Additional Information

Last updated	May 5, 2025
Created	December 11, 2021
Format	application/pdf
Form Number	https://forms.mgcs.gov.on.ca/dataset/dd800603-fd54-4585-ae97-56fa301ecdf9/resource/cc1445b6-4cb8-47b2-ab8a-facc1d45dae5/download/4282-64e.pdf
Form File Identifier	014-4282-64e
Name	English - 014-4282-64e - Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2025/2026 Universal Influenza Immunization Program (UIIP)
Form File Status	Available
Description
Language	English
Functionality	Fill, Print, and Submit
Form File Content Type	Form
Remark
Edition Date	2025-05