Forms
B-9: Interview Declaration
Interview Declaration for the Prince Edward Island Provincial Nominee Program Business Impact Category
High Dose Influenza Inactivated Fact Sheet_2024-2025
High Dose Influenza Inactivated Fact Sheet_2024-2025
Maintenance Enforcement Program Registration Application Form (PDF)
Application for Maintenance Enforcement Program registration (PDF)
Declaration of Income for Marked Gasoline / Marked Diesel Oil Permits
This form is used in lieu of the applicant providing direct proof of income from the sale of industry relevant products. The form must be completed by an accountant with a professional accounting designation, signed by all parties, and returned with an application form for a Marked Gasoline and/or Marked Diesel Oil Permit to Taxation and Property Records Division.
Influenza Immunization Clinic Registration Form
To receive a flu vaccination, you must complete a registration form. Complete the top section of this form and bring it with you to a vaccination clinic.
Request for Change of Address
Complete this form when an address correction is required for property owners, registered vendors, marked fuel permits, revenue tax exemption permits and/or GeoLinc Plus users.
Gender-Affirming Procedure Prior Approval Request Form
Gender Confirming Surgery Prior Approval Request Form
Gender confirming surgery is insured under PEI Medicare when prior authorization has been obtained from Health PEI. Your family physician or nurse practitioner will need to complete this form and provide the necessary attachments to Health PEI's Out-of-Province Coordinator.
Provincial Medical Assistance in Dying (MAiD) Clinic Referral and Intake Form
This form is to be completed by your health care provider.
Agri-Food Growth Application Form
Application form for the Agri-Food Growth Program 2024-2025