Government of Yukon

Government of Yukon forms listed alphabetically

A

 Adoption

 Cancel a Disclosure Veto or No-Contact Declaration
         English French PDF (YG5652)


 Apprenticeship

 Apprenticeship Application / Agreement
         English French PDF (YG5822)

 Trade School Registration - Renewal
         Bilingual PDF (YG6625)

 Trade School - Application for an Instructor
         Bilingual PDF (YG6627)

 Trade School - Application for a Program/Course
         Bilingual PDF (YG6626)

 Transfer Apprenticeship to an Employer WITHIN Yukon
         English French PDF (YG4166)

 Transfer Apprenticeship to an Employer OUTSIDE of Yukon
         English French PDF (YG6113)


B

 Builders Lien Act

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

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

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

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

 Form 4 - 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)

 Building Permit - Application
         Bilingual PDF (YG5981)

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

 Development Permit - Application
         Bilingual PDF (YG5982)

 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)

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

 Gas Permit - Application
         Bilingual PDF (YG4271)

 Installers Declaration - Elevators, Escalators, Dumbwaiters, Moving Walks, Freight Platform Lifts
         Bilingual PDF (YG5405)

 Installers Declaration - Handicap Lifts, Manlifts, Passenger Ropeways, Amusement Rides, Personnel Hoists
         Bilingual PDF (YG5407)

 Plumbing Permit - Application
         Bilingual PDF (YG5983)

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


 Business Corporation Act 

 Form 1 - Articles of Incorporation
         Bilingual PDF (YG6119)

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

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

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

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

 Form 7 - Articles of Amendment
         Bilingual PDF (YG6124)

 Form 8 - Notice of Directors
         Bilingual PDF (YG6125)

 Form 9 - Notice of Change of Directors and Directors’ Addresses
         Bilingual PDF (YG6126)

 Form 10 - Notice of Change of Shareholders and Shareholders’ Addresses
         Bilingual PDF (YG6127)

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

 Form 12 - Articles of Amalgamation
         Bilingual PDF (YG6129)

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

 Form 14 - Articles of Continuance
         Bilingual PDF (YG6131)

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

 Form 16 - Articles of Reorganization
         Bilingual PDF (YG6133)

 Form 17 - Articles of Arrangement
         Bilingual PDF (YG6134)

 Form 18 - Articles of Revival
         Bilingual PDF (YG6135)

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

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

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

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

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

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

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

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

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

 Form 32 - Notice of Change of Statement for Registration as an Extra-Territorial Corporation
         Bilingual PDF (YG6145)

 Form 33 - Notice of Change of Directors and Directors Addresses
         Bilingual PDF (YG6146)

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

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

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

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

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

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

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

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

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

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


 Business Incentive Program

 Employee Information and Release
         English French PDF (YG4369)

 Statutory Declaration - Labour, Apprentice, Youth, Materials Incentive Rebate
         English French PDF (YG4984)


C

 Carrier Compliance Permits

 Axle Lift Trailer Permit
         French PDF (YG6412)


 Community Development Fund

 Community Development Fund Application
         English French PDF (YG4665)


 Crime Prevention Victim Services Trust Fund

 Project Evaluation and Financial Reporting
         English French PDF (YG5893)


D

 Finance 

 Credit Card Pre-Authorization
         English French PDF (YG6511)

 Direct Deposit Authorization
         Bilingual PDF (YG4980)

 Premium Tax Return
         English French PDF (YG336)

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


E

 Election 

 Advance Poll Oath
         Bilingual PDF (YG3633)

 Affidavit of Printer
         Bilingual PDF (YG3630)

 Application for Registration
         Bilingual PDF (YG3628)

 Appointment of Election Officer
         Bilingual PDF (YG3632)

 Authorization of Agent
         Bilingual PDF (YG3634)

 Ballot Account
         Bilingual PDF (YG4443)

 List of Electors
         Bilingual PDF (YG3624)

 Nomination Paper
         Bilingual PDF (YG3626)

 Notice of Application for Revision
         Bilingual PDF (YG4441)

 Notice of Hearing
         Bilingual PDF (YG3622)

 Notice of Nominations
         Bilingual PDF (YG3623)

 Notice of Poll
         Bilingual PDF (YG3621)

 Oath of Allegiance
         Bilingual PDF (YG5197)

 Oath of a Challenged Elector
         Bilingual PDF (YG3629)

 Oath of Elector's Assistant
         Bilingual PDF (YG4867)

 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)

 Preliminary List of Electors
         Bilingual PDF (YG3625)

 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)


 Ember Fire Academy

 Application - Ember Fire Academy
         Bilingual PDF (YG6553)


 Employment


 Employment Standards 

 Complaint Information Form
         English French PDF (YG5600)

 Complaint Information Form Tip Sheet
         English French PDF (Guidelines)


 Enterprise Trade Fund

 Application - Film and Sound Industry
         English French PDF (YG5473)

 Application for Businesses
         English French PDF (YG5470)


 Environmental Health Services

 Consent to Release Information
         English French PDF (YG4684)

 Drinking Water - Permit to Operate a Large Public Drinking Water System
         English French PDF (YG5453)

 Environmental Health Services Survey
         English French PDF (YG5984)

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

 Privy - Application for Authorization to Construct, Install and/or use a Privy
         Bilingual PDF (YG5438)

 Sampling Site Information Form
         Bilingual PDF (YG5777)

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

 Septic Tank and Soil Absorption System - Notification of Installation/Maintainence
         English French PDF (YG4674)

 Sewage Disposal System - Application for Approval to Use
         English French PDF (YG5964)

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

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

 Sewage Disposal System - Photographic Submission of Installation
         English French PDF (Guidelines)

 Sewage Disposal System - Evidence Requirements for Approval to Use
         English French PDF (YG5965)

 Sewage Disposal System - Notification of Abandonment and Reclamation
         English French PDF (YG5589)

 Sewage Holding Tank - Electrical Assurance
         English French PDF (YG6325)

 Sewage Holding Tank - Notification of Installation/Maintainence
         English French PDF (YG4673)

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


F

 Film

 Filmmakers Fund Application
         English French PDF (YG5350)

 Film Development Fund - Application
         English French PDF (YG5320)

 Film Production Fund Application
         English French PDF (YG5319)

 Film Training Initiative - Individuals
         English French PDF (YG4934)

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

 Location Incentive Program - Application
         English French PDF (YG6633)

 Yukon Production Registration
         English French PDF (YG6704)


 French Language Services

 Adult French Language Training Registration
         English PDF (YG6395)


 Fuel Oil Tax

 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 5A
         English French PDF (YG3161)

 F.O.T. Application 5B
         English French PDF (YG5802)

  F.O.T. Application 5C
         English French PDF (YG5803)

 F.O.T Application 5D
         English French PDF (YG4826)

  F.O.T. Application 6
         English French 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
         English French PDF (YG1476)


 Fuel Tax Reports 

 Fuel Collector Summary - Diesel
         English French PDF (YG4778)

 Fuel Collector Summary - Gas
         English French PDF (YG4777)

 Generic - Gas - FTG-1 Imports from Out-of-Jurisdiction
         English French PDF (YG4783)

 Generic - Gas - FTG-2 Acquisitions Within Jurisdiction
         English French PDF (YG4785)

 Generic - Gas - FTG-3 Exports Out-Of-Jurisdiction
         English French PDF (YG4784)

 Generic - Gas - FTG-4 Dispositions Within Jurisdiction
         English French PDF (YG4786)

 Generic - Diesel - FTD-1 Imports from Out-of-Jurisdiction
         English French PDF (YG4779)

 Generic - Diesel - FTD-2 Acquisitions Within Jurisdiction
         English French PDF (YG4780)

 Generic - Diesel - FTD-3 Exports Out-of-Jurisdiction
         English French PDF (YG4781)

 Generic - Diesel - FTD-4 Dispositions Within Jurisdiction
         English French PDF (YG4782)

 Yukon-Specific - Diesel - YTD-5 Distributors and Vendor Exempt Sales
         English French PDF (YG4774)

 Yukon-Specific - Diesel - YTD-6 Breakdown of Sales
         English French PDF (YG4775)

 Yukon-Specific - Gas - YTG-5 Distributors and Vendor Exempt Sales
         English French PDF (YG4773)

 Yukon-Specific - Gas - YTG-6 Breakdown of Sales
         English French PDF (YG4776)


G

 Garage Keepers Lien Act

 Notice
         Bilingual PDF (YG6277)


 Garnishment Forms

 Notice of Response to Writ
         Bilingual PDF (YG2613)

 Writ of Continuing Garnishment
         Bilingual PDF (YG2614)

 Writ of Immediate Garnishment
         Bilingual PDF (YG2706)


 Gas Tax Fund

 Final Reporting
         English French PDF (YG6600)

 Gas Tax Project Proposal
         English French PDF (YG6008)

 Progress Claim - Cash Flow
         English French PDF (YG6601)

 Progress Claim - Financial Reporting
         English French PDF (YG6602)


H

 Housing and Community Outreach

 Application - HCOS Unit
         English French PDF (YG6546)


I

 Immunization

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

 Consent for School Immunizations - Grade 9
         English French PDF (YG5838)


 Insurance Act 

 Broker - Licence Renewal
         French English PDF (YG5322)

 Insurance Adjuster - Licence Renewal
         French English PDF (YG5134)

 Insurance Agent - Licence Renewal
         French English PDF (YG5130)

 Insurance Salesperson - Licence Renewal
         French English PDF (YG5129)

 Insurer's Licence - Renewal
         English French PDF (YG5117)

 Insurer's Recommendation of Agent
         English French PDF (YG6481)

 Special Broker - Licence Renewal
         French English PDF (YG6767)

 Special Broker - Monthly Return
         Bilingual PDF (YG5121)


 Insured Health

 Hearing Screening Consent Form – Student
         English French PDF (YG6486)

 Hearing Services - Consent to Obtain Personal Health Information
         English French PDF (YG6529)

 Hearing Services - Consent to the Release of Personal Health Information
         English French PDF (YG6530)

 Organ Donor Registration
         English French PDF (YG6583)

 Out-of-Country Claims
         English French PDF (YG6473)

 Temporary Absence
         English French PDF (YG3383)

 YHCIP Notice of Change
         Bilingual PDF (YG679)


J

K

L

 Lands

 Application for Yukon Lands
         English French PDF (YG4917)

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

 Discretionary Use Permit - Application
         English French PDF (YG6438)

 Land Lottery Application
         English French PDF (YG6663)

 Land Use Permit - Application
         English French PDF (YG5028)

 Quarry Permit Application - Designated Public Pit
         Bilingual PDF (YG3463)

 Quarry Permit Application - New Sites
         Bilingual PDF (YG5026)

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

 Subdivision Approval - Application
         English French PDF (YG5370)

 Subdivision Approval - Application (Agricultural Land)
         English PDF (YG5603)


 Liquor

 Minors - Consent of Parent
         English French PDF (YG6479)

 Barring Orders
         English French PDF (YG5949)

 Liquor Act Bearer Order
         Bilingual PDF (YG5358)

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

 Liquor Licence Application - Transfer
         English French 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 - Regular
         Bilingual PDF (YG2485)

 Order Form - Special
         Bilingual PDF (YG5356)


 Lottery Licencing Act 

 Accountant Option Declaration
         English French PDF (YG5731)

 Bingo - Control Sheets (Sample)
         English French PDF (YG5714)

 Bingo - Financial Report
         English French PDF (YG5338)

 Bingo Licence - Application
         English French PDF (YG5091)

 Casino Games - Application
         Bilingual PDF (YG5092)

 Casino Games - Financial Report
         English French PDF (YG5340)

 Chase the Ace-Style Lottery - Application Package
         English French PDF (YG6588)

 Chase the Ace-Style Lottery - Financial Report
         English French PDF (YG6641)

 Chase the Ace-Style Lottery - Tracking Sheet
         English French PDF (YG6613)

 Eligibility Questionnaire - Gaming Licence
         English French PDF (YG6606)

 Raffle - Financial Report
         English French PDF (YG5339)

 Raffle Licence - Application
         English French PDF (YG5101)

 Raffle - Terms and Conditions - Single Day
         English French PDF (YG5730)

 Raffle - Ticket Inventory Control Worksheet
         English French PDF (YG5759)

 Raffle - Ticket Format (Sample)
         English French PDF (N/A)

 Prize Guarantee by Financial Institution
         English French PDF (YG5713)

 Prize Guarantee by Individual
         English French PDF (YG5712)

 Statutory Declaration - Meals
         English French PDF (YG5715)

 Travel Itinerary, Request for
         English French PDF (YG5103)


M

 Marriage Act 

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


 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 French PDF (YG3983)

 Form 2 - Order to Apprehend
         English French PDF (YG3984)

 Form 3 - Statement of Peace Officer on Apprehension
         English French 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
         French English PDF (YG4077)

 Form 7 - Certificate of Involuntary Admission
         English French PDF (YG3989)

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

 Form 9 - Application to the Capability and Consent Board
         French English PDF (yg3988)

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

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

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

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

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

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

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

 Form 17 - Certificate of Return
         French English PDF (yg4004)

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

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

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

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


 Mental Wellness and Substance Use Services

 Referral Information Sheet
         English French PDF (YG1552)


 Minerals

 Authority to Sign - Placer or Quartz - Statutory Declaration
         English French PDF (YG6652)

 Authorization - Record of Agent
         English French PDF (YG6581)

 Authorization - Claim Holder
         English French PDF (YG6582)

 Transfer of Claim - Placer - Statutory Declaration
         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

 Statutory Declaration - Authorization of Corporate Power of Attorney
         English French PDF (YG6759)

 Class 1 Placer Notification
         English French PDF (YG6675)

 Grouping Work Program
         French English PDF (YG5042)

 Placer Claims - Application to Group
         French English PDF (YG5041)

 Placer Drill Log
         English French PDF (YG6695)

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

 Placer Mining - Renewal of Grant
         English French PDF (YG5039)

 Placer Mining - Renewal of Grant (using excess work credits only)
         English PDF (YG5040)

 Power of Attorney
         English French PDF (YG5045)

 Power of Attorney Cancellation
         English French PDF (YG6651)

 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)

 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)


 Minerals - Placer Mining Prospecting Leases

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

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

 Assignment of Prospecting Lease
         English French PDF (YG5035)

 Prospecting Work Program
         English French PDF (YG5037)


 Minerals - Quartz Claims

 Royalty Regulation: Notice of commencement of mining production
         English PDF (YG6756)

 Royalty Regulation - Notice of change in operations
         English PDF (YG6757)

 Class 1 Quartz Notification
         English French PDF (YG6694)

 Certificate of Improvements - Application
         English French PDF (YG5050)

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

 Certificate of Work - Application
         English French PDF (YG5049)

 Fractional Claim - Application
         English French PDF (YG5047)

 Full Claim - Application
         English French PDF (YG5046)

 Grant for Quartz Mining - Pay in Lieu - Renewal
         English PDF (YG5220)

 Mineral Claims - Application to Group
         English French PDF (YG5048)

 Survey Notice
         Bilingual PDF (YG5111)

 Transfer of Claim - Quartz - Statutory Declaration
         English French PDF (YG6650)

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


 Minerals - Quartz Mining Land Use

 Application for certificate of closure
         English PDF (YG5212)

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

 Assignment of Operating Plan
         English French PDF (YG5072)

 Class 2 Notification / Exploration Program
         Bilingual PDF (YG5110)

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

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


 Motor Vehicles 

 Vehicle Disposition Report
         English French PDF (YG6779)

 Order of Release of Impounded Motor Vehicle
         Bilingual PDF (YG4769)

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

 Driver's License/GIC - Consent - Applicants Under 18
         English French PDF (YG5729)

 Driver's License/GIC - Consent - Change of Gender Designation
         Bilingual PDF (YG6304)

 Expiry Month Change - Application
         English French PDF (YG6091)

 Farm Vehicle Declaration
         English French PDF (YG6090)

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

 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)

 Personalized Licence Plate - Application
         Bilingual PDF (YG4978)

 Registration - Add Name
         English French PDF (YG6093)

 Vehicle Impoundment - Application for Review
         Bilingual PDF (YG4759)

 Veteran Plate Eligibility - Application
         English French PDF (YG5236)


N

 Naming Regulation

 Form 1 - Application for Name Reservation
         Bilingual PDF (YG6212)


O

P

 Palliative Care

 Consult Request
         English French PDF (YG6673)


 Partnership and Business Names Act 

 Form 1 - Notice of Office of Limited Partnership
         Bilingual PDF (YG6189)

 Form 2 - Notice of Change of Registered Office of Limited Partnership
         Bilingual PDF (YG6190)

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

 Form 4 - Declaration of Partnership
         Bilingual PDF (YG6192)

 Form 5 - Renewal of Declaration of Partnership
         Bilingual PDF (YG6193)

 Form 6 - Notice of Change of Information in Declaration of Partnership
         Bilingual PDF (YG6194)

 Form 7 - Declaration of Dissolution of Partnership
         Bilingual PDF (YG6195)

 Form 8 - Declaration of Business Name
         Bilingual PDF (YG6196)

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

 Form 10 - Renewal of Declaration of Business Name
         Bilingual PDF (YG6198)

 Form 11 - Declaration of Cessation of Use of Business Name
         Bilingual PDF (YG6199)

 Form 12 - Application for Registration as an LLP
         Bilingual PDF (YG6200)

 Form 14 - Notice of Change of Information in Application for Registration as LLP
         Bilingual PDF (YG6201)

 Form 15 - Renewal of Registration as LLP
         Bilingual PDF (YG6202)

 Form 16 - Request to Cancel Status as LLP
         Bilingual PDF (YG6203)

 Form 17 - Statement from Governing Body of a Prescribed Profession
         Bilingual PDF (YG6204)

 Form 18 - Annual Report Limited Partnership Formed In Yukon
         Bilingual PDF (YG6205)

 Form 19 - Annual Report Limited Partnership Formed Outside Yukon
         Bilingual PDF (YG6206)


 Pharmacists Act 

 Pharamcist and Rural Permit - Renewal
         English French PDF (YG6701)

 Application for Pharmacists
         Bilingual PDF (YG5061)


 Post-Secondary Student Financial Assistance

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

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

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

 Schedule B - Spouse or Partner Information and Declaration
         English French PDF (YG6013)


 Procurement Services

 Commodities Vendor Index
         Bilingual PDF (YG1990)


 Procurement Support Centre

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

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

 Statutory Declaration - Progress Claim
         English PDF (YG3799)


 Public Health and Safety Act (For Doctors Only)

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

 Congenital Anomalies Surveillance Yukon (CASY) - Child
         English French PDF (YG5914)

 Congenital Anomalies Surveillance Yukon (CASY) - Mother/Fetus
         English French PDF (YG5849)


 Public Schools (Grades K-12)

 Catholic Schools of Whitehorse Admission Package
         English French PDF (YG4968)

 DELF (Diplôme d’études de langue française) Registration
         English French PDF (YG6714)

 Excellence in Education Award - Nomination Form
         English French PDF (YG2615)

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

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

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


Q

R

 Rabies Protocol

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

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


 Record of User Activity

 Record of User Activity Request Form
         English French PDF (YG6379)

 Request for Access to Personal Information Records
         English French PDF (YG6364)


 Recycling

 Beverage Container Depot - Application to Operate
         English French PDF (YG4163)

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

 Water Delivery Request
         Bilingual PDF (YG6260)


 Referred Care Clinic

 Consent for Release of Information
         English French PDF (YG6523)

 Initial Assessment
         English French PDF (YG6524)

 Medication Agreement
         English French PDF (YG6522)

 Pharmacy Agreement
         English French PDF (YG6526)


 Registered Psychiatric Nurse (RPN)

 Courtesy Certificate - RPN
         English French PDF (YG6681)

 Full Certificate Application - RPN
         English French PDF (YG6680)

 Inactive Certificate - RPN
         English French PDF (YG6682)

 Interim Certificate - RPN
         English French PDF (YG6683)

 Licence Renewal - RPN
         English French PDF (YG6667)

 Reinstatement Application - RPN
         English French PDF (YG6684)


 Residency Declaration

 Residency Declaration - Film and Sound Incentive Programs
         English French PDF (YG6550)


 Risk Management Office

 Claims Statement
         English French PDF (YG6383)

  Waiver, Release, and Indemnification Agreement
         English French PDF (YG6469)


 Road Programs

 Permit Application - Temporary Access to HPW Gravel Pit
         English French PDF (YG6623)

 Resource Access Road Program - Application and 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

 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 of Seizure and 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 Withdrawal
         English French PDF (YG4512)

 Form 26 - Response
         English French PDF (YG5774)

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

 Form 28 - Affidavit in Support of Judgment for Restitution
         English French PDF (YG6359)

 Form 29 - Requisition for Judgment for Restitution
         English French PDF (YG6360)

 Form 30 - Judgment for Restitution
         English French PDF (YG6361)


 Society Act 

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

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

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

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

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

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

 Form 9 - Articles of Revival
         Bilingual PDF (YG6169)

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

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

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

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

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

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

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


 Sound Recording Programs

 Sound Recording (Demo) - $2000 level
         English French PDF (YG5539)

 Sound Recording (Professional) - $5000 level
         English French PDF (YG6282)


 Spring Litter Campaign

 Spring Litter Campaign - Application Form
         English French PDF (YG6560)

 Spring Litter Campaign - Invoice
         English French PDF (YG6559)


T

 Temporary Absence

 Temporary Absence
         English French PDF (YG3383)


 Tobacco Tax

 T.T. 1 Tobacco Dealer's Permit
         English French PDF (YG1141)

 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)


U

V

 Crime Prevention Victim Services Trust Fund

 Project Evaluation and Financial Reporting
         English French PDF (YG5893)


 Victim Impact Statement

 Victim Impact Statement - Not Criminally Responsible
         English French PDF (YG6274)


 Vital Statistics

 Birth, Marriage, or Death Certificate - Application or Search
         English French PDF (YG3385)

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

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

 Change of Sex on Registration - Over 16 Years
         English French PDF (YG6471)

 Change of Sex on Registration - Under 16 Years
         English French PDF (YG6470)

 Marriage Commissioner Application Form
         English French PDF (YG6102)


W

 Whitehorse Emergency Shelter

 WES - Intake
         English French PDF (YG6717)


 Wildland Fire Management

 FireSmart Project Application
         English French PDF (YG6643)


X

Y

 Yukon Express Entry

 Application Form
         English French PDF (YG6114)


 Yukon Nominee Program

 Authority to Release Personal Information to a Designated Individual
         English French PDF (YG6665)

 Application Form
         English French PDF (YG6019)

 Application Handbook
         English French PDF (N/A)

 Critical Impact Worker Criteria
         English French PDF (N/A)

 Participant Monitoring Form - Employer
         English French PDF (YG6020)

 Participant Monitoring Form - Nominee
         English French PDF (YG6021)

 Skilled Worker Criteria
         English French PDF (N/A)

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


 Yukon Public Libraries 

 Yukon Public Libraries Request
         Bilingual PDF (YG3264)


 Yukon Small Business Investment Tax Credit

 Application
         English French PDF (YG6672)


Z