Government of Yukon

Energy, Mines and Resources

A to Z forms

 Agriculture

 Application - Agriculture Land
         Bilingual PDF (YG3344)

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

 Farm Development Plan
         English French PDF (YG4347)

 Application - Grazing
         Bilingual PDF (YG3345)

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


 Energy

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

 CEIP - Thermal Enclosure Upgrade for Multi-family Buildings
         English French PDF (YG6297)

 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)


 Forestry

 Application - Commercial Harvesting Authority
         English PDF (YG5862)

 Application - Scale Site
         English French PDF (YG5012)

 Application - Scaler
         English French PDF (YG5011)

 Class H Timber Permit Piece Count
         English French PDF (YG5021)

 Commercial Fuelwood Permit Summary Return
         English French PDF (YG5009)

 Harvest Summary - Annual
         English French PDF (YG5641)

 Harvest Summary - Monthly
         English French PDF (YG5643)

 Harvest Summary - Quarterly
         English French PDF (YG5642)

 Mark Holder Scaling Agreement
         English French PDF (YG5010)

 Monthly Return - Commercial Fuelwood
         English French PDF (YG5007)

 Monthly Return - Timber
         English French PDF (YG5008)

 Monthly Return - Weight Scale Site
         English French PDF (YG5018)

 Piece Scale Site Incoming Load Diary
         English French PDF (YG5016)

 Piece Scale Site Monthly Return
         English French PDF (YG5017)

 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)


 Lands

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

 Application for Discretionary Use Permit
         English French PDF (YG6438)

 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 (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)

 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

 Survey Notice
         Bilingual PDF (YG5111)

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

 Application for a Certificate of Improvements
         English French PDF (YG5050)

 Application for a Certificate of Work
         English French PDF (YG5049)

 Application for Renewal of Grant for Quartz Mining Pay in Lieu
         Bilingual PDF (YG5220)

 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)

 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 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 PDF (YG6476)

 Work Bid Submission Form
         English PDF (YG5412)