Forms
Use this form to give someone power of attorney to act on your behalf. This is only for any government business related to placer mining.
Use this form to give someone power of attorney to stake placer claims or prospecting leases in your name.
Use this form to declare that you're a corporation's authorized agent. This means you can assign prospecting leases on its behalf.
Use this form when a Mining Recorder asks for a statutory declaration on your mineral tenure.
Use this form with the transfer form when requested by the Mining Recorder.
Apply to get compensation if you lose animals or incur costs when complying with an order or direction issued under the Animal Health Act. You can apply within 60 days once the order expires or is revoked, or you have confirmation you... more
Yukon insurance agents who represent more than 1 insurer must complete this form as part of their licence application process. Have your sponsoring insurer and each additional insurer you represent complete a separate form. All... more
Students use this survey to provide feedback on the Student Training and Employment Program, or STEP, to help the Government of Yukon evaluate and improve the program.
An employer uses this form to claim reimbursement for a Yukon Summer Career Placement employee. For more information on how to apply visit Apply for a subsidy to hire a summer student.
Use this form to apply for an apprenticeship opportunity with a Yukon employer.
The chair of the Capability and Consent Board fills out this form after they review form 13. Form 13 is the notice of intention to transfer an involuntary patient who's a Yukon resident. This determines if the chair recommends transferring... more
A physician fills out this form when they plan to transfer an involuntary patient to another facility. This form is for Yukon residents.
Fill out this form if you've been an involuntary patient and are capable to waive the right to a hearing. Give a copy of this form to the Capability and Consent Board.
The attending physician and 1 other physician will each fill out this form to determine if a patient is in need of care. This form must filled out within 24 hours of a patient's involuntary admission.
Fill out this form to allow the hospital to share your clinical record with another person. Give a copy to the chief executive officer of the hospital and a physician.
Fill out this form if you disagree with facts on your clinical record. Give a copy to: the chief executive officer of the hospital; a physician; and anyone who's received copies of your clinical record in the last year.
Fill out this form if you believe there's an error on your clinical record and you'd like it corrected. Give a copy to the chief executive officer of the hospital and a physician.
A physician fills out this form when a patient on temporary release refuses to return to the hospital. The chief executive officer of the hospital, RCMP and the patient get a copy.
A physician fills out this form to grant temporary release of an involuntary patient. The chief executive officer of the hospital must sign this and give a copy to the patient.
A physician fills out this form to transfer an involuntary patient to another facility. This form is for non-residents of Yukon. The director of Insured Health Services and the chief executive officer of the hospital get a copy.
The chief executive officer of the hospital fills out this form. It notifies a patient that they are, or continue to be, an involuntary patient at the hospital.
Fill out this form if you or someone you know is an involuntary patient and wants to appeal a certificate. Give a copy of this form to the Capability and Consent Board.
The attending physician and 1 other physician will each fill out this form if they want to extend care for an involuntary patient. The physicians give copies to the Capability and Consent Board and the chief executive officer of the... more
A physician fills out this form to revoke a patient's involuntary status. The physician gives a copy to: the Capability and Consent Board; the chief executive officer of the hospital; the patient; and 1 of their relatives.
A nurse fills out this form after they finish a patient's mental health examination.