Forms

Hearing screening consent form – student

Use this form to allow your child to have a hearing screening at school.

Fill out the tally sheet

This document is the tally sheet for municipal and local government elections.

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Complete the special ballot application and oath form for Yukon municipal elections

Use this form to apply for a special ballot during a municipal election.

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Complete the poll book form

Use this form to record voters at a poll for a municipal election. This is the poll book form for municipal and local governments.

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Find the oath of witness for Yukon municipal elections

This is an oath for a person acting as witness to an elector who is unable to mark their ballot in a municipal election.

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Find the oath of a member of the board of revision

Use this form to swear in a member of the Board of Revision.

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Find the oath of a challenged elector for Yukon municipal elections

This document is the oath of a challenged elector in a municipal election. If a voter's eligibility is challenged, they can use this form to swear that they're a qualified voter.

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Complete the nomination paper form

This document is to nominate a person to be a candidate at a municipal election.

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Elections affidavit of printer

If you're a printer, use this form to confirm the municipal election results printed are accurate.

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Elections advance poll oath for Yukon municipal elections

Use this form to swear an oath that you're qualified to vote before you vote at an advance poll for a municipal election.

Special forms for the Yukon territorial election are available on… more

Elections application for registration for Yukon municipal elections

Use this form to register as a qualified voter at a polling station for a municipal election.

Special forms for the Yukon territorial election are available on the Elections Yukon website… more

Form B: application for a Yukon trapping concession

If you are applying for a trapping concession, complete in addition to Form A: declaration and application for Yukon trapping concession and/or licence. See more about trapping licences and concessions.

Water request delivery

Use this form to request water delivery.

Revised list of electors certificate of board of revisions

Use this form to certify the revised list of electors was reviewed for a municipal election.

Elections appointment of election officer

Use this form to appoint an election officer for a municipal.

Authorization of agent

Use this form to authorize a candidate's agent in a municipal election.

Form E: application for a Yukon group trapping concession

Apply for a group trapping concession if you are the spokesperson for the group. You will also need to submit a Group spokesperson designation form and Form A: declaration and application for Yukon trapping concession and/or licence.

Application for a lease to prospect

Use this form to apply for a placer prospecting lease.

Application for renewal of lease to prospect/affidavit of expenditure

Use this form to renew your placer prospecting lease. You also use this form for your affidavit of expenditure when staking your prospecting lease into placer claims.

Record of agent authorization

Use this form to authorize someone to act as your agent in regards to mining land use.

Claim holder authorization

Use this form to authorize someone as an operator or to access your claims for mining land use submissions.

Claim form for the Student Training and Employment Program (STEP)

Employers use this form to claim reimbursement for a Student Training and Employment Program (STEP) employee.

Form A: declaration and application for Yukon trapping concession and/or licence

Apply for a Yukon trapping concession, trapping licence or assistant trapper licence. If applying for a trapping concession, you will also need to complete Form B: application for a Yukon trapping concession.

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Request to cancel assistant trapper licence – concession held in partnership

Request to cancel an assistant trapper licence for a trapping concession area held in partnership.

Yukon trapping concession relinquishment affidavit – concession held as a group

Use this form to declare the end of ownership of a trapping concession on behalf of a group.