Additional Information

Last updated May 17, 2024
Created December 11, 2021
Format application/pdf
Form Number https://forms.mgcs.gov.on.ca/dataset/dd800603-fd54-4585-ae97-56fa301ecdf9/resource/9e608d06-8abc-4b97-94e1-884a7b495c46/download/4282-64f.pdf
Form File Identifier 014-4282-64f
Name French - 014-4282-64f - Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2024/2025 Universal Influenza Immunization Program (UIIP)
Form File Status Available
Description
Language French
Functionality Fill, Print, and Submit
Form File Content Type Form
Remark
Edition Date 2024-05