Government of Yukon

Government Services

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A

Access to Information and Protection of Privacy

Request for Access to Records
Bilingual (YG4552)

Request for Correction of Personal Information
Bilingual (YG4553)

Adoption

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

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

Disclosure Veto and Statement
French English (yg5655)

Identification Particulars of Adopted Person
French English (yg5696)

No-Contact Declaration and Statement
French English (yg5653)

Statutory Declaration and Undertaking
French English (yg5651)

Adult Protection and Decision-Making Act

Supported Decision-Making Agreement Form
English French (yg5255)

Representation Agreement Form
French English (yg5256)

Agriculture

Premises Identification (PID) Program
French English (YG5716)

Grazing Application
Bilingual (YG3345)

Farm Development Plan
Bilingual (YG4347)

Agriculture Land Application
Bilingual (YG3344)

Agriculture

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

Air

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

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

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

Aviation

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

Awards

Premier's Award of Excellence nomination information
English (Premier's Award)

B

Birth Certificates

Birth Certificate Application
Bilingual (YG3385)

Boards and Committees

Nomination / Application Form for Public Use
Bilingual (YG3538)

Building Safety

Electrical Permit Application
Bilingual (YG5401)

Confirmation of Professional Assurance of "Design" and "Field Review"
English (yg5734)

Application for permit / Demande de permis
Bilingual (yg2869)

Registration Information (Confidential) Elevator Inspections
English (YG5426)

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

Elevating Devices Application for Contractor's Licence
English (YG5406)

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

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

Electrical Contractor Declaration Form
Bilingual (YG4059)

Building, Development & Plumbing

Gas Permit Application
Bilingual (YG4271)

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

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

Application for Permit
Bilingual (YG2869)

Business Corporations Act

Statement of Registration (Extra Territorial Corporation)
Bilingual (YG3048)

Statement of Intent to Dissolve
Bilingual (YG3046)

Statement of Amalgamation (Extra Territorial Corporation)
Bilingual (YG3051)

Restated Articles of Incorporation
Bilingual (YG3044)

Notice of Discontinuance
Bilingual (YG3041)

Notice of Change of Registered Office (Extra Territorial Corporation)
Bilingual (YG3073)

Notice of Change of Officers or Directors
Bilingual (YG3037)

Notice of Change of Address of Registered Attorney (Extra Territorial Corporation)
Bilingual (YG3050)

Notice of Attorney for Service (Extra Territorial Corporation)
Bilingual (YG3049)

Notice of Assumed Name (Extra Territorial Corporation)
Bilingual (YG3053)

Notice of Address (Yukon Corporation)
Bilingual (YG3082)

Cancellation of Assumed Name (Extra Territorial Corporations)
Bilingual (YG3054)

Articles of Revival
Bilingual (YG3047)

Articles of Reorganization
Bilingual (YG3072)

Articles of Incorporation
Bilingual (YG3081)

Articles of Dissolution
Bilingual (YG3045)

Articles of Continuance
Bilingual (YG3040)

Articles of Arrangement
Bilingual (YG3043)

Articles of Amendment
Bilingual (YG3042)

Articles of Amalgamation for Yukon Corporations
Bilingual (YG3039)

Application to Reinstate an Extra Territorial Corporation
Bilingual (YG3052)

Annual Return
Bilingual (YG3038)

Business Incentive Program

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

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

Employment Report
English (YG4983)

Employee Information and Release
Bilingual (YG4369)

Business Name Registration

Declaration of Partnership
Bilingual (YG4727)

Declaration of Dissolution of Partnership
Bilingual (YG4729)

Declaration of Cessation of Business Name
Bilingual (YG4728)

Declaration of Business Name
Bilingual (YG4726)

C

Care Consent Act Forms

Abbreviated Advance Directive
Bilingual (yg5394)

Emergency Medical Information Form
Bilingual (yg5571)

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

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

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

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

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

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

Resuscitation and Care form
English (yg5262)

Cash Returns

Campground Permits Cash Return
English (yg1947)

Cash Return - Hunting, Seal Receipt & Angling Licence
English (yg5630)

Change of Address

Change of Address Request for Individuals - Instructions
English French (IN4843)

Change of Address Request for Businesses - Instructions
English French (IN4844)

Change of Address Request for Businesses
English French (YG4844)

Change of Address Request for Individuals
English French (YG4843)

Child Care

Family Day Home Menu Declaration
French English (YG5703)

Attendance Record – Direct Operating Grant
French English (YG5702)

Child Care Subsidy Form
English French (YG4586)

Child Care User Subsidy - Eligibility
Bilingual (YG2279)

Child and Family Services Act

Statutory Declaration and Undertaking
English (yg5651)

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

No-Contact Declaration and Statement
English (yg5653)

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

Disclosure Veto and Statement
English (yg5655)

Identification Particulars of Adopted Person
English (yg5696)

Chiropractor Act

Renewal
Bilingual (YG5126)

Application for Yukon Registration
Bilingual (YG5090)

Community Development Fund

Community Development Fund Application
English French (YG4665)

Consumer Protection Act

Application for Collection Agency Licence
Bilingual (5094)

Application for Collection Agency Employee’s Licence
Bilingual (5093)

Collection Agents Employee Renewal
Bilingual (5117)

Collection Agency Renewal
Bilingual (5125)

Contaminated Sites

Application for a Relocation Permit
French English (yg5634)

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

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

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

Relocation Permit Documentation Tracking Form
French English (yg5809)

Contract Services

Statutory Declaration - Progress Claim
English (YG3799)

Statutory Declaration - Certificate of Total Performance
English (YG3800)

Statutory Declaration - Certificate of Substantial Performance
English (YG3747)

D

Death Certificates

Death Certificate Application
Bilingual (YG3385)

Dental Professions Act

Application for Yukon Registration Dentist
French English (YG5097)

Application for Yukon Registration Specialist Dentist
French English (YG5769)

Renewal Application for Yukon Dentist Registration Dentist and Specialist Dentist
French English (YG5056)

Application for Yukon Registration Dental Hygienist
English French (YG5095)

Renewal Application for Yukon Registration Dental Hygienist
French English (YG5058)

Application for Yukon Registration Dental Therapist
English French (YG5096)

Renewal Application for Yukon Registration Dental Therapist
French English (YG5060)

Application for Yukon Registration Denturist
French English (YG5098)

Renewal Application for Yukon Registration Denturist
French English (YG5059)

Application for Registration of a Professional Corporation
Bilingual (YG5100)

Professional Corporation Renewal
Bilingual (YG5057)

Direct Deposit

Direct Deposit Application
Bilingual (YG4980)

E

Education

Application for Teaching in Yukon
French English (YG974)

Application for Teacher Certification
Bilingual (YG4345)

Confidential Reference for Applicant for Teacher Certification
Bilingual (YG4344)

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

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

Application for YTA Deferred Salary Leave Plan
English (YG5718)

Catholic Schools of Whitehorse Admission Package
English (YG4968)

Certification of Teaching Experience
Bilingual (YG5472)

School Bus Registration Form
English French (YG5447)

Teacher Faith Letter
English (YG5365)

GradCorp Application
English (YG5309)

Roman Catholic Pastoral Reference
English (YG5366)

Employment

GradCorp Application
English (YG5309)

Employment Standards

Complaint Information Form Tip Sheet
English French (in5600)

Wage Claim Calendar Blank
English (yg5180)

Wage Claim Calendar, July 2012 – December 2012
English (YG4474)

Wage Claim Calendar, January 2012 – June 2012
English (YG4475)

Complaint Information Form
French English (YG5600)

Enterprise Trade Fund

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

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

Environment Act Permits

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

Consolidated Application for Environment Act Permits
French English (yg4647)

F

Film

Yukon Filmmakers Fund Application
English (YG5350)

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

Film Training Initiative Application
English French (YG4934)

Film Production Fund Application
English ( YG5319)

Film Development Fund Application
English (YG5320)

Finance

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

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

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

Direct Deposit Authorization
Bilingual (YG4980)

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

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

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

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

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

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

Statutory Declaration
English French (YG483)

Recycling Centre Claim
English French (YG4732)

Premium Tax Return
English French (YG336)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

F.O.T. Application 1
Bilingual (YG614)

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

Annual Tax Exempt Renewal Report
French English (YG4826)

Fire Marshal’s Office

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

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

Forestry

Monthly Harvest Summary
French English (YG5643)

Quarterly Harvest Summary
French English (YG5642)

Annual Harvest Summary
French English (YG5641)

Weight Scale Site Monthly Return
English French (YG5018)

Timber Return Monthly Invoice
French English (YG5008)

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

Summary of Scale
English French (YG5020)

Stack Scale Tally Sheet
English French (YG5019)

Scaler Application
English French (YG5011)

Scale Tally Sheet
French English (YG5015)

Scale Site Application
French English (YG5012)

Piece Scale Site Monthly Return
French English (YG5017)

Piece Scale Site Incoming Load Diary
English French (YG5016)

Mark Holder Scaling Agreement
English French (YG5010)

Commercial Fuelwood Permit Summary Return
English French (YG5009)

Commercial Fuelwood Monthly Return Invoice
French English (YG5007)

Class H Timber Permit Piece Count
English French (YG5021)

Funeral Directors Act

Funeral Director Renewal
Bilingual (YG5127)

Funeral Director Application
Bilingual (YG5089)

G

Garnishment Forms

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

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

Notice of Response to Writ
Bilingual (YG2613)

Guardianship

Inventory, Account and Subsequent Guardian Plan
English ()

Incapability Assessment Report
English ()

Preliminary Guardianship Plan
English ()

Statement of Proposed Guardian
English ()

Applicant's Affidavit
English ()

Guardianship Application
English ()

H

Home Owner Grant

Application for Yukon Home Owner's Grant
Bilingual (YG3101)

Yukon Home Owner's Grant Application
English French (YG4013)

I

Insurance Act

Sponsoring Firm Statement - Page 4
Bilingual (YG5190)

Notice of Appointment of Salesperson - Page 4
Bilingual (YG5123)

Agent Recommendation
Bilingual (YG5084)

Insurance Agent Renewal Form
Bilingual (YG5130)

Insurance Broker and Special Brokers Renewal Form
Bilingual (YG5322)

Salesperson Renewal
Bilingual (YG5129)

Renewal - Insurance Company
Bilingual (YG5310)

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

Fee Schedule for Insurance
Bilingual (YG5088)

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

Application for Special Broker's License
Bilingual (YG5120)

Application for Insurance Salesperson's License
Bilingual (YG5123)

Application for Insurance Broker's Licence
Bilingual (YG5190)

Application for Agents License
Bilingual (YG5084)

Application for Adjuster Licence
Bilingual (YG5318)

Adjuster Renewal
Bilingual (YG5134)

Insured Health

Temporary Absence
Bilingual (yg3383)

J

K

L

Lands

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

Application For Subdivision Approval of Agricultural Land
English (YG5603)

Lands Branch Customer Service Survey
English (YG5534)

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

Quarry Permit for Designated Public Pit
Bilingual (YG3463)

Lands Branch Website Survey
English French (YG5328)

Application for Yukon Lands
English French (YG4917)

Application for Subdivision Approval
English French (YG5370)

Application for Quarry Permit for New Sites
Bilingual (YG5026)

Application to Store Machinery and Materials
Bilingual (YG5027)

Application for Land Use Permit
English French (YG5028)

Licensed Practical Nurses

Renewal Application for Licensed Practical Nurses
French English (yg5146)

Liquor

Liquor Licence Application Package
English French (package of all required forms)

Special Order Form
Bilingual (YG5356)

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

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

Order Form
Bilingual (YG2485)

New Product Suggestion
Bilingual (YG5388)

Listing Application
Bilingual (YG5357)

Liquor Act Bearer Order
Bilingual (YG5358)

Lottery Licencing Act

Raffle Ticket Inventory Control Worksheet
French English (yg5759)

Sample Raffle ticket format
French English (N/A)

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

Accountant Option Declaration
French English (yg5731)

Prize Guarantee by Financial Institution
French English (yg5713)

Sample Bingo Control Sheets
French English (yg5714)

Application for a Raffle Licence
English French (YG5101)

Application for Bingo Licence
English French (YG5091)

Application for Casino Games Licence
Bilingual (YG5092)

Credit Slip - Form A
Bilingual (YG5105)

Form B
Bilingual (YG5106)

Form C Lottery Licensing Act
Bilingual (YG5107)

Financial Report for Bingo
French English (YG5338)

Financial Report for Casino Games
English French (YG5340)

Financial Report for Raffle
French English (YG5339)

Prize Guarantee by Individual
French English (yg5712)

Statutory Declaration - Meals
French English (yg5715)

Travel Itinerary
English French (YG5103)

M

Marriage Act

List of Clergymen Authorized to Solemnize Marriage
Bilingual (YG5055)

Marriage Certificates

Marriage Certificate Application
Bilingual (YG3385)

Medical Profession Act

Professional Corporation Renewal
Bilingual (YG5116)

Medical Travel

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

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

Mental Health Act

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

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

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

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

Form 17 - Certificate of Return
English (yg4004)

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

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

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

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

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

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

Form 10 - Authorization for Specified Treatment
English (yg3996)

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

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

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

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

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

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

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

Form 2 - Order to Apprehend
English (yg3984)

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

Minerals

Minerals - Coal Mining

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

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

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

Territorial Coal Regulations - Affidavits
English French (YG5031)

Minerals - Placer Mining Claims

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

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

Grouping Work Program
Bilingual (YG5042)

Application to Group Placer Claims
Bilingual (YG5041)

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

Application for Grant for Placer Mining
English French (YG5038)

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

Minerals - Placer Mining Land Use

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

Class 2 Notification / Land Use Operation
Bilingual (YG5109)

Assignment of Operating Plan
English French (YG5071)

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 ).
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Application for Certificate of Completion
Bilingual (YG5211)

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

Minerals - Placer Mining Prospecting Leases

Prospecting Work Program
English French (YG5037)

Assignment of Prospecting Lease
English French (YG5035)

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

Application for a Lease to Prospect
English French (YG5052)

Minerals - Quartz Claims

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

Survey Notice
Bilingual (YG5111)

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

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

Application for a Full Claim
English French (YG5046)

Application for Fractional Claim
English French (YG5047)

Application to Group Mineral Claims
French English (YG5048)

Application for a Certificate of Work
English French (YG5049)

Application for a Certificate of Improvements
English French (YG5050)

Minerals - Quartz Mining Land Use

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

Class 2 Notification / Exploration Program
Bilingual (YG5110)

Assignment of Operating Plan
French English (YG5072)

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

Minerals - Yukon Mining Incentives Program (YMIP)

Application for Funding
English (YG5408)

Motor Vehicles

GDL Driver Record and Declaration
English French (YG4885)

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

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

Application for Personalized Licence Plate
Bilingual (YG4978)

Application for Review - Vehicle Impoundment
Bilingual (YG4759)

Application for Veteran Plate Eligibility
French English (YG5236)

N

National Safety Code

Confirmation of Insurance
Bilingual (YG5572)

O

ODS

ODS/OH Permit Application
French English (yg5631)

Oil and Gas

Application for Oil and Gas Lease
English (YG5605)

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

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

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

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

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

Security Notice
English (YG5496)

Company Contact Information
English (YG5491)

Oil and Gas Transmittal Letter
English (YG5446)

Surrender Form
English (YG5306)

Request for Posting
English (YG5330)

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

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

Disposition Transfer Form
English (YG5275)

Work Bid Submission Form
English (YG5412)

Optometrists Act

Optometrist Renewal Form
Bilingual (YG5192)

Application for Yukon Registration
Bilingual (YG5308)

P

Partnership and Business Names Act

Declaration of Partnership
Bilingual (YG4727)

Declaration of Dissolution of Partnership
Bilingual (YG4729)

Declaration of Cessation of Business Name
Bilingual (YG4728)

Declaration of Business Name
Bilingual (YG4726)

Pawnbrokers and Secondhand Dealers Act

Renewal
Bilingual (YG5128)

Application for Pawnbroker and Secondhand Dealer
Bilingual (YG5135)

Personal Property Security Act

Search Request
French English (YG2193)

Financing Change Statement B - Change to Collateral or Other Information
English French (YG2192)

Financing Change Statement A - Change to Secured or Debtor Information
French English (YG2191)

Financing Basic Statement
English French (YG2190)

Please note that these pdfs are built to the typwriter dimensions used previously. They can be filled out onscreen or on your typewriter. To print at correct size for typewriter use, acrobat's "shrink to fit page" must be deselected.
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Pesticides

Application for a Pesticide Vendor Permit
French English (yg4430)

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

Pharmacists Act

Application for Yukon Registration
Bilingual (YG5061)

Private Investigators and Security Guards Act

Agent Licence Renewal Application
Bilingual (YG5124)

Agent Application
Bilingual (YG5391)

Agency Renewal Application
Bilingual (YG5390)

Agency Application - Form A
Bilingual (YG5141)

Procurement Services

Commodities Vendor Index
Bilingual (YG1990)

Public Health and Safety Act

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

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

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

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

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

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

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

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

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

Application for Permission to Retain a Sewage Disposal System
Bilingual (YG5073)

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

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

Q

R

Rabies Protocol

Rabies Risk Investigation Form ‘A’
English (YG5812)

Rabies Risk Investigation Form ‘B’
English (YG5813)

Real Estate Agents Act

Agent Renewal Form
Bilingual (YG5137)

Salesperson Renewal Form
Bilingual (YG5194)

Schedule II - Application for Real Estate Salesperson
Bilingual (YG5368)

Recycling

Application for a Beverage Container Dealer's Licence
French English (YG4162)

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

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

Beverage Container Regulation Daily Cash Count Sheet
English (YG4245)

S

Small Claims Court

Form 01 - Claim
English French (YG3134)

Form 02 - Reply
English French (YG4523)

Form 03 - Counterclaim
English French (YG5770)

Form 07 - Affidavit of Service
English French (YG3133)

Form 08 - Notice of Application
English French (YG3150)

Form 09 - Affidavit
English French (YG3143)

Form 10 - Requisition for Order
English French (YG5771)

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

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

Form 13 - Default Judgment
English French (YG3139)

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

Form 15 - Notice of Trial
English French (YG3141)

Form 16 - Order
English French (YG5773)

Form 26 - Response
English French (YG5774)

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

Societies Act

Special Resolution Form
Bilingual (YG3965)

Notice of Change of Officers or Directors
Bilingual (YG3645)

Notice of Change of Address
Bilingual (YG3647)

Category C Declaration
Bilingual (YG3646)

Category B Society: Special Resolution to Waive the Review Requirement
Bilingual (YG3964)

Application for Incorporation of a Society
Bilingual (YG3644)

Solid Waste

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

Sound Recording Programs

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

Special Waste

Application for a Special Waste Permit
French English (yg4481)

Spring Litter Campaign

Spring Litter Campaign 2011 Community Application form
English (yg5756)

Spring Litter Campaign 2011 Whitehorse Application form
English (yg5757)

Storage Tanks

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

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

Student Employment

Yukon Youth Conservation Corp. - 2011 Student Employment Application
English (Application Form)

Conservation Action Team - Student Application Package 2011
English (Application Form)

T

Tires

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

Retailer's Quarterly Tire Return
Bilingual (YG5151)

Tourism and Culture

Yukon Permanent Art Collection Submission Guidelines
English French ()

Yukon Permanent Art Collection Submission Form
English French (YG5536)

Yukon Tourism Champion Award Nomination Form
English French (YG5508)

Travel for Medical Treatment

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

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

U

V

Victim Impact Statement

Victim Impact Statement
Bilingual (YG4550)

W

Waste

Application for a Special Waste Permit
French English (yg4481)

Consolidated Application for Environment Act Permits
English (yg4647)

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

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

Water

Water Well Drillers Form
English (YG5302)

Wilderness Tourism Licensing Act

Rental Reporting
Bilingual (YG4802)

Multi Day Trips: Reporting Form
Bilingual (YG4807)

Multi Day Trips: Trip Type Table
Bilingual (YG4809)

Multi Day Trips: Origin of Clients
Bilingual (YG4808)

Multi Day Trips: Instructions
French English (YG4806)

Multi Day Trips: Incidents
Bilingual (YG4810)

Day Trips: Reporting Form
Bilingual (YG4804)

Day Trips: Instructions
English French (YG4803)

Application for a Wilderness Tourism Licence
French English (YG4830)

Accident Report
Bilingual (YG4805)

X

Y

Youth Directorate

Youth Investment Fund Application Form
French English (yg5719)

Youth Investment Fund Application Form - Guidelines
French English (yg5719 - guidelines)

Youth Investment Fund Evaluation Form
English French (YG4562)

Yukon Home Owner's Grant

Application for Yukon Home Owner's Grant
Bilingual (YG3101)

Application for Yukon Home Owners' Grant (Property Tax Refund)
English French (YG4013)

Yukon Public Libraries

Yukon Public Libraries Request
Bilingual (YG3264)