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Use this order form for the From the Ground Up fundraiser for daycares.
This is the order form for the From the Ground Up fundraiser for schools.
Fill out this form to obtain adoption records in Yukon.
A doctor fills out this form after they finish a patient's mental health examination.
Fill out this application form to get or find a birth, marriage or death certificate issued in Yukon. Give this form to Vital Statistics.
Complete the Yukon Health Care Insurance Plan notification of extended absence form if you'll be away from Yukon for 6 months or more. Drop off this form at insured health services.
Fill out this form once you have returned from an extended absence from Yukon for 6 months or more. Drop off this form at insured health services.
Parents or guardians complete this form to consent or refuse consent of their child’s enrollment in the Yukon Children's Dental Program.
Use this template to develop an operational plan for your outfitting concession to address public health measures during the COVID-19 recovery in Yukon.
Yukon seniors who own or rent their homes can apply to the Pioneer Utility Grant (PUG) to get help with paying for home heating costs on their primary residence.
Yukon seniors who own or rent their homes can apply to the Pioneer Utility Grant (PUG) to get help with paying for home heating costs on their primary residence. For renters, this certificate is completed by the landlord and submitted by... more
You can use this form to apply for case management and outreach supports for housing and community outreach services. This applies to you if you: are homeless, or have a history of homelessness and/or housing instability; have complex... more
Fill out this form if you're no longer eligible for financial help due to your income. If this applies to you, talk to your social worker about transitional support. Give this form to your social worker.
Use this template to develop an operational plan for your business or service to address public health measures during the COVID-19 recovery in Yukon.
Use this form to request a review of your event or activity by public health professionals.
Use this out-of-country claims form to provide information for travel insurance or extended health benefits to make a health care insurance claim for services provided outside of Canada.
A physician uses this form. It confirms that a mother allows the collection of medical and personal information about her fetus's birth defect.
Environmental Health Services uses this form to document follow-up information on reported instances of rabies exposure. This information is sent to the medical officer of health and the chief veterinary officer.
Use this form to report incidents or issues on behalf of clients or residents of continuing care facilities.
Use this form to register to become an organ donor.
Use this form to apply to find a new doctor in Yukon.
Use the disclosure veto and statement if you're an adopted person or birth parent. This form stops the sharing of information from: a birth certificate; or related adoption records.
Health care providers use this form to refer your patients to the Chronic Conditions Support Program. These include: Your Health! Your Way!; Diabetes Wellness Series; supervised exercise; and Pulmonary Rehabilitation Program.
Use this form to submit batches of drinking water samples for bacteriological analysis to Environmental Health Services. They determine if water samples are within quality control parameters.
Municipalities, First Nations, Government of Yukon, and other businesses or organizations use this form to apply for a permit for a trucked drinking water distribution system. Environmental Health Services ensures that trucked water meets... more