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    Government of Yukon

    Community Services

    A to Z forms

     Builders Lien Act

     Form 1 - Claim of Lien for Materials or Machinery Placed or Furnished
             Bilingual PDF (YG6237)

     Form 2A - Claim of Lien for Wages for Work Done (Single Claimant)
             Bilingual PDF (YG6238)

     Form 2B - Claim of Lien for Wages for Work Done (Multiple Claimants)
             Bilingual PDF (YG6239)

     Form 3 - Receipt for Discharge of Lien
             Bilingual PDF (YG6240)

     Form 4 - Affidavit Verifying Claim of Lien or Discharge
             Bilingual PDF (YG6241)


     Building Safety 

     Affidavit of Manufacturer for Cast Iron Boilers or Pressure Vessels
             English PDF (YG5399)

     Building Permit - Application
             Bilingual PDF (YG5981)

     Confirmation of Assurance of Professional Design and Commitment for Field Review
             English PDF (yg5734)

     Development Permit - Application
             Bilingual PDF (YG5982)

     Electrical Contractor Declaration Form
             Bilingual PDF (YG4059)

     Electrical Permit - Application
             Bilingual PDF (YG5401)

     Elevating Devices - Application for Contractor's Licence
             Bilingual PDF (YG5406)

     Elevating Devices - Application Renewal of Contractor's Licence
             Bilingual PDF (YG5403)

     Elevator Inspections - Registration Information (Confidential)
             English PDF (YG5426)

     Gas Permit - Application
             Bilingual PDF (YG4271)

     Installers Declaration - Elevators, Escalators, Dumbwaiters, Moving Walks, Freight Platform Lifts
             Bilingual PDF (YG5405)

     Installers Declaration - Handicap Lifts, Manlifts, Passenger Ropeways, Amusement Rides, Personnel Hoists
             Bilingual PDF (YG5407)

     Plumbing Permit - Application
             Bilingual PDF (YG5983)

     Pressure Welder's Certificate of Qualification - Application
             Bilingual PDF (YG5402)


     Business Corporation Act 

     Form 1 - Articles of Incorporation
             Bilingual PDF (YG6119)

     Form 2 - Notice of Address of Corporation
             Bilingual PDF (YG6120)

     Form 3 - Notice of Change or Address of Corporation
             Bilingual PDF (YG6121)

     Form 4 - Notice of Change of Address of Corporation (by person who maintains registered or records office)
             Bilingual PDF (YG6122)

     Form 5 - Notice of Resignation of Person who Maintains Registered or Records Office
             Bilingual PDF (YG6123)

     Form 7 - Articles of Amendment
             Bilingual PDF (YG6124)

     Form 8 - Notice of Directors
             Bilingual PDF (YG6125)

     Form 9 - Notice of Change of Directors and Directors’ Addresses
             Bilingual PDF (YG6126)

     Form 10 - Notice of Change of Shareholders and Shareholders’ Addresses
             Bilingual PDF (YG6127)

     Form 11 - Restated Articles of Incorporation
             Bilingual PDF (YG6128)

     Form 12 - Articles of Amalgamation
             Bilingual PDF (YG6129)

     Form 13 - Application for Authorization to Amalgamate with Extra-Territorial Body Corporate into Another Jurisdiction
             Bilingual PDF (YG6130)

     Form 14 - Articles of Continuance
             Bilingual PDF (YG6131)

     Form 15 - Application for Authorization to Continue into Another Jurisdiction
             Bilingual PDF (YG6132)

     Form 16 - Articles of Reorganization
             Bilingual PDF (YG6133)

     Form 17 - Articles of Arrangement
             Bilingual PDF (YG6134)

     Form 18 - Articles of Revival
             Bilingual PDF (YG6135)

     Form 19 - Articles of Dissolution (special case)
             Bilingual PDF (YG6136)

     Form 20 - Statement of Intent to Dissolve (unsupervised liquidation)
             Bilingual PDF (YG6137)

     Form 22 - Statement of Revocation of Intent to Dissolve
             Bilingual PDF (YG6138)

     Form 23 - Articles of Dissolution (after unsupervised liquidation)
             Bilingual PDF (YG6139)

     Form 25 - Annual Return of Yukon Corporation
             Bilingual PDF (YG6140)

     Form 26 - Statement for Registration as an Extra-Territorial Corporation
             Bilingual PDF (YG6141)

     Form 27 - Appointment of Attorney for Service and Alternative Attorney of Extra-Territorial Corporation
             Bilingual PDF (YG6142)

     Form 28 - Application for Cancellation of Assumed Name of Extra-Territorial Corporation
             Bilingual PDF (YG6143)

     Form 31 - Notice of Change of Address for Attorney For Service of Extra-Territorial Corporation
             Bilingual PDF (YG6144)

     Form 32 - Notice of Change of Statement for Registration as an Extra-Territorial Corporation
             Bilingual PDF (YG6145)

     Form 33 - Notice of Change of Directors and Directors Addresses
             Bilingual PDF (YG6146)

     Form 35 - Statement of Amalgamation of Extra-Territorial Corporation Effected in Another Jurisdiction
             Bilingual PDF (YG6147)

     Form 36 - Annual Return of Extra-Territorial Corporation
             Bilingual PDF (YG6148)

     Form 37 - Statement for Registration as an Extra-Territorial LLC
             Bilingual PDF (YG6149)

     Form 38 - Appointment of Attorney for Service and Alternative Attorney of Extra-Territorial LLC
             Bilingual PDF (YG6150)

     Form 39 - Application for Cancellation of Assumed Name of Extra-Territorial LLC
             Bilingual PDF (YG6151)

     Form 42 - Notice of Change of Addresses of Attorney for Service of Extra-Territorial LLC
             Bilingual PDF (YG6152)

     Form 43 - Notice of Change to Statement for Registration as an Extra-Territorial LLC
             Bilingual PDF (YG6153)

     Form 44 - Notice of Change of Managers and Managers Addresses (extra-territorial LLC)
             Bilingual PDF (YG6154)

     Form 46 - Statement of Amalgamation of Extra-Territorial LLC Effected in Another Jurisdiction
             Bilingual PDF (YG6155)

     Form 47 - Annual Return of Extra-Territorial LLC
             Bilingual PDF (YG6156)


     Election 

     Advance Poll Oath
             Bilingual PDF (YG3633)

     Affidavit of Printer
             Bilingual PDF (YG3630)

     Application for Registration
             Bilingual PDF (YG3628)

     Appointment of Election Officer
             Bilingual PDF (YG3632)

     Authorization of Agent
             Bilingual PDF (YG3634)

     Ballot Account
             Bilingual PDF (YG4443)

     List of Electors
             Bilingual PDF (YG3624)

     Nomination Paper
             Bilingual PDF (YG3626)

     Notice of Application for Revision
             Bilingual PDF (YG4441)

     Notice of Hearing
             Bilingual PDF (YG3622)

     Notice of Nominations
             Bilingual PDF (YG3623)

     Notice of Poll
             Bilingual PDF (YG3621)

     Oath of Allegiance
             Bilingual PDF (YG5197)

     Oath of a Challenged Elector
             Bilingual PDF (YG3629)

     Oath of Elector's Assistant
             Bilingual PDF (YG4867)

     Oath of a Member of the Board of Revision
             Bilingual PDF (YG3627)

     Oath of Office
             Bilingual PDF (YG5196)

     Oath of Witness
             Bilingual PDF (YG4440)

     Poll Book
             Bilingual PDF (YG3635)

     Preliminary List of Electors
             Bilingual PDF (YG3625)

     Revised List of Electors Certificate of Board of Revision
             Bilingual PDF (YG3631)

     Special Ballot Application and Oath
             Bilingual PDF (YG4868)

     Tally Sheet
             Bilingual PDF (YG4442)


     Ember Fire Academy

     Application - Ember Fire Academy
             Bilingual PDF (YG6553)


     Employment Standards 

     Complaint Information Form
             English French PDF (YG5600)

     Complaint Information Form Tip Sheet
             English French PDF (Guidelines)


     Garage Keepers Lien Act

     Notice
             Bilingual PDF (YG6277)


     Gas Tax Fund

     Final Reporting
             English French PDF (YG6600)

     Gas Tax Project Proposal
             English French PDF (YG6008)

     Progress Claim - Cash Flow
             English French PDF (YG6601)

     Progress Claim - Financial Reporting
             English French PDF (YG6602)


     Insurance Act 

     Broker - Licence Renewal
             French English PDF (YG5322)

     Insurance Adjuster - Licence Renewal
             French English PDF (YG5134)

     Insurance Agent - Licence Renewal
             French English PDF (YG5130)

     Insurance Salesperson - Licence Renewal
             French English PDF (YG5129)

     Insurer's Licence - Renewal
             English French PDF (YG5117)

     Insurer's Recommendation of Agent
             English French PDF (YG6481)

     Special Broker - Licence Renewal
             French English PDF (YG6767)

     Special Broker - Monthly Return
             Bilingual PDF (YG5121)


     Lottery Licencing Act 

     Accountant Option Declaration
             English French PDF (YG5731)

     Bingo - Control Sheets (Sample)
             English French PDF (YG5714)

     Bingo - Financial Report
             English French PDF (YG5338)

     Bingo Licence - Application
             English French PDF (YG5091)

     Casino Games - Application
             Bilingual PDF (YG5092)

     Casino Games - Financial Report
             English French PDF (YG5340)

     Chase the Ace-Style Lottery - Application Package
             English French PDF (YG6588)

     Chase the Ace-Style Lottery - Financial Report
             English French PDF (YG6641)

     Chase the Ace-Style Lottery - Tracking Sheet
             English French PDF (YG6613)

     Eligibility Questionnaire - Gaming Licence
             English French PDF (YG6606)

     Raffle - Financial Report
             English French PDF (YG5339)

     Raffle Licence - Application
             English French PDF (YG5101)

     Raffle - Terms and Conditions - Single Day
             English French PDF (YG5730)

     Raffle - Ticket Inventory Control Worksheet
             English French PDF (YG5759)

     Raffle - Ticket Format (Sample)
             English French PDF (N/A)

     Prize Guarantee by Financial Institution
             English French PDF (YG5713)

     Prize Guarantee by Individual
             English French PDF (YG5712)

     Statutory Declaration - Meals
             English French PDF (YG5715)

     Travel Itinerary, Request for
             English French PDF (YG5103)


     Marriage Act 

     List of Clergymen Authorized to Solemnize Marriage
             Bilingual PDF (YG5055)


     Naming Regulation

     Form 1 - Application for Name Reservation
             Bilingual PDF (YG6212)


     Partnership and Business Names Act 

     Form 1 - Notice of Office of Limited Partnership
             Bilingual PDF (YG6189)

     Form 2 - Notice of Change of Registered Office of Limited Partnership
             Bilingual PDF (YG6190)

     Form 3 - Application for Registration of Limited Partnership Formed Outside Yukon
             Bilingual PDF (YG6191)

     Form 4 - Declaration of Partnership
             Bilingual PDF (YG6192)

     Form 5 - Renewal of Declaration of Partnership
             Bilingual PDF (YG6193)

     Form 6 - Notice of Change of Information in Declaration of Partnership
             Bilingual PDF (YG6194)

     Form 7 - Declaration of Dissolution of Partnership
             Bilingual PDF (YG6195)

     Form 8 - Declaration of Business Name
             Bilingual PDF (YG6196)

     Form 9 - Notice of Change of Information in Declaration of Business Name
             Bilingual PDF (YG6197)

     Form 10 - Renewal of Declaration of Business Name
             Bilingual PDF (YG6198)

     Form 11 - Declaration of Cessation of Use of Business Name
             Bilingual PDF (YG6199)

     Form 12 - Application for Registration as an LLP
             Bilingual PDF (YG6200)

     Form 14 - Notice of Change of Information in Application for Registration as LLP
             Bilingual PDF (YG6201)

     Form 15 - Renewal of Registration as LLP
             Bilingual PDF (YG6202)

     Form 16 - Request to Cancel Status as LLP
             Bilingual PDF (YG6203)

     Form 17 - Statement from Governing Body of a Prescribed Profession
             Bilingual PDF (YG6204)

     Form 18 - Annual Report Limited Partnership Formed In Yukon
             Bilingual PDF (YG6205)

     Form 19 - Annual Report Limited Partnership Formed Outside Yukon
             Bilingual PDF (YG6206)


     Pharmacists Act 

     Pharamcist and Rural Permit - Renewal
             English French PDF (YG6701)


     Recycling

     Beverage Container Depot - Application to Operate
             English French PDF (YG4163)

     Beverage Container Regulation - Daily Cash Count Sheet
             English French PDF (YG4245)

     Water Delivery Request
             Bilingual PDF (YG6260)


     Society Act 

     Form 1 - Application for Incorporation of a Society
             Bilingual PDF (YG6164)

     Form 2 - Notice of Change of Directors and Officers
             Bilingual PDF (YG6165)

     Form 3 - Declaration of Category C Society
             Bilingual PDF (YG6166)

     Form 4 - Notice of Change of Address and/or Place Where Operations are Carried
             Bilingual PDF (YG6167)

     Form 5 - Notice of Fiscal Year-end of Society
             Bilingual PDF (YG6168)

     Form 6 - Annual Report of Yukon Society
             Bilingual PDF (YG6213)

     Form 9 - Articles of Revival
             Bilingual PDF (YG6169)

     Form 11 - Statement for Registration as an Extra-Territorial Society
             Bilingual PDF (YG6170)

     Form 12 - Appointment of Attorney for Service of Extra-Territorial Society
             Bilingual PDF (YG6171)

     Form 13 - Application for Cancellation of Assumed Name of Extra-Territorial Society
             Bilingual PDF (YG6172)

     Form 15 - Notice of Change of Address of Attorney for Service of an Extra-Territorial Society
             Bilingual PDF (YG6173)

     Form 16 - Annual Report of Extra-Territorial Society
             Bilingual PDF (YG6214)

     Form 18 - Declaration of Category C Extra-Territorial Society
             Bilingual PDF (YG6174)

     Form 19 - Notice of Fiscal Year-end of an Extra-Territorial Society
             Bilingual PDF (YG6175)


     Wildland Fire Management

     FireSmart Project Application
             English French PDF (YG6643)


     Yukon Public Libraries 

     Yukon Public Libraries Request
             Bilingual PDF (YG3264)


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