Placer Forms

For more information about placer mining regulations visit the Placer Mining Act Regulations page, or the Getting Started section for help.
 
Placer Mining Claims

• Application for Grant for Placer Mining 
  (YG5038) English (PDF 48KB) | Français (PDF 49KB)
• Application to Group Placer Claims
  (YG5041) Bilingual (PDF 55KB)
• Grouping Work Program
  (YG5042) Bilingual (PDF 40KB)
• Application for Renewal of Grant for Placer Mining
  (YG5039) English (PDF 50KB) | Français (PDF 58KB)
• Application for Renewal of Grant for Placer Mining
  (Using Excess Work Credits only) 
  (YG5040) Bilingual (PDF 50KB)
• Power of Attorney / Affidavit of Witness
  (YG5045) English (PDF 40KB) | Français (PDF 48KB)
• Transfer of Placer Claim(s) or Interest 
  (YG5043) English (PDF 52KB) | Français (PDF 61KB)
• Yukon Assessment Report Checklist (PDF 13 KB)

Placer Mining Prospecting Leases

• Application for a Lease to Prospect
  (YG5052) English (PDF 36KB) | Français (PDF 44KB)
• Prospecting Work Program
  (YG5037) English (PDF 83KB) | Français (PDF 61KB)
• Application for Renewal of Lease to Prospect / Affidavit of Expenditure
  (YG5036) English (PDF 65KB) | Français (PDF 58KB)
• Assignment of Prospecting Lease
  (YG5035) English (PDF 71KB) | Français (PDF 73KB)

• Class 2 Notification Instruction Sheet (PDF 117KB)
  
• Class 2 Notification / Land Use Operation
  (YG5109) Bilingual (PDF 79KB)
• Class 3 Placer Mining Land Use Operating Plan / Land Use Approval
  (YG5068) English (PDF 164KB) | Français (PDF 165KB)
• Application for Class 4 Placer Mining Land Use Approval
  (Contact the Yukon Water Board: #106-419 Range Road, Whitehorse, YT Y1A 3V1, Phone:  867-456-3980, Fax: 456-3890, Email: ywb@yukonwaterboard.ca
• Assignment of Operating Plan
  (YG5071) English (PDF 38KB) | Français (PDF 49KB)
• Application for Certificate of Completion
  (YG5211) Bilingual (PDF 40KB)
• Aboveground Storage Tank (AST) - Registration Form
  (YG5025) Bilingual (PDF 769KB)

Note: The forms above relate only to Yukon Government's Placer Mining Act. Forms may be required by other government and non-government legislation. Follow these links to some common non-government legislative authorities related to mining in Yukon. 

• Yukon Environmental and Socio-economic Assessment Act Submissions
• Yukon Placer Secretariat
• Yukon Water Board