Government of Yukon

Energy, Mines and Resources

A to Z forms

 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)


 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
         French English PDF (YG6396)


 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)


 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)


 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)


 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)