Government of Yukon

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A

 


 Access to Information and Protection of Privacy

 Request for Access to Records
         Bilingual PDF (YG4552)

 Request for Correction of Personal Information
         Bilingual PDF (YG4553)


 Adoption

 Accessing Adoption Records from Yukon Government and Family and Children's Services
         English French PDF (yg5654)

 Cancel a Disclosure Veto or No-Contact Declaration
         English French PDF (yg5652)

 Disclosure Veto and Statement
         English French PDF (yg5655)

 Identification Particulars of Adopted Person
         English French PDF (yg5696)

 No-Contact Declaration and Statement
         English French PDF (yg5653)

 Statutory Declaration and Undertaking
         English French PDF (yg5651)


 Adult Protection and Decision-Making Act

 Representation Agreement Form
         English French PDF (yg5256)

 Supported Decision-Making Agreement Form
         English French PDF (yg5255)


 Agriculture

 Agriculture Land Application
         Bilingual PDF (YG3344)

 Farm Development Plan
         English French PDF (YG4347)

 Grazing Application
         Bilingual PDF (YG3345)

 Premises Identification (PID) Program
         English French PDF (YG5716)


 Agriculture

 Application for On-farm Operation of a Mobile Abattoir
         English French PDF (YG5639)


 Air

 Application for an Air Emissions Permit (Asphalt)
         English French PDF (yg5632)

 Application for an Air Emissions Permit, Part 1 - General
         English French PDF (yg5637)

 Application for an Air Emissions Permit (Burning)
         English French PDF (yg5633)

 Application for an Air Emissions Permit - Structure Burning
         English PDF (YG5952)


 Animal Protection and Welfare

 Community dog care initiative request form
         English French PDF (YG6369)


 Apprenticeship

 Apprenticeship Application / Agreement
         English French PDF (yg5822)

 Application/Agreement to Transfer Apprenticeship to an Employer Outside of Yukon
         English French PDF (YG6113)


 Arts 

 Touring Artist Fund Application and Guidelines
         English French PDF (YG5820)

 Yukon Permanent Art Collection Submission Form
         English French PDF (YG5536)

 Yukon Permanent Art Collection Submission Guidelines
         English French PDF (YG5536 Guidelines)

 Arts Fund
         English French PDF (YG5819)

 Art Adventure on Yukon Time - Registration
         English French PDF ( YG5976)

 Art Adventures on Yukon Time - Revision Form
         English French PDF (YG5977)

 New Canadians Event Fund - Application and Guidelines
         English French PDF (YG5988)

 Advanced Artist Award - Application & Guidelines
         English French PDF (YG6010)

 Arts Operating Funds - Annual Operating Component - Application & Guidelines
         English PDF (YG5801)

 Arts Operating Funds - Annual Project Component - Application & Guidelines
         English French PDF (YG5807)

 Created in Yukon Registration Form – Retail
         English French PDF (YG6442)

 Created in Yukon Registration Form – Artist
         English French PDF (YG6440)

 Created in Yukon Order Form – Retailer
         English French PDF (YG6441)

 Created in Yukon Order Form – Artist
         English French PDF (YG6439)

 Created in Yukon Guidelines For Artists And Retailers
         English French PDF (Package of all forms)


 Aviation

 Application For a Permit to Operate a Vehicle on the Airside of An Airport (AVOP)
         Bilingual PDF (yg4591)


B

 Birth Certificates

 Birth Certificate Application
         Bilingual PDF (YG3385)


 Boards and Committees

 Nomination / Application Form for Public Use
         English French PDF (YG3538)


 Builders Lien Act

 Form 1 - Builders Lien Act - Claim of Lien for Materials or Machinery Placed or Furnished
         Bilingual PDF (YG6237)

 Form 2A - Builders Lien Act - Claim of Lien for Wages for Work Done (Single Claimant)
         Bilingual PDF (YG6238)

 Form 2B - Builders Lien Act - Claim of Lien for Wages for Work Done (Multiple Claimants)
         Bilingual PDF (YG6239)

 Form 3 - Builders Lien Act - Receipt for Discharge of Lien
         Bilingual PDF (YG6240)

 Form 4 - Builders Lien Act - Affidavit Verifying Claim of Lien or Discharge
         Bilingual PDF (YG6241)


 Building Safety 

 Affidavit of Manufacturer for Cast Iron Boilers or Pressure Vessels
         English PDF (YG5399)

 Application for Building Permit
         Bilingual PDF (YG5981)

 Application for Development Permit
         Bilingual PDF (YG5982)

 Application for a Pressure Welder's Certificate of Qualification
         Bilingual PDF (YG5402)

 Application for Plumbing Permit
         Bilingual PDF (YG5983)

 Confirmation of Assurance of Professional Design and Commitment for Field Review
         English PDF (yg5734)

 Electrical Contractor Declaration Form
         Bilingual PDF (YG4059)

 Electrical Permit Application
         Bilingual PDF (YG5401)

 Elevating Devices Application for Contractor's Licence
         Bilingual PDF (YG5406)

 Elevating Devices Application Renewal of Contractor's Licence
         Bilingual PDF (YG5403)

 Registration Information (Confidential) Elevator Inspections
         English PDF (YG5426)

 Yukon Gas Burning Devices Act - Temporary Use Authorization Form
         Bilingual PDF (YG5991)


 Building, Development & Plumbing 

 Installers Declaration of Completion (Initial or Alteration) - Elevators, Escalators, Dumbwaiters, Moving Walks, Freight Platform Lifts
         Bilingual PDF (YG5405)

 Installers Declaration of Completions (Initial or Alteration) - Handicap Lifts, Manlifts, Passenger Ropeways, Amusement Rides, Personnel Hoists
         Bilingual PDF (YG5407)

 Gas Permit Application
         Bilingual PDF (YG4271)


 Business Corporation Act ***Effective May 1, 2015*** 

 Form 1 - Business Corporations Act - Articles of Incorporation
         Bilingual PDF (YG6119)

 Form 2 - Business Corporations Act - Notice of Address of Corporation
         Bilingual PDF (YG6120)

 Form 3 - Business Corporations Act - Notice of Change or Address of Corporation
         Bilingual PDF (YG6121)

 Form 4 - Business Corporations Act - Notice of Change of Address of Corporation (by person who maintains registered or records office)
         Bilingual PDF (YG6122)

 Form 5 - Business Corporations Act - Notice of Resignation of Person who Maintains Registered or Records Office.
         Bilingual PDF (YG6123)

 Form 7 - Business Corporations Act - Articles of Amendment
         Bilingual PDF (YG6124)

 Form 8 - Business Corporations Act - Notice of Directors
         Bilingual PDF (YG6125)

 Form 9 - Business Corporations Act - Notice of Change of Directors and Directors’ Addresses (Yukon Corporation)
         Bilingual PDF (YG6126)

 Form 10 - Business Corporations Act Business Corporations Regulation - Notice of Shareholders Notice of Change of Shareholders and Shareholders’ Addresses
         Bilingual PDF (YG6127)

 Form 11 - Business Corporations Act - Restated Articles of Incorporation
         Bilingual PDF (YG6128)

 Form 12 - Business Corporations Act - Articles of Amalgamation
         Bilingual PDF (YG6129)

 Form 13 - Business Corporations Act - Application for Authorization to Amalgamate with Extra-Territorial Body Corporate into Another Jurisdiction
         Bilingual PDF (YG6130)

 Form 14 - Business Corporations Act - Articles of Continuance
         Bilingual PDF (YG6131)

 Form 15 - Business Corporations Act - Application for Authorization to Continue into Another Jurisdiction
         Bilingual PDF (YG6132)

 Form 16 - Business Corporations Act - Articles of Reorganization
         Bilingual PDF (YG6133)

 Form 17 - Business Corporations Act - Articles of Arrangement
         Bilingual PDF (YG6134)

 Form 18 - Business Corporations Act - Articles of Revival
         Bilingual PDF (YG6135)

 Form 19 - Business Corporations Act - Articles of Dissolution (special case)
         Bilingual PDF (YG6136)

 Form 20 - Business Corporations Act - Statement of Intent to Dissolve (unsupervised liquidation)
         Bilingual PDF (YG6137)

 Form 22 - Business Corporations Act - Statement of Revocation of Intent to Dissolve
         Bilingual PDF (YG6138)

 Form 23 - Business Corporations Act - Articles of Dissolution (after unsupervised liquidation)
         Bilingual PDF (YG6139)

 Form 25 - Business Corporations Act - Annual Return of Yukon Corporation
         Bilingual PDF (YG6140)

 Form 26 - Business Corporations Act - Statement for Registration as an Extra-Territorial Corporation
         Bilingual PDF (YG6141)

 Form 27 - Business Corporations Act - Appointment of Attorney for Service and Alternative Attorney of Extra-Territorial Corporation
         Bilingual PDF (YG6142)

 Form 28 - Business Corporations Act - Application for Cancellation of Assumed Name of Extra-Territorial Corporation
         Bilingual PDF (YG6143)

 Form 31 - Business Corporations Act - Notice of Change of Address for Attorney For Service of Extra-Territorial Corporation
         Bilingual PDF (YG6144)

 Form 32 - Business Corporations Act - Notice of Change of Statement for Registration as an Extra-Territorial Corporation (for changes other than directors¹ names or addresses)
         Bilingual PDF (YG6145)

 Form 33 - Business Corporations Act - Notice of Change of Directors and Directors¹ Addresses (extra-territorial corporation)
         Bilingual PDF (YG6146)

 Form 35 - Business Corporations Act - Statement of Amalgamation of Extra-Territorial Corporation Effected in Another Jurisdiction
         Bilingual PDF (YG6147)

 Form 36 - Business Corporations Act - Annual Return of Extra-Territorial Corporation
         Bilingual PDF (YG6148)

 Form 37 - Business Corporations Act - Statement for Registration as an Extra-Territorial LLC
         Bilingual PDF (YG6149)

 Form 38 - Business Corporations Act - Appointment of Attorney for Service and Alternative Attorney of Extra-Territorial LLC
         Bilingual PDF (YG6150)

 Form 39 - Business Corporations Act - Application for Cancellation of Assumed Name of Extra-Territorial LLC
         Bilingual PDF (YG6151)

 Form 42 - Business Corporations Act - Notice of Change of Addresses of Attorney for Service of Extra-Territorial LLC
         Bilingual PDF (YG6152)

 Form 43 - Business Corporations Act - Notice of Change to Statement for Registration as an Extra-Territorial LLC
         Bilingual PDF (YG6153)

 Form 44 - Business Corporations Act - Notice of Change of Managers and Managers¹ Addresses (extra-territorial LLC)
         Bilingual PDF (YG6154)

 Form 46 - Business Corporations Act - Statement of Amalgamation of Extra-Territorial LLC Effected in Another Jurisdiction
         Bilingual PDF (YG6155)

 Form 47 - Business Corporations Act - Annual Return of Extra-Territorial LLC
         Bilingual PDF (YG6156)

 Application for Name Reservation
         Bilingual PDF (YG6212)


 Business Incentive Program

 Employment Report
         English PDF (YG4983)

 Statutory Declaration - Yukon business Incentive Policy for Construction - Yukon Labour, Apprentice, Youth, and/or Materials Incentive Rebate Claim
         English PDF (YG4984)

 Yukon Business Incentive Policy - Construction Contracts Rebate Claim Form - Yukon Materials Component
         English PDF (YG4982)


 Business Name Registration *** Please refer to forms under the Partnership and Business Name Act*** 


C

 Canada-Yukon Job Grant (CJG)

 Canada-Yukon Job Grant (CJG) - Employer Activity Report (12-Months Following Training)
         English French PDF (YG6292)

 Canada-Yukon Job Grant (CJG) - Employer Activity Report (Upon Completion of Training)
         English French PDF (YG6291)

 Canada-Yukon Job Grant (CJG) - Employer Application
         English French PDF (YG6289)

 Canada-Yukon Job Grant (CJG) - Participant Application
         English French PDF (YG6290)


 Care Consent Act Forms

 Abbreviated Advance Directive
         Bilingual PDF (yg5394)

 Emergency Medical Information Form
         Bilingual PDF (yg5571)

 Form 1 (CCA) - Certificate of Legal Consultation
         English French PDF (yg5260)

 Form 2 (CCA) - Certificate of Need for Financial Protection
         English French PDF (yg5257)

 Form 3 (CCA) - Cancellation of Certificate of Need for Financial Protection
         English French PDF (yg5258)

 Form 4 (CCA) - Statement by a Close Friend before they are Chosen as a Substitute Decision-Maker
         English PDF (yg5283)

 Form 5 (CCA) - Last Resort Substitute Consent by Care Providers
         English PDF (yg5282)

 Form 6 (CCA) - Application to the Capability and Consent Board for matters under the Care Consent Act
         English PDF (yg5284)

 Resuscitation and Care form
         English PDF (yg5262)


 Carrier Compliance Permits

 Special Non-TAC Configuration Permit
         English French PDF (YG6390)


 Cash Returns

 Cash Return (PDF, Excel)
         English English PDF (YG6096)


 Child Care

 Application for Childcare Enhancement Funding
         English French PDF (YG4864)

 Attendance Record – Direct Operating Grant
         English French PDF (YG5702)

 Child Care Subsidy Form
         English French PDF (YG4586)

 Child Care User Subsidy - Eligibility
         Bilingual PDF (YG2279)

 Family Day Home Menu Declaration
         English French PDF (YG5703)


 Child Support Administrative Recalculation Service

 Application Form
         English French PDF (YG6227)

 Notice of Legal Representation or Agent
         English French PDF (YG6228)

 Response Form
         English French PDF (YG6229)


 Child and Family Services Act

 Accessing Adoption Records from Yukon Government, Family and Children's Services
         English PDF (yg5654)

 Cancel a Disclosure Veto or No-Contact Declaration
         English PDF (yg5652)

 Disclosure Veto and Statement
         English PDF (yg5655)

 Identification Particulars of Adopted Person
         English PDF (yg5696)

 No-Contact Declaration and Statement
         English PDF (yg5653)

 Statutory Declaration and Undertaking
         English PDF (yg5651)


 Chiropractor Act 

 Application for Chiropractor
         Bilingual PDF (YG5090)

 Renewal for Chiropractor
         Bilingual PDF (YG5126)


 Community Development Fund

 Community Development Fund Application
         English French PDF (YG4665)


 Community Safety Awards

 Community Safety Awards Nomination
         English French PDF (YG5837)

 Community Safety Awards Information Sheet
         English French PDF ()


 Consumer Protection Act 

 Application for Collection Agency
         Bilingual PDF (5094)

 Application for Collection Agency Employee
         Bilingual PDF (5093)

 Renewal for Collection Agency
         Bilingual PDF (yg5125)

 Renewal for Collection Agents Employee
         Bilingual PDF (yg5117)


 Contaminated Sites

 Application for a Relocation Permit
         English French PDF (yg5634)

 Application for a Permit to Use Risk-Based Restoration Standards at a Contaminated Site
         English French PDF (yg5635)

 Application for a Land Treatment Facility Permit
         English French PDF (yg5638)

 Land Treatment Facility Permit Annual Reporting Form
         English French PDF (yg5808)

 Relocation Permit Documentation Tracking Form
         English French PDF (yg5809)


 Continuing Care

 Copper Ridge Place/Macaulay Lodge/Thomson Centre Volunteer Services (Volunteer Exit Survey)
         English PDF (yg5330)


 Continuing Care

 Feedback Report
         English PDF (YG5782)

 Incident Report
         English PDF (YG5783)

 Infection Control Report
         English PDF (YG5784)

 Medication Incident Report
         English PDF (YG5785)

 Volunteer Services (Volunteer Satisfaction Survey)
         English French PDF (yg5523)

 Volunteer Services (Volunteer Exit Survey)
         English French PDF (yg5530)


 Crime Prevention Victim Services Trust Fund

 Crime Prevention Victim Services Trust Fund (CPVSTF) Application Form
         English French PDF (YG5892)

 Project Evaluation and Financial Reporting
         English French PDF (YG5893)

 Crime Prevention Victim Services Trust Fund (CPVSTF) Guidelines
         English PDF ()


 Professional Licensing & Regulatory Affairs 

 Credit Card Information
         English French PDF (YG5924)


D

 Death Certificates

 Death Certificate Application
         Bilingual PDF (YG3385)


 Dempster Highway Development Area Regulations

 Application for Dempster Highway Development Area Permit
         English French PDF (yg5888)


 Dental Professions Act 

 Application for Dentist
         English French PDF (YG5097)

 Application Dental Hygienist
         English French PDF (YG5095)

 Application for Dental Therapist
         English French PDF (YG5096)

 Application for Registration of a Professional Corporation
         Bilingual PDF (YG5100)

 Application for Specialist Dentist
         English French PDF (YG5769)

 Renewal for Dentist and Specialist Dentist
         English French PDF (YG5056)

 Renewal for Dental Hygienist
         English French PDF (YG5058)

 Renewal for Dental Therapist
         English French PDF (YG5060)

 Renewal for Professional Corporation - Dental
         Bilingual PDF (YG5057)


 Denturist Act

 Application for Denturist
         English French PDF (yg5098)

 Renewal for Denturist
         English French PDF (yg5059)


 Direct Deposit

 Direct Deposit Application
         Bilingual PDF (YG4980)


 Disability Management

 Functional Abilities Form
         English PDF (YG5954)


E

 Education

 Annual School Bus Registration
         English French PDF (YG5447)

 Application for Student Transportation Allowance
         English French PDF (YG6270)

 Application for Teacher Certification
         Bilingual PDF (YG4345)

 Application for YTA Deferred Salary Leave Plan
         English PDF (YG5718)

 Approval for Projects, Presentations, Materials and Resources in Yukon Schools - Application Form
         English French PDF (YG6097)

 Aurora Virtual School Request for Reimbursement
         English French PDF (YG6005)

 Canada Student Loan Application for Full-Time Study
         English French PDF (YG5993)

 Canada Student Loan/Student Financial Assistance Declaration
         English French PDF (YG6003)

 Catholic Schools of Whitehorse Admission Package
         English PDF (YG4968)

 Confidential Reference for Applicant for Teacher Certification
         Bilingual PDF (YG4344)

 GradCorp Application
         English PDF (YG5309)

 Home Education Plan Form
         English French PDF (YG6004)

 Oath of Office for School Council Member
         English PDF (YG5992)

 Oath or Declaration of Non-Disclosure for School Council Member
         English PDF (YG4214)

 Oath or Declaration of Non-Disclosure for School Council Secretary-Treasurer
         English PDF (YG4223)

 Out-of-Area Transfer Application
         English French PDF (YG6307)

 Program Information
         English French PDF (YG6330)

 Public Transit Registration Form
         English French PDF (YG6015)

 Roman Catholic Pastoral Reference
         English PDF (YG5366)

 Schedule A - Parent/Legal Guardian Residency Declaration
         English French PDF (YG6012)

 Schedule B - For Canada Student Loan Applications (Spouse or Partner Information and Declaration)
         English French PDF (YG6013)

 Schedule C - For Canada Student Loan Applications (Parent/Legal Guardian Information and Declaration)
         English French PDF (YG6014)

 Schedule E - For Yukon Grant Applications
         English French PDF (YG6344)

 Schedule F - Statutory Declaration - Second Residence
         English French PDF (YG6332)

 Schedule G - Statutory Declaration - Dependant Spouse
         English French PDF (YG6331)

 Student Declaration/Consent to Disclose Information Canada Student Loans/Grants
         English French PDF (YG6002)

 Student Declaration/Consent to Disclose Information Yukon Student Financial Assistance
         English French PDF (YG6001)

 Student Enrolment Form
         English French PDF (YG5607)

 Student Training & Employment Program (STEP) - Student Application
         English French PDF (YG6279)

 Student Training and Employment Program (STEP) - Non-Yukon Government Employer Application
         English PDF (YG6268)

 Student training and employment program (STEP) student survey
         English French PDF (YG6348)

 Student training and employment program (STEP) supervisor survey
         English French PDF (YG6349)

 Teacher Faith Letter
         English PDF (YG5365)

 Verification of Teaching Experience
         Bilingual PDF (YG5472)

 Yukon Student Financial Assistance Application
         English French PDF (YG3367)


 Election 

 Affidavit of Printer
         Bilingual PDF (YG3630)

 Advance Poll Oath
         Bilingual PDF (YG3633)

 Application for Registration
         Bilingual PDF (YG3628)

 Appointment of Election Officer
         Bilingual PDF (YG3632)

 Authorization of Agent
         Bilingual PDF (YG3634)

 Ballot Account
         Bilingual PDF (YG4443)

 Nomination Paper
         Bilingual PDF (YG3626)

 Notice of Application for Revision
         Bilingual PDF (YG4441)

 Oath of Allegiance
         Bilingual PDF (YG5197)

 Oath of a Challenged Elector
         Bilingual PDF (YG3629)

 Oath of a Member of the Board of Revision
         Bilingual PDF (YG3627)

 Oath of Office
         Bilingual PDF (YG5196)

 Oath of Witness
         Bilingual PDF (YG4440)

 Poll Book
         Bilingual PDF (YG3635)

 Revised List of Electors Certificate of Board of Revision
         Bilingual PDF (YG3631)

 Special Ballot Application and Oath
         Bilingual PDF (YG4868)

 Tally Sheet
         Bilingual PDF (YG4442)


 Employment

 GradCorp Application
         English PDF (YG5309)


 Employment Standards 

 Complaint Information Form Tip Sheet
         English French PDF (in5600)

 Complaint Information Form
         English French PDF (YG5600)


 Energy

 Commercial Energy Incentive Program (CEIP) - LED Lighting Upgrade for Commercial Buildings
         English French PDF (YG6276)

 Commercial Energy Incentive Program (CEIP) - Thermal Enclosure Upgrade for Multi-family Buildings (MURBS)
         English French PDF (YG6297)

 Appliances Rebate Application
         English French PDF (yg5829)

 Heating Systems Rebate Application
         English French PDF (YG5830)

 Residential Energy Assessment Rebate Application
         English French PDF (YG5827)

 Residential Renewable Energy Rebate Application
         English French PDF (YG5828)

 Super-Insulated New Home Rebate Application
         English PDF (YG6396)


 Enterprise Trade Fund

 Yukon Enterprise Trade Fund Application - Film and Sound Industry
         English French PDF (YG5473)

 Yukon Enterprise Trade Fund Application - Small Business
         English French PDF (YG5470)


 Environment Act Permits

 Application for Renewal, Amendment or Cancellation of Environment Act Permits
         English French PDF (yg5694)

 Consolidated Application for Environment Act Permits
         English French PDF (yg4647)

 Consolidated Application for Environment Act Permits
         English French PDF (YG6245)


 Environmental Health Services

 Application-Checklist for A Permit to Operate a Food Vending Vehicle
         English French PDF (YG5922)

 Electrical Assurance for Sewage Pump-Up Systems
         English French PDF (YG6326)

 Electrical Assurance for Sewage Holding Tanks
         English French PDF (YG6325)

 Environmental Health Services Survey
         English French PDF (YG5984)


F

 Film

 Film Development Fund Application
         English PDF (YG5320)

 Film Production Fund Application
         English PDF ( YG5319)

 Film Training Initiative Application
         English French PDF (YG4934)

 Film Training Initiative Application for Non-Profits
         English French PDF (YG5435)

 Yukon Filmmakers Fund Application
         English PDF (YG5350)


 Finance 

 Annual Tax Exempt Renewal Report
         English French PDF (YG4826)

 Application for a Tobacco Dealer's Permit
         English French PDF (YG1141)

 Direct Deposit Authorization
         Bilingual PDF (YG4980)

 F.O.T. Application 1
         English French PDF (YG614)

 F.O.T. Application 2
         English French PDF (YG602)

 F.O.T. Application 3
         English French PDF (YG603)

 F.O.T. Application 4
         English French PDF (YG604)

 F.O.T. Application 5
         English French PDF (YG3161)

 F.O.T. Application 5B Purchase of Fuel Oil Tax Exempt for Generators
         English French PDF (YG5802)

 F.O.T. Application 5C Purchase of Fuel Oil Tax Exempt for Golf Course - Off-Road Use Only
         English French PDF (YG5803)

 F.O.T. Application 6
         French English PDF (YG593)

 F.O.T. Application 6A
         English French PDF (YG3369)

 F.O.T. Application 7
         English French PDF (YG1787)

 F.O.T. Application 7A
         English French PDF (YG2348)

 F.O.T. Application 8
         English French PDF (YG3370)

 F.O.T.C. Quarterly Return of Fuel Oil Imported into the Yukon in the Fuel System of a Vehicle
         English French PDF (YG1476)

 Generic Fuel Collector Summary Form - Diesel and Related Products
         English French PDF (YG4778)

 Generic Fuel Collector Summary Form - Gasoline and Related Products
         English French PDF (YG4777)

 Generic Fuel Tax Transaction Report - FTG-1 Imports Form Out-Of-Jurisdiction
         English French PDF (YG4783)

 Generic Fuel Tax Transaction Report - FTG-2 Acquisitions Within Jurisdiction From Licensed Collectors
         English French PDF (YG4785)

 Generic Fuel Tax Transaction Report - FTG-3 Exports Out-Of-Jurisdiction
         English French PDF (YG4784)

 Generic Fuel Tax Transaction Report - FTG-4 Dispositions Within Jurisdiction to Licensed Collectors
         English French PDF (YG4786)

 Generic Fuel Tax Report - FTD-1 Imports from Out-Of-Jurisdiction
         English French PDF (YG4779)

 Generic Fuel Tax Transaction Report - FTD-2 Acquisitions Within Jurisdiction From Licensed Collectors
         English French PDF (YG4780)

 Generic Fuel Tax Transaction Report - FTD-3 Exports Out-Of-Jurisdiction
         English French PDF (YG4781)

 Generic Fuel Tax Transaction Report - FTD-4 Dispositions Within Jurisdiction To Licensed Collectors
         English French PDF (YG4782)

 Premium Tax Return
         English French PDF (YG336)

 Statutory Declaration
         English French PDF (YG483)

 Statutory Declaration for lost or misplaced cheque
         English French PDF (YG483)

 T.T. 3 Tobacco Tax Return
         English French PDF (YG1144)

 T.T. 4 Casual Tobacco Tax Remittance
         English French PDF (yg5894)

 T.T. 9 The Tobacco Tax Act
         English French PDF (YG1153)

 Yukon Specific Fuel Tax Transaction Report-YTD-5 Distributors and Vendor Exempt Sales
         English French PDF (YG4774)

 Yukon Specific Fuel Tax Transaction Report-YTD-6 Breakdown of Sales
         English French PDF (YG4775)

 Yukon Specific Fuel Tax Transaction Report-YTG-5 Distributors and Vendor Exempt Sales
         English French PDF (YG4773)

 Yukon Specific Fuel Tax Transaction Report-YTG-6 Breakdown of Sales
         English French PDF (YG4776)


 Fire Marshal’s Office 

 Application for a Storage Tank System Permit
         English French PDF (yg4648)

  Application for Residential Abandonment / Removal of Fuel Storage
         English French PDF (YG5725)


 Forestry

 Annual Harvest Summary
         English French PDF (YG5641)

 Class H Timber Permit Piece Count
         English French PDF (YG5021)

 Commercial Fuelwood Monthly Return Invoice
         English French PDF (YG5007)

 Commercial Fuelwood Permit Summary Return
         English French PDF (YG5009)

 Forest Resources Act – Application Commercial Harvesting Authority
         English PDF (YG5862)

 Mark Holder Scaling Agreement
         English French PDF (YG5010)

 Monthly Harvest Summary
         English French PDF (YG5643)

 Piece Scale Site Incoming Load Diary
         English French PDF (YG5016)

 Piece Scale Site Monthly Return
         English French PDF (YG5017)

 Quarterly Harvest Summary
         English French PDF (YG5642)

 Scaler Application
         English French PDF (YG5011)

 Scale Site Application
         English French PDF (YG5012)

 Scale Tally Sheet
         English French PDF (YG5015)

 Stack Scale Tally Sheet
         English French PDF (YG5019)

 Summary of Scale
         English French PDF (YG5020)

 Timber Permit Daily/Monthly Load Inventory
         English French PDF (YG5014)

 Timber Return Monthly Invoice
         English French PDF (YG5008)

 Weight Scale Site Monthly Return
         English French PDF (YG5018)


 Funeral Directors Act 

 Application for Funeral Director
         Bilingual PDF (YG5089)

 Renewal for Funeral Director
         Bilingual PDF (YG5127)


G

 Garage Keepers Lien Act

 Notice
         Bilingual PDF (YG6277)


 Garnishment Forms

 Notice of Response to Writ
         Bilingual PDF (YG2613)

 Writ of Continuing Garnishment (Issued after Judgement)
         Bilingual PDF (YG2614)

 Writ of Immediate Garnishment (Issued after Judgement)
         Bilingual PDF (YG2706)


H

 Change of Name

 Application for Name Change of an Adult
         Bilingual PDF (YG3401)

 Application for Change of Name: Dependant Children
         Bilingual PDF (YG3404)


 Historic Sites

 Yukon Historic Resources Fund Guidelines and Application
         English French PDF (YG5919)

 Historic Properties Assistance Program Guidelines and Application
         English French PDF (YG5917)

 Historic Properties Assistance Program - APPENDIX A Financial Summary For Proposed Project
         English French PDF (YG5920)


 Home Owners Grant 

  Home Owners Grant
         Bilingual PDF (YG3101)


I

 Immunization

 Consent for School Immunizations - Grade 6
         English French PDF (YG5788)

 Consent for School Immunizations - Grade 9
         English French PDF (yg5838)


 Insurance Act 

 Agent recommendation
         Bilingual PDF (YG5084)

 Application for Adjuster
         Bilingual PDF (YG5318)

 Application for Agent
         Bilingual PDF (YG5084)

 Application for Broker
         Bilingual PDF (YG5190)

 Application for Salesperson
         Bilingual PDF (YG5123)

 Application for Special Broker
         Bilingual PDF (YG5120)

 Canadian Council of Insurance Regulators - Application for Insurer's Licence
         English French PDF (External Link)

 Fee Schedule for Insurance
         Bilingual PDF (YG5088)

 Monthly Return of Special Insurance Broker - Section 238(1)
         Bilingual PDF (YG5121)

 Notice of Appointment of Salesperson - Page 4
         Bilingual PDF (YG5835)

 Renewal for Adjuster
         Bilingual PDF (YG5134)

 Renewal for Agent
         Bilingual PDF (YG5130)

 Renewal for Broker and Special Brokers
         Bilingual PDF (YG5322)

 Renewal for Salesperson
         Bilingual PDF (YG5129)

 Renewal for Insurance Company
         Bilingual PDF (YG5310)


 Insured Health

 Temporary Absence
         English French PDF (YG3383)

 YHCIP Notice of Change
         Bilingual PDF (YG679)


J

K

L

 Lands

 Application for Amendment to Area Development Regulations
         English French PDF (YG5371)

 Application for Land Use Permit
         English French PDF (YG5028)

 Application for Quarry Permit for New Sites
         Bilingual PDF (YG5026)

 Application for Quarry Permit for Non-Designated Existing Pit
         Bilingual PDF (YG5441)

 Application to Store Machinery and Materials
         Bilingual PDF (YG5027)

 Application for Subdivision Approval
         English French PDF (YG5370)

 Application For Subdivision Approval of Agricultural Land
         English PDF (YG5603)

 Application for Yukon Lands
         English French PDF (YG4917)

 Lands Branch Customer Service Survey
         English PDF (YG5534)

 Lands Branch Website Survey
         English French PDF (YG5328)

 Quarry Permit for Designated Public Pit
         Bilingual PDF (YG3463)


 Licensed Practical Nurses

 Renewal Application for Full and Interim Registration Licences - Licensed Practical Nurses
         English French PDF (yg5146)

 Inactive Application for New Inactive Registration Licences and Renewal of Inactive Registration Licenses - Licensed Practical Nurses
         English French PDF (YG6101)


 Liquor

 Barring Orders
         English French PDF (YG5949)

 Liquor Act Bearer Order
         Bilingual PDF (YG5358)

 Liquor Licence New Application Package
         English French PDF (YG5502 package of all forms)

 Liquor Licence Transfer Application Package
         French English PDF (YG5503 package of all forms)

 Listing Application
         Bilingual PDF (YG5357)

 New Product Suggestion - Fill out this form to give us your suggestion!
         Bilingual PDF (YG5388)

 Order Form
         Bilingual PDF (YG2485)

 Reception Permit Application (Liquor Served, Not Sold)
         English French PDF (YG781)

 Special Occasion Permit Application (Liquor for Resale)
         English French PDF (YG780)

 Special Order Form
         Bilingual PDF (YG5356)


 Loan Program Applications

 Down Payment Assistance Program Application
         English PDF (YG6310)

 Home Ownership Program Application
         English French PDF (YG6308)

 Home Repair Program Application
         English French PDF (YG6309)

 Rental/Secondary Suite Program Application
         English French PDF (YG6311)

 Verification of Employment
         English French PDF (YG6340)


 Lottery Licencing Act 

 Accountant Option Declaration
         English French PDF (yg5731)

 Application for Bingo Licence
         English French PDF (YG5091)

 Application for Casino Games
         Bilingual PDF (YG5092)

 Application for a Raffle Licence
         English French PDF (YG5101)

 Financial Report for Bingo
         English French PDF (YG5338)

 Financial Report for Casino Games
         English French PDF (YG5340)

 Financial Report for Raffle
         English French PDF (YG5339)

 Prize Guarantee by Financial Institution
         English French PDF (yg5713)

 Prize Guarantee by Individual
         English French PDF (yg5712)

 Raffle Ticket Inventory Control Worksheet
         English French PDF (yg5759)

 Request for Travel Itinerary Form - Lottery Licensing Act
         English French PDF (YG5103)

 Sample Bingo Control Sheets
         English French PDF (yg5714)

 Sample Raffle ticket format
         English French PDF (N/A)

 Single day (7 hour) Raffle Terms and Conditions
         English French PDF (yg5730)

 Statutory Declaration - Meals
         English French PDF (yg5715)


M

 Maintenance Enforcement Program

 Acceptance of Direct Payment
         English French PDF (YG6405)

 Affidavit of Arrears
         English French PDF (YG4289)

 Credit Card Pre-Authorization Form
         English French PDF (YG6404)

 Direct Deposit Form for Claimants
         English French PDF (YG6403)

 Income and Expense Form for Respondents
         English French PDF (YG6406)

 Record of Maintenance Payments
         English French PDF (YG6402)


 Marriage Act 

 List of Clergymen Authorized to Solemnize Marriage
         Bilingual PDF (YG5055)


 Marriage Certificates

 Marriage Certificate Application
         Bilingual PDF (YG3385)


 Marriage Commissioner

 Marriage Commissioner Application Form
         English French PDF (YG6102)


 Medical Profession Act 

 Renewal for Professional Corporation - Medical
         Bilingual PDF (YG5116)


 Medical Travel

 Out-of-Territory Medical Travel Subsidy Form
         English French PDF (YG4840)

 Out-of-Territory Medical Travel via Road to Scheduled Appointments
         English French PDF (YG4857)


 Mental Health Act

 Form 1 - Application for Order for Involuntary Examination
         English PDF (yg3983)

 Form 2 - Order to Apprehend
         English PDF (yg3984)

 Form 3 - Statement of Peace Officer on Apprehension
         English PDF (yg3985)

 Form 4 - Reccomendation for Involuntary Psychiatric Assessment (Physician)
         English French PDF (yg3986)

 Form 5 - Recommendation for Involuntary Psychiatric Assessment (Nurse)
         English French PDF (yg3987)

 Form 6 - Patient's Right to be Informed
         English PDF (yg4077)

 Form 7 - Certificate of Involuntary Admission
         English French PDF (yg3989)

 Form 8 - Waiver of Right to an Automatic Hearing
         English PDF (yg5281)

 Form 9 - Application to the Capability and Consent Board for Matters under the Mental Health Act
         English PDF (yg3988)

 Form 10 - Authorization for Specified Treatment
         English PDF (yg3996)

 Form 11 - Certificate of Renewal of Involuntary Admission
         English PDF (yg3997)

 Form 12 - Certificate of Change of Status
         English PDF (yg3998)

 Form 13 - Notice of Intention to Transfer an Involuntary Patient (Yukon Resident)
         English PDF (yg3990)

 Form 14 - Renewal of Proposed Patient Transfer
         English PDF (yg4000)

 Form 15 - Application for Transfer of a Non-Resident Involuntary Patient
         English PDF (yg4002)

 Form 16 - Temporary Release of Involuntary Patient
         English PDF (yg4003)

 Form 17 - Certificate of Return
         English PDF (yg4004)

 Form 18 - Application to Withhold Clinical Record
         English PDF (yg4005)

 Form 19 - Request for Correction of the Clinical Record
         English PDF (yg4006)

 Form 20 - Statement of Disagreement with a Clinical Record
         English PDF (yg4007)

 Form 21 - Consent of Disclosure, Transmittal or Examination of a Patient Record
         English PDF (yg4008)


 Minerals

 Statutory Declaration - For Transfer of Mineral Claim
         English French PDF (YG6070)


 Minerals - Coal Mining

 Territorial Coal Regulations - Application for Permit
         English French PDF (YG5032)

 Territorial Coal Regulations - Application for Lease
         English French PDF (YG5033)

 Territorial Coal Regulations - Application for Exploration Licence
         English French PDF (YG5034)

 Territorial Coal Regulations - Affidavits
         English French PDF (YG5031)


 Minerals - Placer Mining Claims

 Application for Grant for Placer Mining
         English French PDF (YG5038)

 Application to Group Placer Claims
         Bilingual PDF (YG5041)

 Application for Renewal of Grant for Placer Mining
         English French PDF (YG5039)

 Application for Renewal of Grant for Placer Mining (Using Excess Work Credits only)
         Bilingual PDF (YG5040)

 Grouping Work Program
         Bilingual PDF (YG5042)

 Power of Attorney/Affidavit of Witness
         English French PDF (YG5045)

 Transfer of Placer Claim(s) or Interest
         English French PDF (YG5043)


 Minerals - Placer Mining Land Use

 Aboveground Storage Tank (AST) - Registration
         Bilingual PDF (YG5025)

 Application for Certificate of Completion
         Bilingual PDF (YG5211)

 Application for Class 4 Placer Mining Land Use Approval (Contact the Yukon Water Board: #106-419 Range Road, Whitehorse, YT Y1A 3V1, phone 867-456-3980, fax 456-3890, email: ywb@yukonwaterboard.ca ).
         PDF ()

 Assignment of Operating Plan
         English French PDF (YG5071)

 Class 2 Notification / Land Use Operation
         Bilingual PDF (YG5109)

 Class 3 Placer Mining Land Use Operating Plan / Land Use Approval
         English French PDF (YG5068)

 Mining Land Use Approval Amendment Request Form
         English French PDF (YG6306)


 Minerals - Placer Mining Prospecting Leases

 Assignment of Prospecting Lease
         English French PDF (YG5035)

 Application for a Lease to Prospect
         English French PDF (YG5052)

 Application for Renewal of Lease to Prospect / Affidavit of Expenditure
         English French PDF (YG5036)

 Prospecting Work Program
         English French PDF (YG5037)


 Minerals - Quartz Claims

 Application for a Certificate of Improvements
         English French PDF (YG5050)

 Application for a Certificate of Work
         English French PDF (YG5049)

 Application for Fractional Claim
         English French PDF (YG5047)

 Application for a Full Claim
         English French PDF (YG5046)

 Application to Group Mineral Claims
         English French PDF (YG5048)

 Application for Renewal of Grant for Quartz Mining Pay in Lieu
         Bilingual PDF (YG5220)

 Notice of Intent to Apply for Certificate of Improvements
         Bilingual PDF (YG5112)

 Survey Notice
         Bilingual PDF (YG5111)

 Transfer of Quartz Mining Claim(s) or Interest
         English French PDF (YG5044)


 Minerals - Quartz Mining Land Use

 Aboveground Storage Tank (AST) - Registration
         Bilingual PDF (YG5025)

 Application for Class 3/4 Quartz Mining Land Use Operating Plan / Land Use Approval
         English French PDF (YG5069)

 Assignment of Operating Plan
         English French PDF (YG5072)

 Class 1 Quartz Mining Land Use Notification form
         English PDF (YG5844EQ)

 Class 2 Notification / Exploration Program
         Bilingual PDF (YG5110)

 Mining Land Use Approval Amendment Request Form
         English French PDF (YG6306)

 Quartz Mining Land Use Notification form - Info Page
         English PDF ()


 Minerals - Yukon Mining Incentives Program (YMIP)

 Application for Funding
         English PDF (YG5408)


 Motor Vehicles 

 Application for Renewal of Yukon Drivers Licence
         English French PDF (YG6427)

 Application for 90 Day Temporary/Duplicate Operator's Licence
         English French PDF (YG6112)

 Application for a Duplicate General Identification Card
         English French PDF (YG6094)

 Application for Personalized Licence Plate
         Bilingual PDF (YG4978)

 Application for Review - Vehicle Impoundment
         Bilingual PDF (YG4759)

 Application for Veteran Plate Eligibility
         English French PDF (YG5236)

 Automobile Inspection Certificate
         English PDF (YG6092)

 Bill of Sale
         English French PDF (YG6095)

 Driver Abstract Request Form
         English French PDF (YG5947)

 Driver Licence/General Identification Card (GIC) Change of Gender Designation
         Bilingual PDF (YG6305)

 Driver's Licence Letter of Confirmation/Experience Request
         English French PDF (YG6056)

 GDL Driver Record and Declaration
         English French PDF (YG4885)

 Guarantor Declaration (in lieu of photo/signature identification)
         English French PDF (YG5728)

 Motor Vehicle Search Request
         English French PDF (YG3704)

 Parental or Guardian Consent Form (for applicants under the age of 18)
         English French PDF (YG5729)

 Parental/Guardian Consent to Change of Gender Designation
         Bilingual PDF (YG6304)


N

 Naming Regulation ***Effective May 1, 2015***

 Form 1 - Naming Regulation - Application for Name Registration
         Bilingual PDF (YG6212)


 National Safety Code

 Application for Safety Rating Certificate
         English French PDF (YG4770)

 Application For Designation as Inspection Facility
         English French PDF (YG4155)

 Confirmation of Insurance
         Bilingual PDF (YG5572)


 New Housing Programs

 Accessibility Enhancement Grant Application
         English PDF (YG6246)

 Municipal Matching Rental Construction Program Application
         English PDF (YG6247)

 Rental Housing Allowance for Families Application Form
         English French PDF (YG6243)

 Rental Quality Enhancement Grant Application
         English PDF (YG6248)


O

  Office of the Premier

 Request for a Letter from the Premier of Yukon
         English French PDF (YG6016)


 ODS 

 ODS/OH Permit Application
         English French PDF (yg5631)


 Office of the Commissioner

 Request Form for Birthday and Anniversary Message from the Commissioner
         English French PDF (YG6271)


 Oil and Gas

 Application for Oil and Gas Lease
         English PDF (YG5605)

 Change of Address for Service of Secured Party
         English PDF (YG5493)

 Company Contact Information
         English PDF (YG5491)

 Disposition Transfer Form
         English PDF (YG5275)

 Notice of Assignment or Partial Assignment of a Registered Security Interest
         English PDF (YG5495)

 Notice of Designated Representative, Replacement, or Revocation
         English PDF (YG5349)

 Notice of Discharge or Partial Discharge of a Registered Postponement
         English PDF (YG5520)

 Notice of Discharge or Partial Discharge of a Security Interest
         English PDF (YG5494)

 Notice of Official Service Address of Designated Representative or Sole Holder
         English PDF (YG5348)

 Notice of Postponement of a Registered Security Notice
         English PDF (YG5521)

 Oil and Gas Transmittal Letter
         English PDF (YG5446)

 Request for Posting
         English PDF (YG5330)

 Security Notice
         English PDF (YG5496)

 Surrender Form
         English PDF (YG5306)

 Transfer of Licence
         English French PDF (YG6376)

 Work Bid Submission Form
         English PDF (YG5412)


 Optometrists Act 

 Application for Optometrist
         Bilingual PDF (YG5308)

 Renewal for Optometrist
         Bilingual PDF (YG5192)


P

 Park Permits

 Application for a Park Permit (Land Use or Industrial Development) ***YOU MUST DOWNLOAD THIS FORM AND OPEN IN ACROBAT***
         English PDF (yg5839)

 Application for a Park Permit (Research and Educational Activities) ***YOU MUST DOWNLOAD THIS FORM AND OPEN IN ACROBAT***
         English PDF (yg5842)

 Application for a Park Permit (Commercial Recreation) ***YOU MUST DOWNLOAD THIS FORM AND OPEN IN ACROBAT***
         English PDF (yg5843)


 Partnership and Business Names Act ***Effective May 1, 2015*** 

 Form 1 - Partnership and Business Names Act - Notice of Office of Limited Partnership
         Bilingual PDF (YG6189)

 Form 2 - Partnership and Business Names Act - Notice of Change of Registered Office of Limited Partnership
         Bilingual PDF (YG6190)

 Form 3 - Partnership and Business Names Act - Application for Registration of Limited Partnership Formed Outside Yukon
         Bilingual PDF (YG6191)

 Form 4 - Partnership and Business Names Act - Declaration of Partnership
         Bilingual PDF (YG6192)

 Form 5 - Partnership and Business Names Act - Renewal of Declaration of Partnership
         Bilingual PDF (YG6193)

 Form 6 - Partnership and Business Names Act - Notice of Change of Information in Declaration of Partnership
         Bilingual PDF (YG6194)

 Form 7 - Partnership and Business Names Act - Declaration of Dissolution of Partnership
         Bilingual PDF (YG6195)

 Form 8 - Partnership and Business Names Act - Declaration of Business Name
         Bilingual PDF (YG6196)

 Form 9 - Partnership and Business Names Act - Notice of Change of Information in Declaration of Business Name
         Bilingual PDF (YG6197)

 Form 10 - Partnership and Business Names Act - Renewal of Declaration of Business Name
         Bilingual PDF (YG6198)

 Form 11 - Partnership and Business Names Act - Declaration of Cessation of Use of Business Name
         Bilingual PDF (YG6199)

 Form 12 - Partnership and Business Names Act - Application for Registration as an LLP
         Bilingual PDF (YG6200)

 Form 14 - Partnership and Business Names Act - Notice of Change of Information in Application for Registration as LLP
         Bilingual PDF (YG6201)

 Form 15 - Partnership and Business Names Act - Renewal of Registration as LLP
         Bilingual PDF (YG6202)

 Form 16 - Partnership and Business Names Act - Request to Cancel Status as LLP
         Bilingual PDF (YG6203)

 Form 17 - Partnership and Business Names Act - Statement from Governing Body of a Prescribed Profession
         Bilingual PDF (YG6204)

 Form 18 - Partnership and Business Names Act - Annual Report Limited Partnership Formed In Yukon
         Bilingual PDF (YG6205)

 Form 19 - Partnership and Business Names Act - Annual Report Limited Partnership Formed Outside Yukon
         Bilingual PDF (YG6206)

 Application for Name Reservation
         Bilingual PDF (YG6212)


 Pawnbrokers and Secondhand Dealers Act 

 Application for Pawnbroker and Secondhand Dealers
         Bilingual PDF (YG5135)

 Renewal for Pawnbrokers and Secondhand Dealers
         Bilingual PDF (YG5128)


 Personal Property Security Act ** Note: Yukon has moved to the ACOL Personal Property Registry System on June 27, 2016. For more info, visit: http://www.community.gov.yk.ca/corp/ppr.html** 


 Pesticides 

 Application for a Pesticide Vendor Permit
         English French PDF (yg4430)

 Application for a Pesticide Use or Service Permit
         English French PDF (yg4429)


 Pharmacists Act 

 Application for Pharmacists
         Bilingual PDF (YG5061)


 Physiotherapist Act

 Renewal Application for Full, Interim and Inactive Registration Licences - Physiotherapists
         English French PDF (YG6087)


 Pioneer Utility Grant

 Pioneer Utility Grant Application 2015
         English French PDF (YG1666)

 Pioneer Utility Grant Certificate of Tenancy 2015
         English French PDF (YG6234)


 Private Investigators and Security Guards Act 

 Application for Agency Private Investigation and Security Guard
         Bilingual PDF (YG5141)

 Application for Agent Private Investigation and Security Guard
         Bilingual PDF (YG5391)

 Renewal for Agency Private Investigation and Security Guard
         Bilingual PDF (YG5390)

 Renewal for Agent Private Investigation and Security Guard
         Bilingual PDF (YG5124)


 Procurement Services

 Commodities Vendor Index
         Bilingual PDF (YG1990)


 Procurement Support Centre

 Statutory Declaration - Progress Claim
         English PDF (YG3799)

 Statutory Declaration - Certificate of Total Performance
         English PDF (YG3800)

 Statutory Declaration - Certificate of Substantial Performance
         English PDF (YG3747)


 Public Health and Safety Act

 Application for approval to use a sewage disposal system
         English French PDF (YG5964)

 Application For Authorization to Construct, Install and/or Use a Privy
         Bilingual PDF (YG5438)

 Application for Permission to Retain a Sewage Disposal System
         English French PDF (YG5073)

 Application for a Permit to Install a Sewage Disposal System
         English French PDF (YG4307)

 Application for a Permit to Operate a Trucked Drinking Water Distribution System
         English PDF (YG5452)

 Application for a Permit to Operate a Large Public Drinking Water System
         English PDF (YG5453)

 Bacteriological Analysis of Drinking Water (batch submission form)
         Bilingual PDF (YG5776)

 Congenital Anomalies Surveillance Yukon (CASY) Referral Form
         English PDF (YG5848)

 Evidence requirements for approval to use sewage disposal system
         English French PDF (YG5965)

 Notification of Abandonment and Reclamation of a Sewage Disposal System
         English French PDF (yg5589)

 Notification of Installation and Undertaking to Maintain a Sewage Holding Tank
         English French PDF (YG4673)

 Notification of Installation and Undertaking to Maintain a Septic Tank and Soil Absorption System
         English French PDF (YG4674)

 Photographic Record of the Stages of Installation of a Sewage Disposal System
         English French PDF ()

 Sampling Site Infomation Form (batch submission form)
         Bilingual PDF (YG5777)

 Septic Tank and Sewage Holding Tank Installation Declaration
         English French PDF (YG5742)


 Public Health and Safety Act (For Doctor’s Only)

 Congenital Anomalies Surveillance Yukon (Casy) - Child
         English French PDF (5914)

 Congenital Anomalies Surveillance Yukon (Casy) - Mother/Fetus
         English French PDF (5849)


Q

R

 Rabies Protocol

 Rabies Risk Investigation Form ‘A’
         English PDF (YG5812)

 Rabies Risk Investigation Form ‘B’
         English PDF (YG5813)


 Real Estate Agents Act 

 Application for Real Estate Salesperson
         Bilingual PDF (YG5368)

 Renewal Application for Agent Real Estate
         Bilingual PDF (YG5137)

 Renewal for Salesperson Real Estate
         Bilingual PDF (YG5194)


 Record of User Activity

 Request for access to personal information/Personal health information records
         English French PDF (YG6364)


 Recycling

 Application to be Registered as a Depot
         English French PDF (yg4163)

 Dealer’s monthly returns (Beverage Container Regulations)
         English French PDF (YG4159)

 Beverage Container Regulation Daily Cash Count Sheet
         English French PDF (YG4245)

 Recycling Processor Claim
         English French PDF (YG4732)

 Beverage Containers Purchases
         English French PDF (YG4241)

 Designated Materials Regulation - Application for Registration - Tires
         English PDF (YG6320)

 Beverage Container Regulation - Application for Registration
         English PDF (YG6319)


 Residential Landlord and Tenant Act

 1-Month Notice to End Tenancy From Tenant to Landlord for a Monthly Tenancy
         English French PDF (YG6033)

 2-Month Notice to End Tenancy From Landlord to Tenant for a Monthly Tenancy
         English French PDF (YG6034)

 3- Month Notice to End Tenancy for Yearly Tenancy
         English French PDF (YG6035)

 14 Day Notice to End Tenancy
         English French PDF (YG6036)

 Application for Dispute Resolution
         English French PDF (YG6031)

 Condition Inspection Report
         English French PDF (YG6032)

 Declaration of Service - Landlord Serving Tenant
         English French PDF (YG6039)

 Declaration of Service - Tenant Serving Landlord
         English French PDF (YG6038)

 Fee Waiver Application
         English French PDF (YG6040)

 Tenancy Agreement
         English French PDF (YG6037)


 Risk Management Office

 Claims Statement
         English French PDF (YG6383)


 Road Programs

 Resource Access Road Program Application Form and Development Requirements
         English French PDF (YG6116)

 Rural Road Upgrade Program Application Form
         English French PDF (YG6117)

 Rural Road Maintenance Program Application Form
         English French PDF (YG6118)


S

 Safer Communities and Neighbourhoods (SCAN)

 Complaint of illegal activity under SCAN Act
         English French PDF (YG5847)


 Small Claims Court

 Form 01 - Claim
         English French PDF (YG3134)

 Form 02 - Reply
         English French PDF (YG4523)

 Form 03 - Counterclaim
         English French PDF (YG5770)

 Form 04 - Third Party Claim
         English French PDF (YG3149)

 Form 05 - Consent to Act as Litigation Guardian
         English French PDF (YG3147)

 Form 06 - Notice to Alleged Partner
         English French PDF (YG3148)

 Form 07 - Affidavit of Service
         English French PDF (YG3133)

 Form 08 - Notice of Application
         English French PDF (YG3150)

 Form 09 - Affidavit
         English French PDF (YG3143)

 Form 10 - Requisition for Order
         English French PDF (YG5771)

 Form 11 - Consent Order or Order Without a Hearing
         English French PDF (YG5772)

 Form 12 - Pre-Trial Consent Order
         English French PDF (YG5755)

 Form 13 - Default Judgment
         English French PDF (YG3139)

 Form 14 - Default Judgment (for amount to be assessed)
         English French PDF (YG4524)

 Form 15 - Notice of Trial
         English French PDF (YG3141)

 Form 16 - Order
         English French PDF (YG5773)

 Form 17 - Summons to Witness
         English French PDF (YG3151)

 Form 18 - Warrant for Arrest
         English French PDF (YG3144)

 Form 19 - Writ and Seizure of Sale
         English French PDF (YG3152)

 Form 20 - Writ of Delivery
         English French PDF (YG3154)

 Form 21 - Notice of Examination
         English French PDF (YG3155)

 Form 22 - Warrant of Arrest
         English French PDF (YG4511)

 Form 23 - Warrant of Committal
         English French PDF (YG3145)

 Form 24 - Notice of Intention to Proceed
         English French PDF (YG3135)

 Form 25 - Notice of Withdrawl
         English French PDF (YG4512)

 Form 26 - Response
         English French PDF (YG5774)

 Form 27 - Notice of Appointment or Change of Lawyer
         English French PDF (YG5775)


 Society Act ***Effective May 1, 2015*** 

 Form 1 - Society Act - Application for Incorporation of a Society
         Bilingual PDF (YG6164)

 Form 2 - Society Act - Notice of Change of Directors and Officers
         Bilingual PDF (YG6165)

 Form 3 - Society Act - Declaration of Category C Society
         Bilingual PDF (YG6166)

 Form 4 - Society Act - Notice of Change of Registered Address and/or Place Where Operations are Carried
         Bilingual PDF (YG6167)

 Form 5 - Society Act - Notice of Fiscal Year-end of Society
         Bilingual PDF (YG6168)

 Form 6 - Society Act - Annual Report of Yukon Society
         Bilingual PDF (YG6213)

 Form 9 - Society Act - Articles of Revival
         Bilingual PDF (YG6169)

 Form 11 - Society Act - Statement for Registration as an Extra-Territorial Society
         Bilingual PDF (YG6170)

 Form 12 - Society Act - Appointment of Attorney for Service of Extra-Territorial Society
         Bilingual PDF (YG6171)

 Form 13 - Society Act - Application for Cancellation of Assumed Name of Extra-Territorial Society
         Bilingual PDF (YG6172)

 Form 15 - Society Act - Notice of Change of Address of Attorney for Service of an Extra-Territorial Society
         Bilingual PDF (YG6173)

 Form 16 - Society Act - Annual Report of Extra-Territorial Society
         Bilingual PDF (YG6214)

 Form 18 - Society Act - Declaration of Category C Extra-Territorial Society
         Bilingual PDF (YG6174)

 Form 19 - Society Act - Notice of Fiscal Year-end of an Extra-Territorial Society
         Bilingual PDF (YG6175)

 Application for Name Reservation
         Bilingual PDF (YG6212)


 Solid Waste

 Application for a Permit for a Solid Waste Disposal Facility or Commercial Dump
         English French PDF (yg5705)


 Sound Recording Programs

 Application for Sound Recording Program - Professional Sound Recording
         English French PDF (YG6282)

 Application for Sound Recording Program - Demo Recording
         English French PDF (YG5539)


 Special Waste

 Application for a Special Waste Permit
         English French PDF (yg4481)


 Spring Litter Campaign

 Spring Litter Campaign - Application Form
         English PDF ()

 Spring Litter Campaign - Invoice
         English PDF ()

 Spring Litter Campaign - Cleanup Sections - Whitehorse
         English PDF ()

 Spring Litter Campaign - Cleanup Sections - Communities
         English PDF ()


 Storage Tanks 

 Application for a Storage Tank System Permit
         English French PDF (yg4648)

  Application for Residential Abandonment / Removal of Fuel Storage
         English French PDF (yg5725)


T

 Temporary Absence

 Temporary Absence
         English French PDF (YG3383)


 Tires 

 Application for a Permit (Designated Materials Regulation)
         English French PDF (yg5636)

 Retailer's Quarterly Tire Return
         Bilingual PDF (YG5151)


 Tourism and Culture

 Yukon Archaeological Sites Regulations Application for Class 1 Permit
         English PDF (YG5885)

 Yukon Archaeological Sites Regulations Application for Class 2 Permit
         English PDF (YG5886)

 Yukon Geographical Place Name Submission
         English French PDF (YG5938)

  Yukon Scientists and Explorers Act (RSY 2002,c.200) Application for License
         English PDF (YG5887)

 Yukon Tourism Champion Award Nomination Form
         English French PDF (YG5508)


 Trapping

 Request to Issue Assistant Trapper Licence – Sole Concession Holder
         English French PDF (YG6425)

 Request to Issue Assistant Trapper Licence – Concession Held as a Group
         English French PDF (YG6426)

 Request to Issue Assistant Trapper Licence – Concession Held in Partnership
         English French PDF (YG6424)


 Travel for Medical Treatment

 Out-of-Territory Medical Travel via Road to Scheduled Appointments
         English French PDF (YG4857)

 Out-of-Territory Medical Travel Subsidy Form
         English French PDF (YG4840)


U

V

 Crime Prevention Victim Services Trust Fund

 Crime Prevention Victim Services Trust Fund (CPVSTF) Application Form
         English French PDF (YG5892)

 Project Evaluation and Financial Reporting
         English French PDF (YG5893)

 Crime Prevention Victim Services Trust Fund (CPVSTF) Guidelines
         English PDF ()


 Veterinary Services Program

 Yukon Veterinary Services Program Enrollment Form
         English French PDF (YG6259)


 Victim Impact Statement

 Community Impact Statement
         English PDF (YG6275)

 Victim Impact Statement Not Criminally Responsible
         English PDF (YG6274)

 Victim Impact Statement
         English French PDF (YG4550)


W

 Waste 

 Application for a Special Waste Permit
         English French PDF (yg4481)

 Consolidated Application for Environment Act Permits
         English PDF (yg4647)

 Application for On-farm Operation of a Mobile Abbattoir
         English French PDF (yg5639)

 Application for a Permit for a Landfill, Transfer Station or Commercial Dump
         English French PDF (yg5705)


 Water 

 Water Delivery Request Form
         English French PDF (YG6260)

 Water Well Drillers Form
         English PDF (YG5302)


 Wilderness Tourism Licensing Act

 Accident Report
         Bilingual PDF (YG4805)

 Application for a Wilderness Tourism Licence
         English French PDF (YG4830)

 Day Trips: Instructions
         English French PDF (YG4803)

 Day Trips: Reporting Form
         Bilingual PDF (YG4804)

 Multi Day Trips: Instructions
         English French PDF (YG4806)

 Multi Day Trips: Incidents
         Bilingual PDF (YG4810)

 Multi Day Trips: Origin of Clients
         Bilingual PDF (YG4808)

 Multi Day Trips: Reporting Form
         Bilingual PDF (YG4807)

 Multi Day Trips: Trip Type Table
         Bilingual PDF (YG4809)

 Rental Reporting
         Bilingual PDF (YG4802)


X

Y

 YHC Certificate of Insurance

 Confirmation of Insurance
         Bilingual PDF (YG5963)


 Youth Directorate

 Youth Investment Fund Evaluation Form
         English French PDF (YG4562)

 Youth Investment Fund Guidelines and Application Form
         English French PDF (yg5719)

 Outstanding Youth Achievement Award Nomination Form and Guidelines
         English French PDF (YG6158)

  Youth Investment Fund Guidelines and Application Form *SAMPLE*
         English PDF (YG5719 - Sample Form)


 Youth Programs

 Yukon Youth Conservation Corps (Y2C2) Project Proposal
         English PDF (YG4121)


 Yukon Children’s Dental Program

 Consent for Examinations and Prevention Services
         Bilingual PDF (YG4819)


 Yukon Express Entry

 Yukon Express Entry (YEE) Application Form
         English French PDF (YG6114)


 Yukon Nominee Program

 Tri-Partite Agreement (TPA) for the Yukon Nominee Program
         English French PDF ()

 Yukon Business Nominee Program (YBNP) - Application Form
         English French PDF (YG6382)

 Yukon Nominee Program Application Form
         English French PDF (YG6019)

 Yukon Nominee Program Application Handbook
         English French PDF ()

 Yukon Nominee Program - Critical Impact Worker Criteria
         English French PDF ()

 Yukon Nominee Program - Employer Participant Monitoring Form
         English French PDF (YG6020)

 Yukon Nominee Program - Nominee Participant Monitoring Form
         English French PDF (YG6021)

 Yukon Nominee Program - Skilled Worker Criteria
         English French PDF ()


 Yukon Public Libraries 

 Yukon Public Libraries Request
         Bilingual PDF (YG3264)


Z