Government of Yukon

C

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C

 Canada-Yukon Job Grant (CJG)

 Employer Activity Report (12-Months Following Training)
         English French PDF (YG6292)

 Employer Activity Report (Upon Completion of Training)
         English French PDF (YG6291)

 Employer Application
         English French PDF (YG6289)

 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 - Certificate of Legal Consultation
         English French PDF (YG5260)

 Form 2 - Certificate of Need for Financial Protection
         English French PDF (YG5257)

 Form 3 - Cancellation of Certificate of Need for Financial Protection
         English French PDF (YG5258)

 Form 4 - Statement by a Close Friend before Chosen as Substitute Decision-Maker
         English PDF (YG5283)

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

 Form 6 - Application to Capability and Consent Board
         English PDF (yg5284)

 Resuscitation and Care form
         English PDF (yg5262)


 Carrier Compliance Permits

 Axle (Front) Overload Permit
         English French PDF (YG6411)

 Axle Lift Trailer Permit
         English French PDF (YG6412)

 Over-Dimensional Vehicle Permit
         English French PDF (YG6415)

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

 Weigh Station Reporting Exemption Process
         English French PDF (YG6410)

 Yukon Fuel Permits
         English French PDF (YG6416)


 Cash Returns

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


 Child Care

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

 Child Care Enhancement Funding - Application
         English French PDF (YG4864)

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

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

 Child Care Subsidy - Application
         English French PDF (YG4586)

 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)

 Early Childhood Education Bursary Application
         English French PDF (YG6642)

 Family Day Home Menu Declaration
         English French PDF (YG5703)


 Child Support

 Child Support Questionnaire
         English French PDF (YG6509)


 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)


 Chiropractor Act 

 Application for Chiropractor
         Bilingual PDF (YG5090)

 Renewal for Chiropractor
         Bilingual PDF (YG5126)


 Chronic Conditions Support Program

 Referral Form
         English French PDF (YG6572)


 Commissioner of Yukon

 Request for Patronage
         Bilingual PDF (YG6591)


 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 - Guidelines
         English French PDF (Guidelines)


 Conservation Data

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

 Data Request Form
         English French PDF (YG6066)

 Field Observation Form - Animal
         English French PDF (YG6067)

 Field Observation Form - Plant
         English French PDF (YG6068)


 Consumer Protection Act 

 Application for Collection Agency
         Bilingual PDF (YG5094)

 Application for Collection Agency Employee
         Bilingual PDF (YG5093)

 Renewal for Collection Agency
         Bilingual PDF (YG5125)

 Renewal for Collection Agents Employee
         Bilingual PDF (YG5117)


 Contaminated Sites

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

 Land Treatment Facility Permit - Application
         English French PDF (YG5638)

 Land Treatment Facility Permit - Annual Reporting Form
         English French PDF (YG5808)

 Relocation Permit - Application
         English French PDF (YG5634)

 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)

 Feedback Form
         English French PDF (YG6537)

 Volunteer Application
         English French PDF (YG5529)

 Volunteer Satisfaction Survey
         English French PDF (YG5523)

 Volunteer Exit Survey
         English French PDF (YG5530)


 Crime Prevention Victim Services Trust Fund

 CPVSTF - Application Form
         English French PDF (YG5892)

 Project Evaluation and Financial Reporting
         English French PDF (YG5893)

 CPVSTF - Guidelines
         English French PDF (N/A)


 Professional Licensing & Regulatory Affairs 

 Credit Card Information
         English French PDF (YG5924)

 Annual Continuing Education
         English French PDF (YG6519)

 Verification of Employment Professional Practice Hours
         English French PDF (YG6520)