Additional Information

Last updated	November 6, 2022
Created	December 11, 2021
Format	text/html
Form Number	https://forms.mgcs.gov.on.ca/dataset/3661428e-b6a9-47b4-9c6e-7f988b6a2887/resource/a0eec0ce-0e5d-4e79-a8dd-53aa478394f8/download/txt_2404-84e.htm
Form File Identifier	TXT_2404-84E
Name	English - 014-2404-84b - Claims Flagged for Manual Review
Form File Status	Available
Description
Language	English
Functionality	Fill and Print
Form File Content Type	Form
Remark
Edition Date	2022/11