Government of Yukon

Energy, Mines and Resources

A to Z forms

 Agriculture

 Application - Agriculture Land
         Bilingual PDF (YG3344)

 Application - Grazing
         Bilingual PDF (YG3345)

 Application - On-farm Operation of a Mobile Abattoir
         English French PDF (YG5639)

 Farm Development Plan
         English French PDF (YG4347)

 Premises Identification (PID) Program
         English French PDF (YG5716)


 Energy

 Rebate Application - Appliances
         English French PDF (YG5829)

 Rebate Application - Heating Systems
         English French PDF (YG5830)

 Rebate Application - Residential Energy Assessment
         English French PDF (YG5827)

 Rebate Application - Residential Renewable Energy
         English French PDF (YG5828)

 Rebate Application - Super-Insulated New Home
         English French PDF (YG6396)

 Rebate Application - LED Lighting Upgrade for Commercial Buildings
         English French PDF (YG6276)

 Rebate Application - Mixed-Use Building Thermal Enclosure
         English French PDF (YG6297)


 Forestry

 Application - Commercial Harvesting Authority
         English PDF (YG5862)

 Harvest Summary - Annual
         English French PDF (YG5641)

 Harvest Summary - Monthly
         English French PDF (YG5643)

 Harvest Summary - Quarterly
         English French PDF (YG5642)


 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)

 Lands Branch Customer Service Survey
         English PDF (YG5534)

 Lands Branch Website Survey
         English French PDF (YG5328)

 Land Use Permit - Application
         English French PDF (YG5028)

 Machinery and Materials - Application to Store
         Bilingual PDF (YG5027)

 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)


 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

 Grouping Work Program
         Bilingual PDF (YG5042)

 Placer Claims - Application to Group
         Bilingual PDF (YG5041)

 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)
         Bilingual PDF (YG5040)

 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)

 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)

 Class 4 Placer Mining Land Use Approval (Contact Yukon Water Board 867-456-3980)
         PDF ()

 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

 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
         Bilingual PDF (YG5220)

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

 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)

 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)


 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)

 Corporate Profile and Application for an ID Code
         English French PDF (YG6477)

 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)

 Well Inspection Report
         English French PDF (YG6377)

 Well Operation Approval Application
         English French PDF (YG6476)

 Work Bid Submission Form
         English PDF (YG5412)