Additional Information

Last updated January 27, 2026
Created December 11, 2021
Format application/pdf
Form Number https://forms.mgcs.gov.on.ca/dataset/81101e9c-41cd-4e05-b601-ae35d186191d/resource/b01bb0f9-be16-4dc1-a13f-668844546c48/download/4372-64f.pdf
Form File Identifier 014-4372-64f
Name French - 014-4372-64f - Universal Influenza Immunization Program Reimbursement Form
Form File Status Available
Description
Language French
Functionality Fill, Print, and Submit
Form File Content Type Form
Remark
Edition Date 2025-11