English - 014-1819-67e - Application for...
This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.
Additional Information
| Last updated | November 16, 2022 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/fa42118e-c34a-421a-9e50-e19aabc87273/resource/962e1541-b499-44db-bf5c-0ce966448cba/download/1819-67e.pdf |
| Form File Identifier | 014-1819-67e |
| Name | English - 014-1819-67e - Application for Equipment Listing Wheelchairs, Positioning and Ambulation Aids |
| Form File Status | Available |
| Description | This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices. |
| Language | English |
| Functionality | Fill, Print, and Save |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022-11 |