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Forms

The following list provides access to Government of Yukon forms. Most completed forms must be returned to government offices by fax, mail, or in person.

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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

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Access to Information and Protection of Privacy

  • Request for Access to Records (YG4552) Bilingual PDF
  • Request for Correction of Personal Information (YG4553) Bilingual PDF

Agriculture

Awards

  • Premier's Award of Excellence nomination information English PDF

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Birth Certificates

  • Birth Certificate Application (YG3385) Bilingual PDF

Boards and Committees

  • Nomination / Application Form for Public Use (YG3538) Bilingual PDF

Business Corporations Act forms

  • Annual Return (YG3038) Bilingual PDF
  • Application to Reinstate an Extra Territorial Corporation (YG3052) BilingualPDF 
  • Articles of Amalgamation for Yukon Corporations (YG3039) Bilingual PDF
  • Articles of Amendment (YG3042)Bilingual PDF
  • Articles of Arrangement (YG3043) Bilingual PDF
  • Articles of Continuance (YG3040) Bilingual PDF
  • Articles of Dissolution (YG3045) Bilingual PDF
  • Articles of Incorporation (YG3081) Bilingual PDF
  • Articles of Reorganization (YG3072) Bilingual PDF
  • Articles of Revival (YG3047) Bilingual PDF
  • Cancellation of Assumed Name (Extra Territorial Corporations) (YG3054) Bilingual PDF
  • Notice of Address (Yukon Corporation) (YG3082) Bilingual PDF
  • Notice of Assumed Name (Extra Territorial Corporation) (YG3053) Bilingual PDF
  • Notice of Attorney for Service (Extra Territorial Corporation) (YG3049) Bilingual PDF
  • Notice of Change of Address of Registered Attorney (Extra Territorial Corporation) (YG3050) Bilingual PDF
  • Notice of change of Officers or Directors (YG3037) Bilingual PDF
  • Notice of Change of Registered Office (Extra Territorial Corporation) (YG3073) Bilingual PDF
  • Notice of Discontinuance (YG3041) Bilingual PDF
  • Restated Articles of Incorporation (YG3044) Bilingual PDF
  • Statement of Amalgamation (Extra Territorial Corporation) (YG3051) Bilingual PDF
  • Statement of Intent to Dissolve (YG3046) Bilingual PDF
  • Statement of Registration (Extra Territorial Corporation) (YG3048) Bilingual PDF

Business Incentive Program

  • Employee Information and Release form (YG4369) BilingualPDF
  • Employment Report (YG4983) English PDF
  • Yukon Business Incentive Policy - Construction Contracts Rebate Claim Form - Yukon Materials Component (YG4982) English PDF
  • Statutory Declaration - Yukon business Incentive Policy for Construction - Yukon Labour, Apprentice, Youth, and/or Materials Incentive Rebate Claim (YG4984) English PDF

Business Name Registration

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Change of Address

Child Care

  • Child Care User Subsidy - Eligibility Form (YG2279) Bilingual PDF

Chiropractor Act

  • Application for Yukon Registration (YG5090)Bilingual PDF

Community Development Fund

Contract Services

  • Contracting Process Checklist(YG4985) English PDF
  • Statutory Declaration - Certificate of Substantial Performance (YG3747) English PDF
  • Statutory Declaration - Certificate of Total Performance (YG3800) English PDF
  • Statutory Declaration - Progress Claim (YG3799) English PDF

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Death Certificates

  • Death Certificate Application (YG3385) Bilingual PDF

Dental Professions Act

  • Application for Registration of a Professional Corporation (YG5100) Bilingual PDF
  • Application for Yukon Registration - Dental Therapist (YG5096) Bilingual PDF
  • Dental Hygienist Renewal Form (YG5058) Bilingual PDF
  • Dental Therapist Renewal Form (YG5060) Bilingual PDF
  • Dentist Renewal Form (YG5056) Bilingual PDF
  • Professional Corporation Renewal (YG5057) Bilingual PDF

Direct Deposit

  • Direct Deposit Application (YG4980) Bilingual PDF

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Education

  • Catholic Pastoral Reference (YG5366) English PDF
  • GradCorp Application (YG5309) English PDF
  • Teacher Faith Letter (YG5365) English PDF
     

Employment

  • GradCorp Application (YG5309) English PDF

Employment Standards

  • Employment Standards Act - Claim Information (YG2430) English PDF

Environment Youth Programs

  • 2006 Student Employment Application - (YG5352) English PDF
  • Conservation Action Team Student Application Package 2006 - (YG5355Q) English PDF
  • Yukon Youth Conservation Corps (Y2C2) Project Proposal - (YG5351) English PDF

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Film

  • Film Development Fund Application YG(5320Q) F4 English PDF
  • Film Production Fund Application YG(5319Q) F7 English PDF
  • Film Training Initiative Application Form (YG4934) English PDF
  • Yukon Filmmakers Fund Application (YG5350) English PDF

Finance

  • Annual Tax Exempt Renewal Report (YG4826) English français PDF
  • Application for a Beverage Container Dealer's Licence (YG4162) English français PDF
  • Application for a Tobacco Dealer's Permit (YG1141) English français PDF
  • Application to be Registered as a Depot (YG4163) English français PDF
  • Dealer's Monthly Return (BCR3) (YG4159) English français PDF
  • EA/BCR11 Beverage Container Purchase Form (YG4241) English PDF
  • EA/BCR12 Daily Purchase Form Summary (YG4242) English PDF
  • EA/BCR13 Daily Cash Count Sheet (YG4245) English PDF
  • F.O.T. Application 1 (YG614) Bilingual PDF
  • F.O.T. Application 2 (YG602) English français PDF
  • F.O.T. Application 3 (YG603) English français PDF
  • F.O.T. Application 4 (YG604) Bilingual PDF
  • F.O.T. Application 5 (YG3161) English français PDF
  • F.O.T. Application 6A (YG3369) English français PDF
  • F.O.T. Application 7 (YG1787) English français PDF
  • F.O.T. Application 7A (YG2348) English français PDF
  • F.O.T. Application 8 (YG3370) English français PDF
  • F.O.T.C. Quarterly Return of Fuel Oil Imported into the Yukon in the Fuel System of a Vehicle (YG1476) English français PDF
  • Generic Fuel Collector Summary Form Gasoline and Related Products (YG4777) English PDF
  • Generic Fuel Collector Summary Form Diesel and Related Products (YG4778) English PDF
  • Generic Fuel Tax Report - FTD-1 Imports from Out-Of-Jurisdiction (YG4779) English PDF
  • Generic Fuel Tax Transaction Report - FTD-2 Acquisitions Within Jurisdiction From Licensed Collectors (YG4780) English PDF
  • Generic Fuel Tax Transaction Report - FTD-3 Exports Out-Of-Jurisdiction (YG4781) English PDF
  • Generic Fuel Tax Transaction Report - FTD-4 Dispositions Within Jurisdiction To Licensed Collectors (YG4782) English PDF
  • Generic Fuel Tax Transaction Report - FTG-1 Imports Form Out-Of-Jurisdiction (YG4783) English PDF
  • Generic Fuel Tax Transaction Report - FTG-2 Acquisitions Within Jurisdiction From Licensed Collectors (YG4785) EnglishPDF
  • Generic Fuel Tax Transaction Report - FTG-3 Exports Out-Of-Jurisdiction (YG4784) English PDF
  • Generic Fuel Tax Transaction Report - FTG-4 Dispositions Within Jurisdiction to Licensed Collectors (YG4786) English PDF
  • Premium Tax Return (YG336) English français PDF
  • Recycling Centre Claim (YG4732) English français PDF
  • Retailer's Quarterly Tire Return (YG5151) Bilingual PDF
  • T.T. 3 Tobacco Tax Return (YG1144) English français PDF
  • T.T.9 The Tobacco Tax Act (YG1153) English français PDF
  • Yukon Specific Fuel Tax Transaction Report-YTG-5 Distributors and Vendor Exempt Sales (YG4773) English PDF
  • Yukon Specific Fuel Tax Transaction Report-YTD-5 Distributors and Vendor Exempt Sales (YG4774) English PDF
  • Yukon Specific Fuel Tax Transaction Report-YTD-6 Breakdown of Sales (YG4775) English PDF
  • Yukon Specific Fuel Tax Transaction Report-YTG-6 Breakdown of Sales (YG4776) English PDF

Forestry

Funeral Directors Act

  • Yukon Funeral Director Application Form (YG5089) Bilingual PDF
  • Funeral Director Renewal Form (YG5127) Bilingual PDF

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Guardianship

  • Guardianship Application (YG5285QE) English PDF
  • Applicant's Affidavit (YG5286QE) English PDF
  • Statement of Proposed Guardian (YG5287QE) English PDF
  • Preliminary Guardianship Plan (YG5288QE) English PDF
  • Incapability Assessment Report (YG5290QE) English PDF
  • Inventory, Account and Subsequent Guardian Plan (YG5291QE) English PDF

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Home Owner Grant

  • Yukon Home Owner's Grant Application (YG4013) English français PDF
  • Application for Yukon Home Owner's Grant (YG 3101) Bilingual PDF

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Insurance

  • Adjuster Renewal Form (YG5134) Bilingual PDF
  • Application for Adjuster Licence  (YG5318) Bilingual PDF
  • Application for Agents License (YG5084) BilingualPDF
  • Application for Insurance Salesperson's License (YG5123) BilingualPDF
  • Application for Special Broker's License (YG5120) BilingualPDF
  • Canadian Council of Insurance Regulators - Application for Insurer's Licence (YG5369) English français PDF
  • Insurance Agent Renewal Form (YG5130) BilingualPDF
  • Insurance Broker and Special Broker Renewal Form (YG5322) Bilingual PDF
  • Monthly Return of Special Insurance Broker - Section 238(1) (YG5121) BilingualPDF
  • Power of Atorney (YG5122) BilingualPDF
  • Renewal - Insurance Company (YG5310) Bilingual PDF
  • Salesperson Renewal Form (YG5129)BilingualPDF

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Lands

  • Application for Amendment to Area Development Regulations (YG5371) Bilingual PDF
  • Application for Land Use Permit (YG5028) English françaisPDF
  • Application to Store Machinery and Materials (YG5027) BilingualPDF
  • Application for Quarry Permit for New Sites (YG5026) BilingualPDF
  • Application for Subdivision Application  (YG5370) Bilinqual PDF
  • Application for Yukon Lands (YG4917) English français PDF
  • Lands Branch Website Survey (YG5328) English françaisPDF
  • Quarry Permit for Designated Public Pit (YG3463) Bilingual PDF

Liquor

Lottery Licencing Act

  • Application for Bingo Licence (YG5091) Bilingual PDF
  • Application for Casino Games Licence (YG5092) Bilingual PDF
  • Travel Itinerary (YG5103) Bilingual PDF
  • Credit Slip - From A (YG5105) Bilingual PDF

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Marriage Certificates

 
  • Marriage Certificate Application (YG3385) Bilingual PDF

Motor Vehicles

 
  • Application for Veteran Plate Eligibility (YG5236) English français
  • Application for Review - Vehicle Impoundment (YG4759) Bilingual  PDF

Minerals

Placer Mining claims

  • Application for Grant for Placer Mining (YG5038) English français PDF
  • Application for Renewal of Grant for Placer Mining (YG5039) English français PDF
  • Application for Renewal of Grant for Placer Mining (Using Excess Work Credits only) (YG5040) Bilingual PDF
  • Application to Group Placer Claims (YG5041) Bilingual PDF
  • Grouping Work Program (YG5042) Bilingual PDF
  • Power of Attorney/Affidavit of Witness (YG5045) English français PDF
  • Transfer of Placer Claim(s) or Interest (YG5043) English français PDF

Placer Mining Prospecting Leases

Placer Mining Land Use

  • Aboveground Storage Tank (AST) - Registration Form (YG5025) Bilingual PDF
  • Application for Certificate of Completion (YG5211) Bilingual PDF
  • Application for Class IV 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 ).
  • Assignment of Operating Plan (YG5071) English français PDF
  • Class II Notification / Land Use Operation (YG5109) Bilingual PDF
  • Class III Placer Mining Land Use Operating Plan / Land Use Approval/ (YG5068) English .pdf français .pdf PDF or English.doc français.doc word

Quartz Claims

Quartz Mining Land Use

Coal Mining

  • Territorial Coal Regulations - Affidavits (YG5031) English français PDF
  • Territorial Coal Regulations - Application for Exploration Licence (YG5034) English français PDF
  • Territorial Coal Regulations -Application for Lease (YG5033) Englishfrançais PDF
  • Territorial Coal Regulations - Application for Permit (YG5032) English français PDF

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Oil and Gas

  • Disposition Transfer Form - (YG5275Q)F2 English PDF
  • Disposition Transfer Form Transmittal Letter (YG5323Q)F1 English PDF
  • Notice of Designated Representative, Replacement, or Revocation (YG5349) English PDF
  • Notice of Official Service Address of Designated Representative or Sole Holder (YG5348) English PDF
  • Surrender Form - (YG5306Q)F2 English PDF
  • Surrender Form Transmittal Letter - (YG5313Q)F1 English PDF

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Pharmacists Act

  • Application for Yukon Registration (YG5061) Bilingual PDF

Partnership and Business Names Act forms

  • Declaration of Business Name (YG4726) Bilingual PDF
  • Declaration of Cessation of Business Name (YG4728) Bilingual PDF
  • Declaration of Dissolution of Partnership (YG4729) Bilingual PDF
  • Declaration of Partnership (YG4727) Bilingual PDF

Pawnbrokers and Secondhand Dealers Act

  • Application for Pawnbroker and Secondhand Dealer (YG5135) Bilingual PDF
  • Renewal (YG5128) Bilingual PDF

Personal Property Security Act forms

Please note that these pdfs are built to the typwriter dimensions used previously. They can be filled out onscreen or on your typewriter. To print at correct size for typewriter use, acrobat's "shrink to fit page" must be deselected.

Procurement Services

  • Commodities Vendor Index (YG1990) Bilingual PDF

Public Health and Safety

  • Application for a Permit to Install a Sewage Disposal System (YG4307) Bilingual PDF
  • Application for Permission to Retain a Sewage Disposal System (YG4675) Bilingual PDF
  • Contractor Application for Electrical Permit (YG324) English PDF
  • Electrical Permit Application - Single Family and Duplex Dwelling (YG322) English PDF
  • Notification of Installation and Undertaking to Maintain a Septic Tank and Soil Absorption System (YG4674) Bilingual PDF
  • Notification of Installation and Undertaking to Maintain a Sewage Holding Tank (YG4673) Bilingual PDF

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Real Estate Agents Act

  • Salesperson Renewal Form (YG5194) Bilingual  PDF

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Securities Act

  • Application for Registration as Broker or Security Issuer (YG1174) English PDF
  • Application for Renewal of Registration as Broker or Security Issuer (YG1176) English PDF

Senior Services

  • Pioneer Utility Grant Application Form (YG1666) Bilingual PDF
  • Senior Care Benefits (Pharmacare and Extended Benefits) Application (YG2698)Bilingual PDF

Small Claims Court Act forms

Garnishment Forms

  • Notice of Response to Writ (YG2613) BilingualPDF
  • Writ of Continuing Garnishmnet (Issued after Judgement) (YG2614) BilingualPDF
  • Writ of Immediate Garnishmnet (Issued after Judgement) (YG2706) Bilingual PDF

Societies Act forms

  • Application for Incorporation of a Society (YG3644) Bilingual PDF
  • Category B Society: Special Resolution to Waive the Review Requirement (YG3964) Bilingual PDF
  • Category C Declaration (YG3646) Bilingual PDF
  • Notice of Change of Address (YG3647) Bilingual PDF
  • Notice of Change of Officers or Directors (YG3645) Bilingual PDF
  • Special Resolution Form (YG3965) Bilingual PDF

Sound Recording Programs

  • Professional Demo Recording Application (YG5314) English PDF
  • Professional Sound Recording Application (YG5315) English PDF

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Water

  • Rural Domestic Water Well Program Application Form (YG 5224) Bilingual PDF
  • Water Well Drillers Form (YG5302) English PDF

Wilderness Tourism Licensing Act forms

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Yukon Home Owner's Grant

  • Yukon Home Owner's Grant Application (YG4013) English français PDF
  • Application for Yukon Home Owner's Grant (YG 3101) Bilingual PDF

 

Previous Page Back to Top Last Updated 22-10-2006