Additional Information

Last updated December 11, 2021
Created December 11, 2021
Format PDF
Form Number https://forms.mgcs.gov.on.ca/dataset/4a5ed328-cc44-4c8a-a0c9-3940e792ba57/resource/3f543160-a397-4a06-9344-ccda7ad1c55a/download/4953-64e.pdf
Form File Identifier
Name English - 014-4953-64e - Healthy Smiles Ontario - General Application
Form File Status
Description

Healthy Smiles Ontario General Application form for the core services stream of the program. This form applies to applicants that have a valid SIN and have filed a statement of income or a tax return with the CRA.

Language English
Functionality
Form File Content Type
Remark
Edition Date