and ParksPolicy and Program DivisionResource Recovery Policy BranchThis report must be prepared 6 months before becoming subject to O. Reg. 102/94 and a copy retained on file for at least five years after it is prepared, and be made available to the ministry upon request.17-Apr16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2175E

2178

Request Under s. 20(4) to have the Sch. 3 Standards Apply in Advance of the Data Required by LAQR

EEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests to have the Schedule 3 Standards of O. Reg 419/05 - Local Air Quality (the Regulation) made under the EPA apply in advance of the date required by the Regulation17-Jun8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2178

2179

Notification of Exceedance - Local Air Quality Regulation

EEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to collect information relating to measurerd or modelled air-related exceedances as required by s.25(9), s.28(1) and s.30(3) of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA17-Jun39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2179

2180

Request Approval Under para 3 s.11(1) LAQR for a Plan for Combined Assessment of Modelled & Measured

EEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests for approval of a plan for the combined assessment of modelled and monitored results including the use of meterological data for the purpose of refining emissions rates used in the analysis under paragraph 3 of17-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2180

2181

Request for Approval Under s.13(1) of LAQR for Use of Site Specific Meterological data

EEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests for the use of site-specific meteorological data under section 13 of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA17-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2181

2182

Request for Notice Under s.7(1) of Local Air Quality Reg for Use of a Specified Dispersion Model

EEnvironment, Conservation and ParksRegional/District OfficesWest Central RegionThis form will be used to evaluate requests for the use of a specified dispersion model under s. 7 of Ontario Regulation 419/05: Air Pollution - Local Air Quality (the Regulation) made under the EPA17-Jun21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2182

2188E

Ontario CITSS Cross-Jurisdiction Users Form

EEnvironment, Conservation and ParksProgram Management BranchGreenhouse Gas Emissions Reduction ProjectThis form is to be used by individuals who have already been approved as users in the Compliance Instrument Tracking System Service (CITSS) by a jurisdiction other than Ontario and now wish to serve as an account representative or an account viewing agent17-Jun10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2188E

2189E

Drinking Water Information - O. Reg. 243/07

EEnvironment, Conservation and ParksSafe Drinking Water BranchSafe Drinking Water BranchRegister a facility, update or revoke an existing registration, or provide notice of reduce lead sampling.17-Dec57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2189E

2190E

Ethanol and Greener Diesel Reporting

EEnvironment, Conservation and ParksOperations DivisionsProgram Services UnitFor annual reporting from the regulated community under greener fuels regulations. greener diesel, ethanol in gasoline, greener fuels18-Nov15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2190E

2199E

Notice of Registration of Tax Arrears Certificate

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 1 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2199E

2200E

Statutory Declaration Regarding Sending of Notice of Registration of Tax Arrears Certificate

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 2 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2200E

2201E

Final Notice of Registration of Tax Arrears Certificate Under Section 373 of the Act

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 3 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2201E

2202E

Statutory Declaration Regarding Sending of Final Notice

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 4 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2202E

2203E

Payment into Court – Statement of Facts

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 5 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2203E

2204E

Sale of Land by Public Tender

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 6 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2204E

2205E

Tender to Purchase

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 7 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2205E

2206E

Sale of Land by Public Auction

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 8 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018). 18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2206E

2207E

Mining Act Information

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 9 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018).18-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2207E

2208E

Notice of Readvertisement

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 10 under Ontario Regulation 181/03 made under the Municipal Act, 2001 (as that Regulation reads on or after January 1, 2018).18-Jan13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2208E

2209E

Notice of Registration of Tax Arrears Certificate

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 1 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018).18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2209E

2210E

Statutory Declaration Regarding Sending of Notice of Registration of Tax Arrears Certificate

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 2 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2210E

2211E

Final Notice of Registration of Tax Arrears Certificate Under Section 344 of the Act

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 3 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2211E

2212E

Statutory Declaration Regarding Sending of Final Notice

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 4 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2212E

2213E

Payment into Court – Statement of Facts

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 5 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2213E

2214E

Sale of Land by Public Tender

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 6 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2214E

2215E

Tender to Purchase

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 7 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan31http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2215E

2216E

Sale of Land by Public Auction

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 8 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2216E

2217E

Notice of Readvertisement

EMunicipal Affairs and HousingMunicipal Finance Policy BranchTax and Revenue Policy SectionThis is the form that is prescribed as Form 9 under Ontario Regulation 579/06 made under the City of Toronto Act, 2006 (as that Regulation reads on or after January 1, 2018). 18-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2217E

2945E

Canada-Ontario Job Grant (COJG) Participant Registration

ETraining, Colleges and UniversitiesProgram Delivery SupportCanada-Ontario Job Grant Program (COJG)The Participant Registration form identifies the training participant's educational and employment history, along with details about the skills training request19-Mar131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2945E

2946E

Canada-Ontario Job Grant (COJG) Placement Agreement

ETraining, Colleges and UniversitiesProgram Delivery Support BranchJob Connect ProgramThe Placement Agreement form outlines the terms and conditions of the placement including the placement plan, job placement activities, employer's evaluation and the terms and conditions of the three parties involved in the placement - the employer, the e16-Oct56http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2946E

2947E

Canada-Ontario Job Grant (COJG) Employer Registration for Consortium

ETraining, Colleges and UniversitiesProgram Delivery Support BranchJob Connect ProgramThe Employer Registration for Consortium form captures information about the consortium, participating employer, type of business and how many individuals it employs.19-Mar57http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2947E

2948E

Canada-Ontario Job Grant Employer/Consortium Application Form

ETraining, Colleges and UniversitiesProgram Delivery Support BranchDelivery Support Unit**IMPORTANT - You must download Adobe Acrobat Reader (version 9.0 or above) to view/print PDF forms. To support the launch of the Canada-Ontario Job Grant Program. This specific form is the application to be completed by prospective employers or consortiu17-Feb47http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2948E

2953E

Canada-Ontario Job Grant (COJG) Training Agreement

ETraining, Colleges and UniversitiesProgram Delivery Support BranchProgram and Contract Alignment UnitFor use by Canada-Ontario Job Grant (COJG) Service Providers when entering into training agreements with approved Employers19-May130http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=2953E

3002E

Child Care Centre Licensing Manual

EEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitTo provide information about legislative and regulatory requirements for licensed child care centres.16-Dec42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3002E

3004E

Employment Ontario Employer Registration Form

ETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThe Employment Ontario Employer Registration form will be used to register employers in the following programs: Employment Service (ES); Youth Job Connection (YJC)/Youth Job Connection: Summer (YJCS)19-Jun373http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3004E

3006E

Employment Ontario Participant Registration Form

ETraining, Colleges and UniversitiesProgram Delivery SupportEmployment Ontario ProgramsThis form is used by Employment Ontario Service Providers to capture participant information of individuals wishing to access: Employment Service (ES);Supported Employment Consortia (SEC);Supported Employment Sole (SES); Youth Job Connection (YJC)/Youth J19-Mar1108http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3006E

3038E

Offence Declaration

EEducationChild Care Quality Assurance and Licensing BranchProgram and Policy UnitThis form is intended for use by child care licensees to meet provincial requirements for offence declarations.16-Sep391http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3038E

3042E

Declaration of Representative

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3042E

3043E

Notice of Motion

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceTo request that the Tribunal issue an order.19-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3043E

3044E

Request for an Adjournment

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3044E

3045E

Summons to a Witness

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits Service19-Sep5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3045E

3046E

Notice of Motion

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioAutomobile Accident Benefits ServiceTo request that the Tribunal issue an order.18-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3046E

3047E

Request for an Adjournment

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal19-Aug6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3047E

3048E

REQUEST TO WITHDRAW AN APPLICATION

EAttorney GeneralSafety, Licensing Appeals and Standards Tribunals OntarioLicence Appeal Tribunal16-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3048E

3107

Form Support Guides - English (ISO Package - 2 PARTS - Booklet and Pad)

EChildren, Community and Social ServicesFamily Responsibility OfficeFamily Responsibility Office12-Jan0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3107

3257E

OAP Clinical Supervisor Attestation Form

EChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchTo confirm the professionals clinically supervising behavioural services in the Ontario Autism Program meet the program's qualification requirements.19-May198http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3257E

3259E

Ontario Autism Program Registration Form

EChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form allows families with children and youth with autism to register for the Ontario Autism Program.19-May3787http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3259E

3769-41E

Form 48 - Application to Board to Review Community Treatment Order (s.39.1(1) and Notice to Board by Physician of Need

EHealth and Long-Term CareMental HealthMental Health16-Feb75http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=3769-41E

4611-45E

Paramedic Labour Mobility Application

EHealth and Long-Term CareEmergency Health Regulatory and Accountability BranchCertification and Patient Care StandardsApplication and Verification forms for the Ministry of Health (MOH) Paramedic Labour Mobility Equivalency for Paramedics who hold a valid license or certification in good standing from other Canadian provinces or territories and wish to obtain equivalency19-Nov83http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4611-45E

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

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesThis form is used when a contaminant with no Ministry POI Limit is identified as apart of an Emission Summary and Dispersion Modelling (ESDM) Report.17-Nov28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4872

4967-47E

Pharmacists Worksheet

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsMust be completed for every MedsCheck; pharmacists must have professional notes and/or a worksheet when conducting a MedsCheck.16-Jul205http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4967-47E

4968-47E

Personal Medication Record

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsUsing the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.16-Jul165http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4968-47E

4969-47E

Diabetes Education Checklist

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsThe MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Dia16-Jul53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4969-47E

4970-47E

Diabetes Education Patient Take Home Summary

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsThe MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Dia16-Jul44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4970-47E

4974-47E

Patient Take Home Summary

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsPharmacists may provide patients with a MedsCheck Patient Take-Home Summary that is intended to further engage patients in identifying ways to build added awareness in their drug therapy and help to identify therapy-related goals.16-Jul64http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4974-47E

4975-47E

MedsCheck Patient Acknowledgement of Professional Pharmacy Service

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsThe ministry is introducing an annual process for patient acknowledgement of professional pharmacy services. This is facilitated with the use of a mandatory form and when completed by the patient confirms the patient's understanding of MedsCheck.16-Jul199http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4975-47E

4976-47E

Healthcare Provider Notification of MedsCheck Services

EHealth and Long-Term CareDrug Programs Policy and Strategy BranchOntario Public Drug ProgramsUsing the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.16-Jul153http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4976-47E

4985-87E

Respiratory Syncytial Virus (RSV) Prophylaxis for High-Risk Infants Program Enrolment - Special Clinical Circumstance Medical Justification Form

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery BranchTo facilitate healthcare providers in making a Special Clinical Circumstance request for palivizumab funding.18-Aug16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=4985-87E

5041-77E

Request for Prior Approval for Funding of Sex-Reassignment Surgery

EHealth and Long-Term CareHealth Service BranchPolicy and Projects TeamForm to be completed by providers on behalf of patients seeking prior approval for insured sex-reassignment surgery.16-Mar97http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5041-77E

5046-64

Ontario Perinatal Record (set)

EHealth and Long-Term CareProvincial Programs BranchProvincial Council for Maternal and Child HealthEffective July 1, 2017, the Ontario Perinatal Record will replace the Antenatal Record 1 and the Antenatal Record 2, to guide and document perinatal care in Ontario. The form is intended for health care providers including obstetricians, midwives, family 17-Mar0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5046-64

5047-87E

Temporary Unblocking of Access to Drug and Pharmacy Service Information

EHealth and Long-Term CareDrug Programs Delivery BranchDrug Programs Delivery Branch16-Nov22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5047-87E

5060-64

Ontario Perinatal Record 3

EHealth and Long-Term CareProvincial Programs BranchProvincial Council for Maternal and Child HealthEffective July 1, 2017, the Ontario Perinatal Record will replace the Antenatal Record 1 and the Antenatal Record 2, to guide and document perinatal care in Ontario. The form is intended for health care providers including obstetricians, midwives, family 17-Mar0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5060-64

5064E

Community Transportation Pilot Grant Program Application Form

ETransportationTransit Policy BranchProvincial Transit Policy OfficeTo enable municipalities to apply for Community Transportation Pilot Grant.14-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5064E

5065E

Application for Highway Corridor Management Permits

ETransportationHighway Standards BranchHighway Corridor Management and Property OfficeAnyone planning to construct on or adjacent to a provincial highway may require a permit from the Ministry of Transportation (MTO). MTO issues permits under the Public Transportation and Highway Improvement Act and administration of the permits is the res17-Apr24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5065E

5074E

Extended Permitting Application – Non-Dump Semi-Trailers with 4 or more Axles or Double Trailers

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionFacilitate trailer owners/operators to apply for special permits extending grandfathering provision of non-dump semi-trailers with 4 or more axle or double trailers.18-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5074E

5080E

FMCSA Medical Report

ETransportationLicensing Services BranchDriver Improvement OfficeThis form is for drivers that are requesting proof of medical fitness to comply with the Federal Motor Carrier Safety Administration (FMCSA) requirement.15-Oct122http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5080E

5081E

Commercial Vehicle Operator's Registration (CVOR) Update Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office15-Oct116http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5081E

5082-69E

Application for Reduction in Long-Term Care Home Basic Accommodation – Consent to Collection, Use and Disclosure of Information for Automated Income Verification with the Canada Revenue Agency

EHealth and Long-Term CareLicensing and PolicyFinancial Policies and Procedures UnitPursuant to section 177 of the Long-Term Care Homes Act, 2007, the Director may directly or indirectly collect the information provided in this application to determine the reduced amount payable by the resident for basic accommodation in accordance with 19-May34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5082-69E

5082E

Prepaid Account Authorization Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office18-May28http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5082E

5083-69E

Withdrawal of Consent for Automated Income Verification with the Canada Revenue Agency –Long-Term Care Rate Reduction Program

EHealth and Long-Term CareLicensing and PolicyFinancial Policies and Procedures UnitPlease complete this form if you wish to withdraw your consent to the Ministry of Health and Long-Term Care (MOHLTC), Ministry of Finance and the Long-Term Care Home Licensee (LTCH Licensee) collecting your income information from the Canada Revenue Agenc19-May10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5083-69E

5087E

Commercial Vehicle Operator's Record Data Request Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office16-Jan38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5087E

5091E

Voluntary Request for MTO Facility Audit Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office18-May48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5091E

5098E

SVC Application For Hydrova, Sewer Cleaner or Street Sweeper Permit

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionHydrovacs, sewer cleaners and street sweepers manufactured before January 1, 2017 are eligible for a Special Vehicle Configuration Permit allowing them to operate outside the vehicle weight and dimension limits of the Highway Traffic Act, but within manuf17-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5098E

5111E

Oversize/Overweight Permit Application – Enhanced Project Permit

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit SectionFor carriers to apply for enhanced project permits to move similar oversized loads from the same origin and destination for a duration of up to 6 months.17-Dec11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5111E

5125E

Ontario Seniors Dental Care Program Application

EHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this application form to apply for the Ontario Seniors Dental Care Program if you and your spouse (if applicable) have filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent tax year and have a valid Social Insu19-Sep12505http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5125E

5126E

Ontario Seniors Dental Care Program Application Through Guarantor

EHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this application form to apply for the Ontario Seniors Dental Care Program if you do not have a valid Social Insurance Number (SIN) and/or if you have not filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent t19-Sep1943http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5126E

5127E

Ontario Seniors Dental Care Program. Authorizing or Cancelling a Representative

EHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this form to authorize the program administrator of the Ontario Seniors Dental Care Program to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for program 19-Sep23http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5127E

5128E

Ontario Seniors Dental Care Program. Change of Information

EHealth and Long-Term CareHealth PromotionHealth PromotionYou may use this form if you have applied and are enrolled in the Ontario Seniors Dental Care Program and would like to change the information provided at the time of application. Through this form, you can update applicant information, contact informatio19-Sep591http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5128E

5356E

Acoustic Assessment Report Check-List

EEnvironment, Conservation and ParksEnvironmental Approvals Access and Service Integration BranchBusiness ServicesTo ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted.17-Mar50http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5356E

5357E

Emission Summary And Dispersion Modelling Report Checklist

EEnvironment, Conservation and ParksEnvironmental Approvals Access and Service Integration BranchBusiness ServicesTo ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted in the Emission Summary and Dispersion Modelling Report.17-Mar52http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=5357E

56-4965E

Grow Your Own Nurse Practitioner Initiative - Application

EHealth and Long-Term CareHealth Workforce Planning BranchHuman ResourcesThe Grow Your Own Nurse Practitioner Initiative Application is the application health care organizations must complete to request participation in the Grow Your Own Nurse Practitioner Initiative.15-May67http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=56-4965E

6238

Pipe Data Form: Watermain, Storm Sewer, Sanitary Sewer and Forcemain Design

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchAssessment ServicesThis form will be used to evaluate applications for approval of municipal & non-municipal drinking-water systems as required by Section 31, 36, 38, 52 & 60 of the SDWA.17-Mar122http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=6238

7219-41E

Form 17 - Notice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act

EHealth and Long-Term CareMental HealthMental HealthNotice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act16-Dec40http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=7219-41E

7746E

Checklist for Requirements under O. Reg. 359/09 of a Renewable Energy Project

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval Services14-Aug17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=7746E

9167

Environmental Compliance Approval Application for Vertical Closed Loop Ground Source Heat Pumps

EEnvironment, Conservation and ParksEnvironmental Assessment and Permissions BranchApproval ServicesWill be used to evaluate applications for Environmental Compliance Approvals (ECAs) issued under Part II.1 of the EPA. This application form should be used solely for vertical closed loop ground source heat pumps.17-Dec22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9167

9955E

Estate Information Return

EFinanceAdvisory, Objections, Appeals and Services BranchEstate Administration Tax - Advisory & Compliance BranchTo be used by the Ministry of Finance to enforce compliance with the Estate Administration Tax Act, 1998. If you applied for a Certificate of Appointment of Estate Trustee on or before December 31, 2019, please refer to the form and guide Up to December 319-Dec8772http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9955E

9959E

Guide - Completing the Raw Leaf Tobacco Return TT101R and the Raw Leaf Tobacco Schedule 101R

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9959E

9960E

Guide - Completing the Evidence of Contract for Purchase

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9960E

9961E

Guide - Completing the Application to Register Raw Leaf Tobacco

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9961E

9962E

Guide - Completing the Application to Produce – Raw Leaf Tobacco

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco TaxGuide Completing the Application to Produce – Raw Leaf Tobacco19-Jun9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9962E

9963E

Guide - Completing the Application to Produce Raw Leaf Tobacco for Own Use in the Manufacture of Tobacco Products

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9963E

9964E

Guide - Completing the Application to Produce Raw Leaf Tobacco for Agronomic Research

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9964E

9965E

Guide - Completing the Acreage Confirmation

EFinanceAdvisory, Objections, Appeals and Services BranchTobacco Tax19-Jun7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9965E

9966E

Authorizing or Cancelling a Representative

EFinanceAdvisory, Objections, Appeals and Services BranchClient Services BranchUsed to obtain Third Party Authorization for non-tax and benefit programs in the AMCB.15-Mar45http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9966E

9996E

Ontario Land Transfer Tax Refund/Rebate Affidavit

EFinanceAudit BranchLand TaxesAllows taxpayers to claim the a rebate or refund of the Non-Resident Speculation Tax18-Jul536http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=9996E

CLA-10-E

Form 10 - Certificate of Action Under Section 36 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form certifies that a lien claimant has commenced an action to enforce a lien.14-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-10-E

CLA-11-E

Form 11 - Notice Requiring Particulars of Sheltered Claim for Lien Under Paragraph 4 of Subsection 36 (4) of The Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a lien claimant whose lien is sheltered under the perfected lien of another lien claimant that he or she must provide the defendant with further particulars of their claim.14-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-11-E

CLA-12-E

Form 12 - Notice of Cross-Examination on Claim for Lien Under Section 40 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a lien claimant, agent or assignee of the lien claimant, or a trustee of a workers' trust fund (where applicable) that he or she will be cross-examined on the lien claim.14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-12-E

CLA-13-E

Form 13 - Notice of Cross-Examination Under Section 40 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies the person to be examined or the person's solicitor, every other person named in the lien claim as having an interest in the premises, the contractor, and the payer of the lien claimant of the date, time, and location of the cross-exami14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-13-E

CLA-14-E

Form 14- Release of Lien Under Section 41 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form to discharge a preserved or perfected lien by a release of lien.14-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-14-E

CLA-15-1-E

Form 15.1 - Financial Guarantee Bond Under Section 44 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a financial guarantee bond under section 44 of the Construction Lien Act.14-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-15-1-E

CLA-15-E

Form 15 - Notice of Postponement of Lien Under Section 43 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies parties that a preserved or perfected lien is being postponed in favour of the another person's interest in the premises.14-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-15-E

CLA-16-E

Form 16 - Judgment Directing a Reference for Trial Under Section 58 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a judgment under section 58 of the Construction Lien Act directing a reference of the action to a master for trial.14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-16-E

CLA-17-E

Form 17 - Notice of Trial Under Section 60 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies all persons entitled to notice of a settlement meeting that the court has fixed a date for trial.14-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-17-E

CLA-18-E

Form 18 - Notice of Settlement Meeting Under Section 60 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies every person who is entitled to a notice of a settlement meeting that the court has ordered a settlement meeting.14-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-18-E

CLA-19-E

Form 19 - Judgment at Trial Under Section 62 of the Act Where Lien Attaches to Premises Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a judgment at trial where the lien attaches to the premises.14-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-19-E

CLA-1-E

Form 1 - Notice to Contractor Under Section 18 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a contractor that the joint owner or owner in common of the premises on which the contractor is contracted to make improvements assumes no responsibility for the improvements.14-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-1-E

CLA-20-E

Form 20 - Judgment at Trial Under Section 62 of the Act Where Lien Does Not Attach to Premises Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a judgment at trial where the lien does not attach to the premises.14-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-20-E

CLA-21-E

Form 21 - Report Under Section 62 of the Act Where Lien Attaches to Premises Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a report by a master, case management master or other person agreed to by the parties, where the lien attaches to the premises.14-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-21-E

CLA-22-E

Form 22 - Report Under Section 62 of the Act Where Lien Does Not Attach To Premises Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a report by a master, case management master or other person agreed to by the parties, where the lien does not attach to the premises.14-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-22-E

CLA-23-E

Form 23 - Financial Guarantee Bond Under Subsection 78 (10) of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a financial guarantee bond under subsection 78(10) of the Construction Lien Act. 14-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-23-E

CLA-24-E

Form 24 - Notice of Intention to Register A Condominum in Accordance With The Condominium Act, 1998 Under Section 33.1 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form provides notice that an owner of land intends to register a declaration and description for a condominium in accordance with the Condominium Act, 1998.14-Mar13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-24-E

CLA-2-E

Form 2 - Notice to Landlord Under Subsection 19 (1) of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a landlord that a contractor will make an improvement to the premises of the landlord's tenant.14-Mar14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-2-E

CLA-3-E

Form 3 - Notice to Contractor Under Subsection 19 (1) of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies a contractor that a landlord assumes no responsibility for the improvements to be made by the contractor to the premises of the landlord's tenant under a contract between the contractor and the tenant.14-Mar7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-3-E

CLA-4-E

Form 4 - Notice to Lien Claimant Under Subsection 19 (3) of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form notifies every lien claimant of a landlord's intention to enforce forfeiture or terminate a lease of the premises that are the subject of the lien because of non-payment of rent.14-Mar12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-4-E

CLA-5-E

Form 5 - Declaration of Last Supply Under Subsection 31 (5) of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form declares the date on which a supplier of services or materials last supplied services or materials under a contract or subcontract, and that the supplier will not supply any further services or materials under the contract or subcontract.14-Mar74http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-5-E

CLA-6-E

Form 6 - Certificate of Substantial Performance of the Contract Under Section 32 of the Act (Construction Lien Act )

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form certifies that a contract has been substantially performed.14-Mar62http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-6-E

CLA-7-E

Form 7 - Certificate of Completion of Subcontract Under Subsection 33 (1) of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form certifies the completion of a subcontract for the supply of services or materials.14-Mar22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-7-E

CLA-8-E

Form 8 - Claim for Lien Under Section 34 of the Act Construction Lien Act

EAttorney GeneralPolicy & Innovation DivisionJustice Policy Development BranchThis form is the prescribed form for a claim for a lien.14-Mar17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLA-8-E

CLR-001-E

Declaration Affirming Parentage under section 12(1) of the Children's Law Reform Act

EAttorney GeneralOperational Support BranchFamily Unit09-Dec20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-001-E

CLR-002-E

Joint Declaration Affirming Parentage under section 12(2) of the Children's Law Reform Act

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Dec6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-002-E

CLR-003-E

Statement of Finding of Parentage

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Dec4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CLR-003-E

COR-1-E

Form 1 - Notice of Application (Criminal Proceedings Rules)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Application by Crown or Accused. 13-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-1-E

COR-OCJ-1-E

Application (Form 1)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Ontario Court of Justice. Application by Crown or accused. 12-Apr19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-1-E

COR-OCJ-2-E

Response (Form 2)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCiminal proceeding Ontario Court of Justice . Crown or accused's response to application. 12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-2-E

COR-OCJ-3-E

Consent (Form 3)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Ontario Court of Justice. Consent by Crown or accused to application. 12-Apr15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=COR-OCJ-3-E

CSB022E

Application for Non-Commercial Intellectual Property License

ESolicitor GeneralOntario Provincial PoliceOntario Provincial PoliceApplication for Non-Commercial Intellectual Property License: For the purpose of this form, "intellectual property" is information belonging to the Ontario Provincial Police (OPP) and the rights which protect it. "Intellectual property rights" include: co17-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSB022E

CSR-10A-20-42-E

Form 10A - Conditions of Release (Criminal Code, s. 520 to 523, 816 and Criminal Proceedings Rules, Rules 20 and 42)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Form sets out the conditions upon which an accused is to be released from a detention facility. The form is to be completed by the solicitor of the accused and signed by both the solicitor and the C13-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-10A-20-42-E

CSR-11-21-E

Form 11 - Order Releasing Exhibit(s) for Scientific Testing (Criminal Code, ss. 605(1) and Criminal Proceedings Rules, Rule 21)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Form completed by solicitor of the accused for the release of identified exhibits for testing. Judge of Superior Court of Justice must approve and sign for it to become an order of the court. 13-Nov14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-11-21-E

CSR-12-23-E

Form 12 - Order for Attendance of Prisoner at Court Proceeding (Criminal Code, ss. 527(1) and Criminal Proceedings Rules, Rule 23)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-12-23-E

CSR-13-23-E

Form 13 - Order for Transfer of Prisoner to Custody of Peace Officer (Criminal Code, ss. 527(7) and Criminal Proceedings Rules, Rule 23)

EAttorney GeneralOperational Support BranchCriminal/POA Unit1. release order; 2. order of the court directing the institution to release an inmate13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-13-23-E

CSR-13A-20-E

Form 13A - Order for Attendance of Prisoner at Judicial Interim Release or Review Application Hearing (Criminal Proceedings Rules, Rule 20)

EAttorney GeneralOperational Support BranchCriminal/POA Unit1. Order for Attendance of Prisoner at Judicial Interim Release or Review; 2. order of the court directing the institution to release an inmate to attend court for a judicial interim release hearing13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-13A-20-E

CSR-14-24-E

Form 14 - Commission (Criminal Code, ss. 709 and Criminal Proceedings Rules, Rule 24)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Order appointing a commissioner to take evidence; 2. Order of the Court directing a commissioner to take evidence and provide a transcript of the evidence to the Court13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-14-24-E

CSR-15-24-E

Form 15 - Letter of Request (Criminal Code, s. 709 and Criminal Proceedings Rules, Rule 24)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Letter of request; 2. Letter from a judge in one jurisdiction to a judge in another jurisdiction requesting assistance in securing the attendance of a witness to be examined13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-15-24-E

CSR-16-24-E

Form 16 - Order for Commission and Letter of Request (Criminal Proceedings Rules, Rule 24)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Order for commission; 2. Order to the Registrar to prepare a commission13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-16-24-E

CSR-17-28-E

Form 17- Pre-Trial Conference Report (Criminal Code, s. 625.1, Criminal Proceedings Rules, Rule 28)

EAttorney GeneralOperational Support BranchCriminal/POA Unit1. Pre-trial conference report 2. Form to be completed by Crown and defence setting out issues to be litigated, concessions made, time estimates for trial, etc.13-Jan9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-17-28-E

CSR-18C1-E

Form 18C1 - Trial Readiness Report (Where Trial Readiness Court Held)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Trial readiness report when hearing held; 2. confirmation that the parties are or are not ready to proceed to trial13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-18C1-E

CSR-18C2-E

Form 18C2 - Trial Readiness Report (Where Trial Readiness Court Not Held)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Trial readiness report when hearing is not held; 2. confirmation that the parties are or are not ready to proceed to trial13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-18C2-E

CSR-19-40-E

Form 19 - Appellant's Factum – Appeal From Sentence Only (Criminal Proceedings Rules, Rule 40)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Appellant's factum - sentence appeal; 2. factum setting out the facts of the case and grounds for appeal13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-19-40-E

CSR-20-E

Form 20 - Application for Review of Parole Ineligibility (Criminal Code, s. 745.6(1) and Ontario Review of Parole Ineligibility Rules, Rule 50.02(1))

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Application for Review of Parole Ineligibility; 2. Form for offenders to use when applying to the court to reduce their period of parole ineligibility13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-20-E

CSR-21-E

Form 21 - Affidavit in Support of Application for Review of Parole Ineligibility (Criminal Code, s. 745.6(1) and Ontario Review of Parole Ineligibility Rules (Rule 50), Subrule 50.02(2))

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Affidavit in Support of Application for Review of Parole Ineligibility; 2. Affidavit of applicant setting out that the facts in the application are true13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-21-E

CSR-22-4-09-E

Form 22 - Requisition (Criminal Proceedings Rules, Rule 4.09)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Requisition; 2 request to the Registrar to provide copies of documents and exhibits required for use in the proceeding13-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-22-4-09-E

CSR-23-35-E

Form 23 - Pre-Hearing Conference Report for Crown Applications (Pursuant to Part XXIV) (Criminal Code, s. 625.1 and Criminal Proceedings Rules, Rule 35)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Pre-hearing conference report for Crown Applications for Dangerous or Long-Term Offender designations; 2. Form for Crown and defence to complete in preparation for Dangerous and Long Term Offender hearings13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-23-35-E

CSR-2-40-E

Form 2 - Notice of Appeal (Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Appeal from conviction by Crown or accused. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2-40-E

CSR-2A-40-09-E

Form 2A - Supplementary Notice of Appeal (Criminal Proceedings Rules, Rule 40.09)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Additional ground for appeal by Crown or accused. 13-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2A-40-09-E

CSR-2B-40-15-E

Form 2B - Notice of Intention to Present Appeal in Writing (Criminal Proceedings Rules, Rule 40.15)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceeding in the Superior Court of justice. Notice by Crown or accused to argue appeal in writing. 13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2B-40-15-E

CSR-2C-40-08-E

Form 2C - Court Reporter's Certificate Respecting Evidence (Criminal Proceedings Rules, Rule 40.08)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Certificate by Court Reporter confirming transcript order, court reporter and completion of transcript order within 90 days. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2C-40-08-E

CSR-2D-40-08-E

Form 2D - Court Reporter's Completion Certificate (Criminal Proceedings Rules, Rule 40.08)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Certificate by Court Reporter confirming transcript order is complete and party ordering transcript has been notified. 13-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-2D-40-08-E

CSR-3-E

Form 3 - Backsheet

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceeding in the Superior Court of Justice. Back sheet. 13-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-3-E

CSR-4-E

Form 4 - Affidavit (Criminal Proceedings Rules, Rule 4)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCiminal proceeding in the Superior Court of Justice. Affidavit setting out evidence in support of proceeding. 13-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-4-E

CSR-5-27-03-E

Form 5 - Notice of Application and Constitutional Issue (Criminal Proceedings Rules, Rule 27.03)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Notice to Attorney General of Ontario and/or Canada that a constitutional challenge is being made in a criminal proceeding. 13-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-5-27-03-E

CSR-650-01-E

Form 18 - Designation Of Counsel (Criminal Code, section 650.01)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit1. Designation of Counsel 2. for Accused to designate legal counsel to appear in Court on their behalf13-Nov19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-650-01-E

CSR-6-5-E

Form 6 - Acknowledgment of Receipt Card (Criminal Proceedings Rules, Rule 5)

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. An acknowledgement that documents have been received and service accepted. 13-Nov13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-6-5-E

CSR-7-5-E

Form 7 - Affidavit of Service (Criminal Proceedings Rules, Rule 5)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Affidavit of service of documents in proceeding. 13-Nov12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-7-5-E

CSR-8-5-09-E

Form 8 - Certificate of Service by Sheriff (Criminal Proceedings Rules, 5.09)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Affidavit of Sheriff confirming how and when documents served. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-8-5-09-E

CSR-9-E

Form 9 - Notice of Abandonment (Criminal Proceedings Rules)

EAttorney GeneralOperational Support BranchCriminal/POA UnitCriminal proceedings in the Superior Court of Justice. Notice to the Superior Court of Justice that the accused/Crown is no longer proceeding with an appeal. 13-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=CSR-9-E

EAF-001-E

Form 1 - Certificate of Recording (Subsection 5 (1)) Evidence Act

EAttorney GeneralCSD/ Corporate Planning BranchCourt Reporting Services11-Mar10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=EAF-001-E

EAF-002-E

Form 2 - Certificate of Transcript (Subsection 5 (2)) Evidence Act

EAttorney GeneralCSD/ Corporate Planning BranchCourt Reporting Services11-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=EAF-002-E

FLR-10A-E

Form 10A: Reply By applicant/added respondent

EAttorney GeneralOperational Support BranchFamily Unit05-Sep18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-10A-E

FLR-10-E

Form 10: Answer

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit12-Oct26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-10-E

FLR-12-E

Form 12: Notice of Withdrawal

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-12-E

FLR-13B-E

Form 13B: Net Family Property Statement

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-May32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13B-E

FLR-13C-E

Form 13C: Comparison of Net Family Property Statements

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit15-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13C-E

FLR-13-E

Form 13: Financial Statement (Support Claims) sworn/affirmed

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit15-Jan33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-13-E

FLR-14A-E

Form 14A: Affidavit (general) dated

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep54http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14A-E

FLR-14B-E

Form 14B: Motion Form

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14B-E

FLR-14C-E

Form 14C: Confirmation

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14C-E

FLR-14D-E

Form 14D: Order on Motion without Notice

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14D-E

FLR-14-E

Form 14: Notice of Motion

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit07-Jun14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-14-E

FLR-15A-E

Form 15A: Change Information Form

EAttorney GeneralOperational Support BranchFamily Unit16-Apr34http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15A-E

FLR-15B-E

Form 15B: Response to Motion to Change

EAttorney GeneralOperational Support BranchFamily Unit16-Apr25http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15B-E

FLR-15C-E

Form 15C: Consent Motion to Change

EAttorney GeneralOperational Support BranchFamily Unit16-Apr33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15C-E

FLR-15D-E

Form 15D: Consent Motion to Change Child Support

EAttorney GeneralOperational Support BranchFamily Unit16-Apr42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15D-E

FLR-15-E

Form 15: Motion to Change Order or Agreement

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit16-Apr18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-15-E

FLR-17A-E

Form 17A: Case Conference Brief – General

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov39http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17A-E

FLR-17B-E

Form 17B: Case Conference Brief for Protection Application/Status Review

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17B-E

FLR-17C-E

Form 17C - Settlement Conference Brief –General

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17C-E

FLR-17-E

Form 17: Conference Notice

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17-E

FLR-17E-E

Form 17E - Trial Management Conference Brief

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov22http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-17E-E

FLR-20-1-E

Form 20.1 - Acknowledgement of Expert's Duty

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-1-E

FLR-20A-E

Form 20A - Authorization to Commissioner

EAttorney GeneralOperational Support BranchFamily Unit05-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20A-E

FLR-20B-E

Form 20B - Letter of Request

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20B-E

FLR-20-E

Form 20 - Request for Information

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-E

FLR-20-F

Form 20 - Request for Information

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-20-F

FLR-22A-E

Form 22A - Response to Request to Admit

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-22A-E

FLR-22-E

Form 22 - Request to Admit

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-22-E

FLR-23A-E

Form 23A - Summons to Witness outside Ontario

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23A-E

FLR-23B-E

Form 23B - Order for Prisoner's Attendance

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23B-E

FLR-23B-F

Form 23B - Order for Prisoner's Attendance

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23B-F

FLR-23C-E

Form 23C - Affidavit for Uncontested Trial, dated

EAttorney GeneralOperational Support BranchFamily Unit09-Sep24http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23C-E

FLR-23C-F

Form 23C - Affidavit for Uncontested Trial, dated

EAttorney GeneralOperational Support BranchFamily Unit09-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23C-F

FLR-23-E

Form 23 - Summons to Witness

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-23-E

FLR-25A-E

Form 25A - Divorce Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25A-E

FLR-25A-F

Form 25A - Divorce Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25A-F

FLR-25B-E

Form 25B - Secure Treatment Order

EAttorney GeneralOperational Support BranchFamily Unit05-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25B-E

FLR-25B-F

Form 25B - Secure Treatment Order

EAttorney GeneralOperational Support BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25B-F

FLR-25C-E

Form 25C - Adoption Order

EAttorney GeneralOperational Support BranchFamily Unit12-Jun15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25C-E

FLR-25C-F

Form 25C - Adoption Order

EAttorney GeneralOperational Support BranchFamily Unit12-Jun0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25C-F

FLR-25D-E

Form 25D - Order (Uncontested Trial)

EAttorney GeneralOperational Support BranchFamily Unit05-Sep12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25D-E

FLR-25D-F

Form 25D - Order (Uncontested Trial)

EAttorney GeneralOperational Support BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25D-F

FLR-25-E

Form 25 - Order (general)

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25-E

FLR-25E-E

Form 25E - Notice Disputing Approval of Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25E-E

FLR-25E-F

Form 25E - Notice Disputing Approval of Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25E-F

FLR-25F-E

Form 25F - Restraining Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Sep14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25F-E

FLR-25F-F

Form 25F - Restraining Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Sep0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25F-F

FLR-25G-E

Form 25E - Notice Disputing Approval of Order

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit05-Sep3http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-25G-E

FLR-4-E

Form 4: Notice of Change in Representation

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit13-Oct26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-4-E

FLR-6A-E

Form 6A: Advertisement

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit15-Mar4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-6A-E

FLR-6B-E

Form 6B: Affidavit of Service sworn/affirmed

EAttorney GeneralOperational Support BranchFamily Unit16-Apr53http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-6B-E

FLR-8A-E

Form 8A: Application (Divorce) - Simple (divorce only)/Joint

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit16-Oct42http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8A-E

FLR-8B-1-E

Form 8B-1: Application (Status Review for Crown Ward and Former Crown Ward)

EAttorney GeneralOperational Support BranchFamily Unit06-Oct9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-1-E

FLR-8B-2-E

Form 8B-2: Application (General) (Child and Family Services Act Cases other than Child Protection and Status Review)

EAttorney GeneralOperational Support BranchFamily Unit06-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-2-E

FLR-8B-E

Form 8B: Application (Child Protection and Status Review)

EAttorney GeneralOperational Support BranchFamily Unit06-Oct12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8B-E

FLR-8C-E

Form 8C: Application for Secure Treatment/Extension of Secure Treatment

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit09-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8C-E

FLR-8D-1-E

Form 8D-1: Application (Dispense with Parent's Consent To Adoption Before Placement)

EAttorney GeneralOperational Support BranchFamily Unit05-Sep7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-1-E

FLR-8D-2-E

Form 8D-2: Notice of Intention to Place a Child for Adoption

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-2-E

FLR-8D-3-E

Form 8D-3: Notice to Child of Intention to Place for Adoption

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-3-E

FLR-8D-4-E

Form 8D-4: Notice of Termination of Access

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit11-Aug4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-4-E

FLR-8D-E

Form 8D: Application (Adoption)

EAttorney GeneralOperational Support BranchFamily Unit12-Jun32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8D-E

FLR-8-E

Form 8: Application (General)

EAttorney GeneralCivil/Family Policy and Program BranchFamily Unit12-Oct8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-8-E

FLR-CLRA-30-E

Children's Law Reform Act Section 30 Endorsement Sheet

EAttorney GeneralCourt Services DivisionProgram Management BranchOrders and sets out an assessment of a Children's Law Reform Act case.16-Feb12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FLR-CLRA-30-E

FORM1

Compliance Report (Form1)

EFinanceOffice of the Budget and Treasury BoardOffice of the Budget and Treasury Board11-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FORM1

FW4511E

Landowner's Consent

ENatural Resources and ForestrySpecies Conservation Policy BranchWildlife SectionRight to Access personal property for purposes of hunting16-May33http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FW4511E

FW-A-5-E

Request for Court Interpreter by An Individual Who Has Been Given a Fee Waiver

EAttorney GeneralCivil/Family Policy and Program BranchCivil UnitFee waiver granted. Request to court staff for an interpreter. 09-May4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=FW-A-5-E

LE343E

Application for the Removal of OPP Suicide Information on CPIC

ESolicitor GeneralOntario Provincial PoliceOntario Provincial Police18-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE343E

LE353E

Anti-Rackets Branch (ARB) Request for Service

ESolicitor GeneralOntario Provincial PoliceBusiness Management Bureau18-Aug13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE353E

LE354E

Consent to Release Financial Records

ESolicitor GeneralOntario Provincial PoliceBusiness Management Bureau18-Aug14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=LE354E

MAG007E

Family Arbitration Report

EAttorney GeneralJustice Policy Development BranchJustice Policy Development BranchIt lists the arbitrators information & the information about the parties to the arbitration. Must be completed by the Arbitrator for every family arbitration. 07-Oct32http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MAG007E

MR-A-52E

Application For Aid Under Part XIII

ETransportationContract Management and Operations BranchOperations Office07-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-52E

MR-A-53E

Appointment of Agent By Owners in Territority Without Municipal Organization to Arrange Road Work with The Minister of Transportation

ETransportationContract Management and Operations BranchOperations Office07-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-53E

MR-A-71E

Appointment of Owner To Call A Public Meeting Pursuant To Section 7 (1) The Local Roads Boards Act

ETransportationContract Management and Operations BranchOperations Office07-Jan15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-71E

MR-A-72E

Notice of Public Meeting The Local Roads Boards Act R.S.O. 1990, Chapter L. 27

ETransportationContract Management and Operations BranchOperations Office07-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=MR-A-72E

ON00002

Document Solutions and Logistics Branch - Form Request

EOPS Internal Administration FormsDocument Solutions and Logistics BranchDocument Solutions and Logistics BranchTo submit requests for Forms-related and Printing services19-Oct13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00002

ON00008E

Ontario Autism Program Interim One-Time Funding - Primary Caregiver Application

EChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form allows Primary Caregivers of children eligible for Ontario Autism Program Interim One-Time Funding to apply for this funding.20-Jan4339http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00008E

ON00010E

Ontario Autism Program Interim One-Time Funding - Independent Youth Application

EChildren, Community and Social ServicesChildren with Special Needs BranchChildren with Special Needs BranchThis form allows independent youths eligible for Ontario Autism Program Interim One-Time Funding to apply for this funding.20-Jan59http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00010E

ON00012E

Sample sign for auto repair businesses

EGovernment and Consumer ServicesConsumer Services, Analytics and Partnerships BranchConsumer Protection OntarioThis sample sign was produced to help auto repair businessees in Ontario comply with signage requirements under the Consumer Protection Act, 2002. This is not an official form required by the ministry; no data in this template is required to be returned t19-Dec7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00012E

ON00013E

Ontario Autism Program Interim One-Time Funding Expense Form

EChildren, Community and Social ServicesClient Services BranchChild and Youth ServicesThis form allow families to report and categorize how their Ontario Autism Program Interim One-Time Funding was spent. The information provided will be used to reconcile this funding.19-Dec585http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00013E

ON00016E

Sworn Statement to Applying for an Accessible Parking Permit on Behalf of an Adult Incapable of Signing

EGovernment and Consumer ServicesServiceOntario – Kingston Production and Verification ServicesAccessible Parking Permit Services OfficeSworn Statement to Applying for an Accessible Parking Permit on Behalf of an Adult Incapable of Signing19-Dec44http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00016E

ON00017E

Support for Parents Application

EEducationEarly Years & Child Care Policy BranchEarly Years Policy UnitTo enable parents/guardians to apply for the Support for Parents program.20-Jan2534http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=ON00017E

PH-A-17-E

Application for Sign Permit

ETransportationContract Management and Operations BranchOperations Office07-Mar20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=PH-A-17-E

PH-A-20-E

Application for Building and Land Use Permit/Entrance Permit

ETransportationContract Management and Operations BranchOperations Office07-Mar38http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=PH-A-20-E

POA-0803-E

Form 16, Provincial Offences Act, Ontario Court of Justice. Certificate Requestiong Conviction

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0803-E

POA-0812-E

Form 15, Provincial Offences Act, Ontario Court of Justice. Notice of Impending Conviction

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0812-E

POA-0813-E

Form 8, Provincial Offences Act. Notice of intention to appear

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0813-E

POA-0814-E

Form 9, Provincial Offences Act, O. Reg. 108/11. Notice of Trial

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0814-E

POA-0847-E

Form 1 - Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Certificate of Offence

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0847-E

POA-0848-E

Form 3, Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Offence Notice

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0848-E

POA-0849-E

Form 4, Provincial Offences Act, Ontario Court of Justice, O. Reg. 108/11. Offence Notice

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0849-E

POA-0851-E

Form 7.1, Provincial Offences Act, O. Reg.108/11. Early Resolution Meeting Notice

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0851-E

POA-0852-E

Form 7.2, Provincial Offences Act, O. Reg.108/11. Early Resolution Meeting Notice

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0852-E

POA-0853-E

Form 7.3, Provincial Offences Act, O. Reg.108/11. Early Resolution Outcome

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0853-E

POA-0854-E

Form 10, Provincial Offences Act, O. Reg. 108/11. Notice of Fine and Due Date

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0854-E

POA-0855-E

Form 11, Provincial Offences Act, Ontario Court of Justice. Certificate of Parking Infraction

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0855-E

POA-0856-E

Form 12, Provincial Offences Act, Ontario Court of Justice. Parking Infraction Notice

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0856-E

POA-0858-E

Form 14, Provincial Offences Act, Ontario Court of Justice. Notice of Impending Conviction

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit14-Mar9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0858-E

POA-0861-E

Form 7, Provincial Offences Act, Ontario Court of Justice. Summons

EAttorney GeneralCriminal/POA Policy and Program BranchCriminal/POA Unit11-Mar18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0861-E

POA-0862-E

Form 2.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Certificate of Offence

EAttorney GeneralCourt Services DivisionProgram Management BranchForm 2.1, Provincial Offences Act, O. Reg. 108/1116-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0862-E

POA-0863-E

Form 5.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Offence Notice

EAttorney GeneralCourt Services DivisionProgram Management BranchForm 5.1, Provincial Offences Act, O. Reg. 108/1116-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0863-E

POA-0864-E

Form 6.1, Provincial Offences Act, O. Reg. 108/11, Fail to Stop for a School Bus - Owner Liability Offence Notice

EAttorney GeneralCourt Services DivisionProgram Management BranchForm 6.1, Provincial Offences Act, O. Reg. 108/1116-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=POA-0864-E

RCP-14A-E

Form 14A - Courts of Justice Act Statement of Claim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jun20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14A-E

RCP-14B-E

Form 14B - Courts of Justice Act Statement of Claim (Mortgage Action - Foreclosure)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jun12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14B-E

RCP-14C-E

Form 14C - Courts of Justice Act Notice of Action

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jun19http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14C-E

RCP-14D-E

Form 14D - Courts of Justice Act Statement of Claim (Action Commenced by Notice of Action)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14D-E

RCP-14E-1-E

Form 14E.1- Courts of Justice Act Notice of Application Under Subsection 140(3) of The Courts of Justice Act

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jan8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14E-1-E

RCP-14E-E

Form 14E - Courts of Justice Act Notice of Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Mar11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14E-E

RCP-14F-E

Form 14F - Courts of Justice Act Information for Court use Ontario Superior Court of Justice

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov21http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-14F-E

RCP-15A-E

Form 15A - Courts of Justice Act Notice of Change of Lawyer

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15A-E

RCP-15B-E

Form 15B - Courts of Justice Act Notice of Appointment of Lawyer

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15B-E

RCP-15C-E

Form 15C - Courts of Justice Act Notice of Intention to Act in Person

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul18http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-15C-E

RCP-16B-E

Form 16B - Courts of Justice Act Affidavit of Service

EAttorney GeneralOperational Support BranchCivil Unit08-Jan26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-16B-E

RCP-17A-E

Form 17A - Courts of Justice Act Request For Service Abroad of Judicial or Extrajudicial Documents

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17A-E

RCP-17B-E

Form 17B - Courts of Justice Act Summary of The Document to be Served

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17B-E

RCP-17C-E

Form 17C - Courts of Justice Act Notice and Summary of Document Identity and Address of The Addressee

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-17C-E

RCP-18A-E

Form 18A - Courts of Justice Act Statement of Defence

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-18A-E

RCP-18B-E

Form 18B - Courts of Justice Act Notice of Intent to Defend

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul20http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-18B-E

RCP-19D-E

FORM 19D - Courts of Justice Act. Requisition for Default Judgment

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-19D-E

RCP-2-1A-E

Form 2.1a - Courts of Justice Act Notice That Proceeding (or Motion) May Be Stayed or Dismissed

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jan6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-2-1A-E

RCP-22A-E

FORM 22A - Courts of Justice Act. Special Case

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-22A-E

RCP-23A-E

FORM 23A - Courts of Justice Act. Notice of Discontinuance

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul15http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23A-E

RCP-23B-E

FORM 23B - Courts of Justice Act. Notice of Election to Proceed with Counterclaim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23B-E

RCP-23C-E

FORM 23C - Courts of Justice Act. Notice of Withdrawal of Defence

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-23C-E

RCP-25A-E

FORM 25A- Courts of Justice Act. Reply

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-25A-E

RCP-27A-E

FORM 27A- Courts of Justice Act. Counterclaim Against Parties to Main Action Only

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27A-E

RCP-27B-E

FORM 27B- Courts of Justice Act. Counterclaim (Against Plaintiff and Person Not Already Party To Main Action)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27B-E

RCP-27C-E

FORM 27C- Courts of Justice Act. Defence to Counterclaim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27C-E

RCP-27D-E

FORM 27D- Courts of Justice Act. Reply to Defence to Counterclaim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-27D-E

RCP-28A-E

FORM 28A- Courts of Justice Act. Crossclaim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28A-E

RCP-28B-E

FORM 28B- Courts of Justice Act. Defence to Crossclaim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28B-E

RCP-28C-E

FORM 28C- Courts of Justice Act. Reply to Defence to Crossclaim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-28C-E

RCP-29A-E

FORM 29A- Courts of Justice Act. Third Party Claim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29A-E

RCP-29B-E

FORM 29B - Courts of Justice Act. Third Party Defence

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29B-E

RCP-29C-E

FORM 29C - Courts of Justice Act. Reply to Third Party Defence

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-29C-E

RCP-30A-E

FORM 30A - Courts of Justice Act. Affidavit of Documents (Individual)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30A-E

RCP-30B-E

FORM 30B - Courts of Justice Act. Affidavit of Documents (Corporation or Partnership)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30B-E

RCP-30C-E

FORM 30C - Courts of Justice Act. Request to Inspect Documents

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-30C-E

RCP-34A-E

FORM 34A - Courts of Justice Act. Notice of Examination

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-34A-E

RCP-34B-E

FORM 34B - Courts of Justice Act. Summons To Witness (Examination Out Of Court)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-34B-E

RCP-35A-E

FORM 35A - Courts of Justice Act. Questions on Written Examination for Discovery

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-35A-E

RCP-37A-E

FORM 37A - Courts of Justice Act. Notice of Motion

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37A-E

RCP-37B-E

FORM 37B - Courts of Justice Act. Confirmation of Motion

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37B-E

RCP-37C-E

FORM 37C - Courts of Justice Act. Refusal and Undertakings Chart

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-37C-E

RCP-38A-E

FORM 38A - Courts of Justice Act. Notice of Appearance

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul26http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-38A-E

RCP-38B-E

FORM 38B - Courts of Justice Act. Confirmation of Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-38B-E

RCP-47A-E

FORM 47A - Courts of Justice Act. Jury Notice

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-47A-E

RCP-48C-1-E

FORM 48C-1 - Courts of Justice Act. Status Notice: Action Not On A Trial List

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-1-E

RCP-48C-2-E

FORM 48C-2 - Courts of Justice Act. Status Notice: Action Struck From Trial List

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-2-E

RCP-48C-E

FORM 48C - Courts of Justice Act. Status Notice

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48C-E

RCP-48E-E

FORM 48E - Courts of Justice Act. Notice That Action Will Be Dismissed

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48E-E

RCP-48F-E

FORM 48F - Court of Justice Act. Order Dismissing Action As Abandoned

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-48F-E

RCP-49A-E

FORM 49A - Court of Justice Act. Offer to Settle

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49A-E

RCP-49B-E

FORM 49B - Court of Justice Act. Notice Of Withdrawal of Offer

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49B-E

RCP-49C-E

FORM 49C - Court of Justice Act. Acceptance of Offer

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49C-E

RCP-49D-E

FORM 49D - Court of Justice Act. Offer to Contribute

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-49D-E

RCP-4B-E

Form 4b - Courts of Justice Act General Heading of Documents — Applications

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4B-E

RCP-4C-E

Form 4c - Courts of Justice Act – Backsheet

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4C-E

RCP-4D-E

Form 4d - Courts of Justice Act Affidavit

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4D-E

RCP-4E-E

Form 4e - Courts of Justice Act Requisition

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4E-E

RCP-4F-E

Form 4F - Courts of Justice Act Notice of Constitutional Question

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-4F-E

RCP-51A-E

FORM 51A - Court of Justice Act. Request To Admit

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-51A-E

RCP-51B-E

FORM 51B - Court of Justice Act. Response To Request To Admit

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-51B-E

RCP-53A-E

FORM 53A - Court of Justice Act. Summons To Witness (At Hearing)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53A-E

RCP-53C-E

FORM 53C - Court of Justice Act. Summons To Witness Outside Ontario

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53C-E

RCP-53-E

FORM 53 - Court of Justice Act. Acknowledgment of Expert's Duty

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit14-Jul29http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-53-E

RCP-55A-E

FORM 55A - Court of Justice Act. Notice of Hearing for Directions

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55A-E

RCP-55B-E

FORM 55B - Court of Justice Act. Notice to Party Added on Reference

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55B-E

RCP-55B-F

FORM 55B - Court of Justice Act. Notice to Party Added on Reference

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55B-F

RCP-55D-E

FORM 55D - Court of Justice Act. Notice of Contested Claim

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55D-E

RCP-55E-E

FORM 55E - Court of Justice Act. Notice to Creditor

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55E-E

RCP-55F-E

FORM 55F - Court of Justice Act. Condition of Sale

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-55F-E

RCP-57B-E

FORM 57B - Court of Justice Act. Costs Outline

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-57B-E

RCP-59A-E

FORM 59A - Court of Justice Act. Order

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59A-E

RCP-59B-E

FORM 59B - Court of Justice Act. Judgement

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59B-E

RCP-59C-E

FORM 59C - Court of Justice Act. Order on Appeal

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-59C-E

RCP-60A-E

FORM 60A - Court of Justice Act. Writ of Seizure and Sale

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60A-E

RCP-60I-1-E

FORM 60I-1 - Court of Justice Act. Notice to Co-Owner of the Debt

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60I-1-E

RCP-60J-E

FORM 60J - Court of Justice Act. Notice of Termination of Garnishment

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60J-E

RCP-60N-E

FORM 60N - Court of Justice Act. Sheriff's Report

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-60N-E

RCP-61E-E

FORM 61E - Court of Justice Act. Notice of Cross-Appeal

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61E-E

RCP-61F-E

FORM 61F - Court of Justice Act. Supplementary Notice of Appeal or Cross-Appeal

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61F-E

RCP-61G-E

FORM 61G - Court of Justice Act. Notice of Listing for Hearing (Appeal)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61G-E

RCP-61H-E

FORM 61H - Court of Justice Act. Certificate of Completeness of Appeal Book and Compendium

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61H-E

RCP-61I-E

FORM 61I - Court of Justice Act. Order Dismissing Appeal or Cross-Appeal for Delay

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61I-E

RCP-61J-E

FORM 61J - Court of Justice Act. Order Dismissing Motion for Leave to Appeal for Delay

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61J-E

RCP-61K-E

FORM 61K - Court of Justice Act. Notice of Abandonment of Appeal or Cross-Appeal

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61K-E

RCP-61L-E

FORM 61L - Court of Justice Act. Notice of Election to Proceed With Cross-Appeal

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-61L-E

RCP-62A-E

FORM 62A - Court of Justice Act. Notice of Appeal to a Judge

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-62A-E

RCP-64A-E

FORM 64A - Court of Justice Act. Request to Redeem

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64A-E

RCP-64D-E

FORM 64D- Court of Justice Act. Default Judgment for Foreclosure Without a Reference

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64D-E

RCP-64E-E

FORM 64E- Court of Justice Act. Final Order of Foreclosure

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64E-E

RCP-64F-E

FORM 64F- Court of Justice Act. Request for Sale

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-64F-E

RCP-68A-E

FORM 68A- Court of Justice Act. Notice of Application to Divisional Court for Judicial Review

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68A-E

RCP-68B-E

FORM 68B- Court of Justice Act. Notice of Listing for Hearing (Judicial Review)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68B-E

RCP-68C-E

FORM 68C- Court of Justice Act. Order Dismissing Application for Judicial Review

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-68C-E

RCP-72A-E

FORM 72A - Court of Justice Act. Notice of Payment Into Court

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72A-E

RCP-72B-E

FORM 72B - Court of Justice Act. Affidavit (Motion for Payment Out of Court)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72B-E

RCP-72C-E

FORM 72C - Court of Justice Act. Stop Order

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-72C-E

RCP-74-10-E

FORM 74-10 - Courts of Justice Act. Affidavit of Condition of Will or Codicil

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit17-Oct4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-10-E

RCP-74-11-E

FORM 74-11 - Courts of Justice Act. Renunciation of Right to a Certificate of Appointment of Estate Trustee (Or Succeding Estate Trustee) With a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-11-E

RCP-74-12-1-E

FORM 74-12-1 Courts of Justice Act. Consent to Applicant's Appointment as Estate Trustee with a Will Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-12-1-E

RCP-74-12-E

FORM 74-12- Courts of Justice Act. Consent to Applicant's Appointment as Estate Trustee with a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-12-E

RCP-74-13-1-E

FORM 74-13-1 Courts of Justice Act. Cerificate of Appointment of Estate Trustee With a Will Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-13-1-E

RCP-74-13-2-E

FORM 74-13-2 Courts of Justice Act. Order for Certificate of Appointment of (succeeding) Estate Trustee with a Will Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-13-2-E

RCP-74-14-E

FORM 74-14 Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee Without a Will (Individual Applicant)

EAttorney GeneralOperational Support BranchCivil Unit18-Sep17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-14-E

RCP-74-15-E

FORM 74-15 Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee Without a Will (Corporate Applicant)

EAttorney GeneralOperational Support BranchCivil Unit15-Feb11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-15-E

RCP-74-16-E

FORM 74-16 Courts of Justice Act. Affidavit of Service of Notice

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-16-E

RCP-74-17-E

FORM 74-17 Courts of Justice Act. Notice of an Application for a Certificate of Appointment of Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-17-E

RCP-74-18-E

FORM 74-18 Courts of Justice Act. Renunciation of Prior Right to a Certificate of Appointment of Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-18-E

RCP-74-19-E

FORM 74-19 Courts of Justice Act. Consent ti Applicant's Appointment as Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-19-E

RCP-74-1-E

FORM 74-1 - Courts of Justice Act. Notice to Estate Registrar of Deposit of Will or Codicil

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-1-E

RCP-74-20-E

FORM 74-20 Courts of Justice Act. Certificate of Appointment of Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-20-E

RCP-74-21-1-E

FORM 74-21-1 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a Will Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-21-1-E

RCP-74-21-E

FORM 74-21 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-21-E

RCP-74-22-1-E

FORM 74-22-1 Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Whit a Will Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-22-1-E

RCP-74-22-E

FORM 74-22 - Courts of Justice Act. Consent to Applicant's Appointment as Succeeding Estate Trustee With a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-22-E

RCP-74-23-1-E

FORM 74.23.1 - Courts of Justice Act. Cerificate of Appointment of Succeeding Estate Trustee With a Will Limited to the Assets Referred to in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-23-1-E

RCP-74-23-E

FORM 74-23 - Courts of Justice Act. Cerificate of Appointment of Succeeding Estate Trustee With a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-23-E

RCP-74-24-E

FORM 74-24 - Courts of Justice Act. Application for Certificate of Appointment as Succeeding Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-24-E

RCP-74-25-E

FORM 74-25 - Courts of Justice Act. Consent to Applicant's Appointment as Succeeding Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-25-E

RCP-74-26-E

FORM 74-26 - Courts of Justice Act. Certificate of Appointment of Succeeding Estate Trustee Without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-26-E

RCP-74-27-E

FORM 74.27 - Application for Confirmation by Resealing of Appointment or Certificate of Ancillary Appointment of Estate Trustee

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-27-E

RCP-74-28-E

FORM 74.28 - Courts of Justice Act. Confirmation by Resealing of Appointment of Estate Trustee

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-28-E

RCP-74-29-E

FORM 74.29 - Courts of Justice Act. Certificate of Ancillary Appointment of Estate Trustee with a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-29-E

RCP-74-2-E

FORM 74-2 - Courts of Justice Act. Notice to Estate Registrar of Withdrawal of Will or Codicil

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-2-E

RCP-74-30-E

FORM 74.30 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee During Litigation

EAttorney GeneralOperational Support BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-30-E

RCP-74-31-E

FORM 74.31 - Courts of Justice Act. Certificate of Appointment of Estate Trustee During Litigation

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-31-E

RCP-74-32-E

FORM 74.32 - Courts of Justice Act. Bond - Insurance or Guarantee Company

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-32-E

RCP-74-33-E

FORM 74.33 - Courts of Justice Act. Bond - Personal Sureties

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-33-E

RCP-74-34-E

FORM 74.34 - Courts of Justice Act. Registrar's Notice to Estate Trustee Named in a Deposited Will of Application for Certificate of Appointment of Estate Trustee with a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-34-E

RCP-74-35-E

FORM 74.35 - Courts of Justice Act. Registrar's Notice to Estate Trustee Named in a Deposited Will of Application for Certificate of Appointment of Estate Trustee without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-35-E

RCP-74-36-E

FORM 74.36 - Courts of Justice Act. Order to Accept or Refuse Appointment as Estate Trustee with a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-36-E

RCP-74-37-E

FORM 74.37 - Courts of Justice Act. Order to Accept or Refuse Appointment as Estate Trustee without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-37-E

RCP-74-38-E

FORM 74.38 - Courts of Justice Act. Order to Consent or Object to a Proposed Appointment of an Estate Trustee with or without a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-38-E

RCP-74-39-E

FORM 74.39 - Courts of Justice Act. Order to File a Statement of Assets of the Estate

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-39-E

RCP-74-3-E

FORM 74-3 - Courts of Justice Act. Request for Notice of commencement of proceeding

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-3-E

RCP-74-40-E

FORM 74.40 - Courts of Justice Act. Order to Beneficiary Witness

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-40-E

RCP-74-4-1-E

FORM 74-4-1 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Individual Applicant) Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit18-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-4-1-E

RCP-74-41-E

FORM 74.41 - Courts of Justice Act. Order to Former Spouse

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-41-E

RCP-74-42-E

FORM 74.42 - Courts of Justice Act. Order to Pass Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-42-E

RCP-74-43-E

FORM 74.43 - Courts of Justice Act. Affidavit Verifying Estate Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-43-E

RCP-74-45-1-E

FORM 74.45.1 - Courts of Justice Act. Request for Further Notice in Passing of Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-45-1-E

RCP-74-45-E

FORM 74.45 - Courts of Justice Act. Notice of Objection to Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-45-E

RCP-74-46-E

FORM 74.46 - Courts of Justice Act. Notice of No Objection to Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-46-E

RCP-74-47-E

FORM 74.47 - Courts of Justice Act. Affidavit in Support of Unopposed Judgment on Passing of Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-47-E

RCP-74-48-E

FORM 74.48 - Courts of Justice Act. Notice of Withdrawal of Objection

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-48-E

RCP-74-49-2-E

FORM 74.49.2 - Courts of Justice Act. Request for Increased Costs (Estate Trustee)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-2-E

RCP-74-49-4-E

FORM 74.49.4 - Courts of Justice Act. Reply to Notice of Objection to Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit15-Feb4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-4-E

RCP-74-49-E

FORM 74.49 - Courts of Justice Act. Request for Costs (Person other than Children's Lawyer or Public Guardian and Trustee)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-49-E

RCP-74-4-E

FORM 74-4 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Individual Applicant)

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit18-Sep9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-4-E

RCP-74-50-E

FORM 74.50 - Courts of Justice Act. Judgment on Unopposed Passing of Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-50-E

RCP-74-5-1-E

FORM 74-5-1 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Corporate Applicant) Limited to the Assets Referred To in the Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit18-Sep5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-5-1-E

RCP-74-51-E

FORM 74.51 - Courts of Justice Act. Judgment on Contested Passing of Accounts

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-51-E

RCP-74-5-E

FORM 74-5 - Courts of Justice Act. Application for Certificate of Appointment of Estate Trustee with a Will (Corporate Applicant)

EAttorney GeneralOperational Support BranchCivil Unit18-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-5-E

RCP-74-6-E

FORM 74-6 - Courts of Justice Act. Affidavit of Service of Notice

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov7http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-6-E

RCP-74-7-E

FORM 74-7 - Courts of Justice Act. Notice of Application for a Certificate of Appointment of Estate Trustee with a Will

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit12-Apr10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-7-E

RCP-74-8-E

FORM 74-8 - Courts of Justice Act. Affidavit of Execution of Will or Codicil

EAttorney GeneralOperational Support BranchCivil Unit05-Nov16http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-8-E

RCP-74-9-E

FORM 74-9 - Courts of Justice Act. Affidavit Attesting to the Handwriting and Signature of a Holograph Will or Codicil

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-74-9-E

RCP-75-10-E

FORM 75.10 - Courts of Justice Act. Statement of Submission of Rights to the Court

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-10-E

RCP-75-11-E

FORM 75.11 - Courts of Justice Act. Notice of Settlement

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-11-E

RCP-75-12-E

FORM 75.12 - Courts of Justice Act. Rejection of Settlement

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-12-E

RCP-75-13-E

FORM 75.13 - Courts of Justice Act. Notice of Contestation

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-13-E

RCP-75-14-E

FORM 75.14 - Courts of Justice Act. Claim Against Estate

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-14-E

RCP-75-1A-E

FORM 75.1A - Courts of Justice Act. Request for Assignment of Mediator

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1A-E

RCP-75-1B-E

FORM 75.1B - Courts of Justice Act. Notice by Mediator

EAttorney GeneralOperational Support BranchCivil Unit05-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1B-E

RCP-75-1C-E

FORM 75.1C - Courts of Justice Act. Statement of Issues

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1C-E

RCP-75-1D-E

FORM 75.1D - Courts of Justice Act. Certificate of Non-Compliance

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1D-E

RCP-75-1-E

FORM 75.1 - Courts of Justice Act. Notice of Objection

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-1-E

RCP-75-2-E

FORM 75.2 - Courts of Justice Act. Notice that Objection has been Filed

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-2-E

RCP-75-3-E

FORM 75.3 - Courts of Justice Act. Notice to Objector

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-3-E

RCP-75-4-E

FORM 75.4 - Courts of Justice Act. Notice of Appearance

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-4-E

RCP-75-5-E

FORM 75.5- Courts of Justice Act. Notice of Application for Directions

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-5-E

RCP-75-6-E

FORM 75.6 Courts of Justice Act. Notice of Motion for Directions

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-6-E

RCP-75-7-E

FORM 75.7 Courts of Justice Act. Statement of Claim Pursuant to Order Giving Directions

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-7-E

RCP-75-8-E

FORM 75.8 - Courts of Justice Act. Order Giving Directions Where Pleadings Directed

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul4http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-8-E

RCP-75-9-E

FORM 75.9 - Courts of Justice Act. Order Giving Directions Where Trial of Issues Directed

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-75-9-E

RCP-76A-E

FORM 76A - Courts of Justice Act. Notice Whether Action Under Rule 76

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit08-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76A-E

RCP-76B-E

FORM 76B - Courts of Justice Act. Simplified Procedure Motion Form

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76B-E

RCP-76C-E

FORM 76C - Courts of Justice Act. Notice of Readiness for Pre-Trial Conference

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76C-E

RCP-76D-E

FORM 76D - Courts of Justice Act. Trial Management Checklist

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-76D-E

RCP-7A-E

Form 7a - Courts of Justice Act Request for Appointment of Litigation Guardian

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit07-Jul9http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-7A-E

RCP-8A-E

Form 8A - Courts of Justice Act Notice to Alleged Partner

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit05-Nov8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RCP-8A-E

RR-0279-E

Order for Assessment - Client's Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0279-E

RR-0280-E

Order for Assessment - Solicitor's Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0280-E

RR-0288-E

Requisition for Assessment - Client's Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0288-E

RR-0289-E

Requisition for Assessment - Solicitor's Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit09-Dec13http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0289-E

RR-0344-E

Notice of Appointment for Assessment

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit11-Jan5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0344-E

RR-0360-E

Order for Delivery and Assessment - Client's Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Mar5http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0360-E

RR-0361-E

Requisition for Delivery and Assessment - Client's Application

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit10-Mar6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RR-0361-E

RSCC 1A-1-E

Request for a Copy of a Youth Criminal Justice Act (Canada) Sentence Order

EAttorney GeneralCivil/Family Policy and Program BranchCivil Unit03-Apr2http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC 1A-1-E

RSCC-1A-E

Form 1A - Additional Parties

EAttorney GeneralCivil/Family Policy and Program BranchCivil UnitUsed to name additional parties where a form does not have sufficient space. 14-Jan14http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-1A-E

RSCC-1A-F

Form 1A - Additional Parties

EAttorney GeneralCivil/Family Policy and Program BranchCivil UnitUsed to name additional parties where a form does not have sufficient space. 14-Jan0http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-1A-F

RSCC-7A-E

Form 7A - Plaintiff's Claim Ont. Reg. No.: 258/98

EAttorney GeneralCivil/Family Policy and Program BranchCivil UnitUsed by plaintiff to commence a proceeding against the defendant.16-Nov17http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=RSCC-7A-E

SR-E-500E

Extended Permitting Dump Semi-Trailers

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-500E

SR-E-501E

Special Vehicle Configure Permit Application Long Combination Vehicle (LCV) Program

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul6http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-501E

SR-E-503E

Special Amendment

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section17-Jan11http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-503E

SR-E-504E

Disabled Vehicle Towing Application

ETransportationCarrier Safety and Enforcement BranchOversize and Overweight Permit Section19-Jul12http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-504E

SR-E-5067E

MVIS Replacement/Amendment

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit19-Jul131http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5067E

SR-E-5070E

Request for MVIS Refund

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit15-May48http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5070E

SR-E-5071E

Termination of MVIS

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit15-May78http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5071E

SR-E-5072E

Representative and Service Provider Authorization

ETransportationCarrier Safety and Enforcement BranchMotor Vehicle Inspection Station Unit18-May65http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-E-5072E

SR-L-PR-010E

Commercial Vehicle Operator's Registration (CVOR) Replacement Application

ETransportationCarrier Safety and Enforcement BranchCarrier Sanctions and Investigation Office19-Jul357http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=SR-L-PR-010E

VSP005E

Attorney General's Victim Services Awards of Distinction - Individual Nomination

EAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind17-Sep8http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=VSP005E

VSP006E

Attorney General's Victim Services Awards of Distinction - Group/Organization Nomination

EAttorney GeneralVictims and Vulnerable Persons DivisionVictims and Vulnerable Persons DivisionThe Attorney General's Victim Services Awards of Distinction program recognizes individuals and organizations that have made exceptional contributions in their fields of service to victims, as well as victims or others who have been impacted by crime. Ind17-Sep10http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/FormDetail?OpenForm&ACT=RDR&TAB=PROFILE&ENV=WWE&NO=VSP006E