Additional Information

Last updated	November 28, 2022
Created	December 11, 2021
Format	application/pdf
Form Number	https://forms.mgcs.gov.on.ca/dataset/14569562-7926-424e-880c-d2a7132356cb/resource/1d3be354-4661-4884-85f5-84c43572be96/download/4750-84f.pdf
Form File Identifier	014-4750-84b
Name	English / French - 014-4750-84b - Application for IHP GONet Electronic Data Transfer (EDT) Service
Form File Status	Available
Description	IHPs apply to submit claim information via EDT
Language	English / French
Functionality	View Only
Form File Content Type	Form
Remark
Edition Date	2022/11