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Multiple Sclerosis Medications Program Special Authorization Request Form

https://www.princeedwardisland.ca/sites/default/files/forms/multiple_sclerosis_medications_program_special_authorization_request_form.pdf
2017-12-15
Multiple Sclerosis Special Authorization Request Form to be  completed by your neurologist.
SPECIAL AUTHORIZATION REQUEST MULTIPLE SCLEROSIS Fax requests to (902) 368-4905 OR mail requests to PEI Pharmacare, P.O. Box 2000, Charlottetown, PE, C1A 7N8...

Premises Identification Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/af_pid_form.pdf
2017-12-08
Application form for identifying livestock and poutry premises on PEI.  
Microsoft Word - Premises Identification Application Form 2017 0.4.docx (Revised December 2017)  PEI Premises identification Application Form  Page 1 of 4      Agriculture and  Fisheries  Agriculture et  des Pêches   PEI Livestock and Poultry ...

Concentrated Flow Analysis Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/af_cap_concentrated_flow_app_form.pdf
2017-11-10
Concentrated Flow Analysis Application Form
Microsoft Word - Concentrated Flow Application.docx C A N A D A           Department of Agriculture and Fisheries Sustainable Agriculture Application Form for Concentrated Flow Analysis       Applicant Information   Applicant:  Contact Name...

Request for Dairy Analysis

https://www.princeedwardisland.ca/sites/default/files/forms/af_dairyanalysis.pdf
2017-11-07
Form for Dairy farmers to have milk tested  
Microsoft Word - C38 130330 Request for Dairy Analysis.doc C38130330 (Oct 2015) (A) Sample Information ○ Cow Sample ○ Tank Sample ○ Processed Product ○ Other...

Influenza Immunization Report form

https://www.princeedwardisland.ca/fr/formulaire/influenza-immunization-report-form
2017-10-06

Déclaration de voyage du régime d’assurance-médicaments de L’Î.-P.-É. pour les déplacements hors province

https://www.princeedwardisland.ca/sites/default/files/forms/declaration_de_voyage_du_regime_dassurance-medicaments_de_li.-p.-e._pour_les_deplacements_hors_province.pdf
2017-10-02
Les bénéficiaires du Régime d’assurance-médicaments de l’Île-du-Prince-Édouard qui voyagent à l’extérieur de la province pourraient être autorisés à obtenir un approvisionnement de 180 jours de médicaments admissibles avant de quitter la province. Si votre médicament est admissible, remplissez ce...
    PEI PHARMACARE OUT OF PROVINCE TRAVEL DECLARATION   Name:  Days’ Supply Needed (max. 180 days)   Personal Health Number (“PHN”)  Note: Your pharmacist cannot determine the days’  supply that is eligible for Pharmacare coverage. Please ...

Application for Accreditation (form 14)

https://www.princeedwardisland.ca/sites/default/files/forms/application_for_accreditation_form_14.pdf
2017-08-24
C:\Documents and Settings\wematthews\Local Settings\Temp\Application for Accreditation (Form 14)-2.wpd FORM 14 LABOUR RELATIONS BOARD (PRINCE EDWARD ISLAND) APPLICATION FOR ACCREDITATION BETWEEN: APPLICANT AND: RESPONDENT (Each trade union that...

Application for Amendment of Certification Order (Form 6)

https://www.princeedwardisland.ca/sites/default/files/forms/application_for_amendment_of_certification_order_form_6.pdf
2017-08-24
1453.pdf FORM 6 LABOUR RELATIONS BOARD (PRINCE EDWARD ISLAND) APPLICATION FOR AMENDMENT OF CERTIFICATION ORDER BETWEEN: APPLICANT AND: RESPONDENT 1. Name of Applicant...

Application for Certification (Form 1)

https://www.princeedwardisland.ca/sites/default/files/forms/application_for_certification_form_1.pdf
2017-08-24
SCHEDULE FORM 1 LABOUR RELATIONS BOARD (PRINCE EDWARD ISLAND) APPLICATION FOR CERTIFICATION 1. Name of Applicant Union: 2. Address...

Application for Certification (Exhibit A to Form 1)

https://www.princeedwardisland.ca/sites/default/files/forms/exhibit_a_to_form_1_0.pdf
2017-08-24
C:\cca1\Application for Certification (Exhibit A) .doc EXHIBIT “A” to Form 1 The following is a list of the duty elected officers of ______________________________________________________________________________ President...

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