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Displaying 1 - 10 of 11 records for "covid"

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COVID-19 Special Leave Fund - Employee Declaration Form

https://www.princeedwardisland.ca/sites/default/files/forms/covid-19_special_leave_employee_declaration-may6.pdf
2021-03-22
COVID-19 Special Leave Fund - Employee Declaration Form
Employee Declaration Form Page 1 Covid-19 Special Leave Fund Employee Declaration Form Instruction Page Step 1 • Read the COVID-19 Special Leave Fund website in its entirety before beginning the application process. https://servicesqat.gpei...

COVID Immunization Clinic Registration Form

https://www.princeedwardisland.ca/sites/default/files/forms/covid_clinic_form.pdf
2021-11-19
COVID Immunization Clinic Registration Form Date of Clinic: _______________________ Location of Clinic: ______________________________ Client Name: _____________________________________ Health Card #: ____________________ DOB:...

Self-Isolating Visitor Designation Form

https://www.princeedwardisland.ca/sites/default/files/forms/self-isolating_visitor_designation_form.pdf
2021-08-11
Form to authorize designated compassionate visitors for patients/residents in Health PEI facilities or programs.
Microsoft Word - Self Isolation Visitor Letter.docx 16 Garfield Street 16, rue Garfield PO Box 2000, Charlottetown C.P. 2000, Charlottetown Prince Edward Island Île-du-Prince-Édouard Canada C1A 7N8 Canada C1A 7N8 www....

AstraZeneca, Janssen and Novavax Consent Form

https://www.princeedwardisland.ca/sites/default/files/forms/az_janssen_novavax_consent_form_2022_0.pdf
2022-05-03
ASTRAZENECA/JANSSEN/NOVAVAX COVID-19 VACCINE CONSENT FORM Date: ______________________ Location of Clinic: ______________________________ Client Name: _____________________________________ Health Card #: ____________________ DOB:...

Moderna and Pfizer Consent Form

https://www.princeedwardisland.ca/sites/default/files/forms/moderna_and_pfizer_consent_form.pdf
2022-05-03
COVID Immunization Clinic Registration Form Date of Clinic: _______________________ Location of Clinic: ______________________________ Client Name: _____________________________________ Health Card #: ____________________ DOB:...

Workplace Rapid Testing Supplies Request Form

https://www.princeedwardisland.ca/sites/default/files/forms/workplace_rapid_testing_supplies_request.pdf
2021-12-15
COVID-19 Submit request form and any questions to hometestkit@gov.pe.ca RAPID TESTING SUPPLIES REQUEST Contact Information: Name of Business/Organization: Order Completed By: Contact Number: Date: Shipping Address: Street: City/Town:...

Employee Summary Wage Form - 20 or less employees

https://www.princeedwardisland.ca/sites/default/files/forms/employee_summary_wage_form_-_20_employees.xls
2022-02-16
Fill out this form if you are claiming 20 or less employees. 
Sheet1 COVID-19 Wage Rebate for Impacted Industries Corporate Information (Please Complete) Business/Organization: Contact Telephone Number: Application Submission ID Number: Note: Only fill in the Employee Name, Business Address, Hourly Wage...

Employee Summary Wage Form - 21 or more employees

https://www.princeedwardisland.ca/sites/default/files/forms/employee_summary_wage_form_-_40_employees.xls
2022-02-16
Fill out this form if you are claiming 21 or more employees.
Sheet1 COVID-19 Wage Rebate for Impacted Industries Corporate Information (Please Complete) Business/Organization: Contact Telephone Number: Application Submission ID Number: Note: Only fill in the Employee Name, Business Address, Hourly Wage rate and...

Tourism Property Licence and Signage Order Form

https://www.princeedwardisland.ca/sites/default/files/forms/tourism_establishment_licence_application.pdf
2022-06-23
Use this form to apply for a new tourism property license or renew an existing license and/or tourism directional signage in 2022.  
The following information will be used for internal office use only __________________ __________________ __________________ Campground or RV Park __________________ __________________ __________________ __________________ NOTE: Camping Cabins...

Council of the Federation Award for Innovation in Mental Health and Addictions Care Nomination Form

https://www.princeedwardisland.ca/sites/default/files/forms/cofmhaawardnominationform.pdf
2022-04-04
Complete this form to nominate an initiative, project, study or program and associated team for the Council of Federation Award for Innovation in Mental Health and Addictions Care.
Nomination Template: COF MH&A Award Page 1 of 7 Council of the Federation Award for Innovation in Mental Health and Addictions Care Nomination Template Purpose of the Award Mental health and addictions are complex issues that impact many...

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