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Displaying 1 - 10 of 44.

Results

Long Acting Insulin Analogues Special Authorization Request Form

https://www.princeedwardisland.ca/sites/default/files/forms/long_acting_insulin_analogues_special_authorization_request_form.pdf
2018-12-20
Special authorization request form to be completed by your physician or diagnosing specialist.  
SPECIAL AUTHORIZATION REQUEST LONG ACTING INSULIN ANALOGUES Fax requests to (902) 368-4905 OR mail requests to PEI Pharmacare, P.O. Box 2000, Charlottetown, PE, C1A...

Retailer's Gasoline Tax Refund

https://www.princeedwardisland.ca/sites/default/files/forms/retailers_gas_tax_refund_0.pdf
2018-12-12
Mail to: Department of Finance Taxation and Property Records PO Box 1150, Charlottetown, PE C1A 7M8 Deliver to: 95 Rochford Street Shaw Building, 1st Floor South Charlottetown, PE C1A 3T7 Or: any Access PEI Centre Freedom of...

Drivers Licence or Voluntary ID Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/2254.pdf
2018-12-03
I declare that the information and questions answered above are accurate to the best of my knowledge. Signature of Applicant Signature of Staff Person Photographic ID applicant below the age of 18 Signature of Applicant...

Energy Efficiency Loan Program (EELP) Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/eelp_application_form.pdf
2018-11-27
Application form for Finance PEI's Energy Efficiency Loan Program (EELP).
ENERGY EFFICIENCY LOAN PROGRAM (EELP) APPLICATION FORM Freedom of Information and Protection of Privacy Personal information on this form is collected under section 32(1)(g) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I...

Family Home Centre Capital Grant Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/eelc_fhc_capital_grant_application.pdf
2018-11-21
Family Home Centre Capital Grant Application Form Instructions: Complete the form by filling in the spaces provided. Print clearly if completing the form by hand. Additional sheets may be attached to the application if more space is...

Family Home Centre Operational Requirements Grant Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/eelc_fhc_operational_grant_application.pdf
2018-11-21
Family Home Centre Operational Requirements Grant Application Form Applicant Name Mailing Address Telephone Email Employer (if applicable) Employer Contact Employer Email Employer Telephone: Indicate which course you...

Early Learning and Child Care Family Home Centre Licence Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/eelc_fhc_licence_application.pdf
2018-11-21
Family Home Centre Licence Application Form 2019 Page 1 DEPARTMENT OF EDUCATION AND LIFELONG LEARNING EARLY LEARNING AND CHILD CARE FAMILY HOME CENTRE LICENCE APPLICATION FORM Collection of Personal Information The information collected...

Nursing Incentive Program Reference Form

https://www.princeedwardisland.ca/sites/default/files/forms/reference_form_fillable.pdf
2018-11-20
This is the form to be completed by those providing a reference to the Nursing Incentive Program. 
PEI Nursing Recruitment Incentive Program Reference Form This reference is being provided as part of the PEI Nursing Recruitment Incentive Program. The information collected on this form will assist with administering the program and...

PEI Research Ethics Board: Reporting Study Closure or Early Termination

https://www.princeedwardisland.ca/sites/default/files/forms/reb_study_closure-early_termination_form.pdf
2018-11-08
This form must be completed when a study is closed and/or terminated early.
Microsoft Word - PEI REB Study Closure or Early Termination, May 2013 Version.docx PEI Research Ethics Board REPORTING STUDY CLOSURE and/or EARLY TERMINATION (Required on closure or early termination.) TO: PEI Research Ethics Board DATE:...

PEI Research Ethics Board: Request for Annual Approval

https://www.princeedwardisland.ca/sites/default/files/forms/reb_request_for_annual_approval.pdf
2018-11-08
Every researcher must complete an annual report and request for re-approval.
REQUEST FOR ANNUAL APPROVAL TO: PEI Research Ethics Board DATE: _________________________________ FROM: ______________________________________ Contact Nos. _____________________________ (Principal Investigator or Designate) ADDRESS:...
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