Additional Information

Last updated June 27, 2024
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 2024/2025 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 2024-05