Government of Yukon

C

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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)


 Change of Name

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

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


 Child Care

 Application for Childcare Enhancement Funding
         English French PDF (YG4864)

 Application for Child Care Subsidy Form
         English French PDF (YG4586)

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

 Child Care Subsidy – Affidavit – Separated
         English French PDF (YG5351)

 Child Care Subsidy – Affidavit – Single
         English French PDF (YG6448)

 Child Care Subsidy - Eligibility Form
         English French PDF (YG2279)

 Child Care Subsidy - Job Search Record
         English French PDF (YG3871)

 Child Care Subsidy – Self-Employed Financial Information
         English French PDF (YG3958)

 Child Care Subsidy – Special Needs Application
         English French PDF (YG3957)

 Child Care Subsidy - Verification of Income by Employer
         English French PDF (YG3956)

 Family Day Home Menu Declaration
         English French PDF (YG5703)


 Child Support Administrative Recalculation Service

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

 Application Form
         English French PDF (YG6227)

 Response Form
         English French PDF (YG6229)


 Child and Family Services Act

 Accessing Adoption Records from Yukon Government, 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)


 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 (Guidelines)


 Conservation Data

 Yukon Conservation Data Centre - Field Observation Form - Plant
         English French PDF (YG6068)

 Yukon Conservation Data Centre - Field Observation Form - Animal
         English French PDF (YG6067)

 Yukon Conservation Data Centre - Data Request Form
         English French PDF (YG6066)

 Agreement for Access and Use of Yukon Conservation Data Centre Data
         English French PDF (YG6086)


 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

 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)