Forms

An employer uses this form to claim reimbursement for a Yukon Summer Career Placement employee. For more information on how to apply visit Apply for a subsidy to hire a summer student.

Use this form to apply for an apprenticeship opportunity with a Yukon employer.

The chief executive officer of the hospital fills out this application form. It requests a patient's clinical record be withheld. A clinical record can be withheld if it's damaging to the patient or another named person. The chief… more

A peace officer fills out this form if they apprehend a person under section 6(1) or 8(2) of the Mental Health Act. The officer gives a copy of this form to the Capability and Consent Board and a physician.

A judge fills out this form if they believe there's a reason to apprehend a person under section 6(3) or 7(1) of the Mental Health Act. The judge gives the completed form to: the RCMP; the Capability and Consent Board; the person… more

Fill out this application if you believe another person suffers from a mental disorder per the Mental Health Act and want them examined. You have to submit this form to a judge. The judge must sign this form and decide if they'll issue an… more

A physician fills out this form if a patient is unable to consent to 3 months or longer of needed chemotherapy. This is a request for authorization from the Capability and Consent Board.

Apply to get compensation if you lose animals or incur costs when complying with an order or direction issued under the Animal Health Act. You can apply within 60 days once the order expires or is revoked, or you have confirmation you… more

Fill out this form if you disagree with facts on your clinical record. Give a copy to: the chief executive officer of the hospital; a physician; and anyone who's received copies of your clinical record in the last year.

A physician fills out this form to revoke a patient's involuntary status. The physician gives a copy to: the Capability and Consent Board; the chief executive officer of the hospital; the patient; and 1 of their relatives.

The attending physician and 1 other physician will each fill out this form if they want to extend care for an involuntary patient. The physicians give copies to the Capability and Consent Board and the chief executive officer of the… more

Fill out this form if you or someone you know is an involuntary patient and wants to appeal a certificate. Give a copy of this form to the Capability and Consent Board.

The chief executive officer of the hospital fills out this form. It notifies a patient that they are, or continue to be, an involuntary patient at the hospital.

A physician fills out this form to transfer an involuntary patient to another facility. This form is for non-residents of Yukon. The director of Insured Health Services and the chief executive officer of the hospital get a copy.

A physician fills out this form to grant temporary release of an involuntary patient. The chief executive officer of the hospital must sign this and give a copy to the patient.

A physician fills out this form when a patient on temporary release refuses to return to the hospital. The chief executive officer of the hospital, RCMP and the patient get a copy.

The chair of the Capability and Consent Board fills out this form after they review form 13. Form 13 is the notice of intention to transfer an involuntary patient who's a Yukon resident. This determines if the chair recommends transferring… more

Fill out this form if you believe there's an error on your clinical record and you'd like it corrected. Give a copy to the chief executive officer of the hospital and a physician.

Fill out this form if you've been an involuntary patient and are capable to waive the right to a hearing. Give a copy of this form to the Capability and Consent Board.

The attending physician and 1 other physician will each fill out this form to determine if a patient is in need of care. This form must filled out within 24 hours of a patient's involuntary admission.

Fill out this form to allow the hospital to share your clinical record with another person. Give a copy to the chief executive officer of the hospital and a physician.

Use this form to order reproductions of photographs and records held at Yukon Archives.

Use this form to request to use reproductions of records held at Yukon Archives. You must have permission before you use reproductions for anything other than private study or research.

Apply for the Advanced Artist Award with this form. Guidelines are included. This project funding is for individual Yukon artists working at an advanced level. Application deadlines are April 1 and October 1.

Use this form to apply to transfer your apprenticeship to an employer operating within Yukon.