Additional Information

Last updated	November 6, 2022
Created	December 11, 2021
Format	application/pdf
Form Number	https://forms.mgcs.gov.on.ca/dataset/3661428e-b6a9-47b4-9c6e-7f988b6a2887/resource/7813f8c8-d6c0-4cf9-a47e-08218ef1d92e/download/2404-84.pdf
Form File Identifier	2404-84
Name	English / French - 014-2404-84b - Claims Flagged for Manual Review
Form File Status	Available
Description
Language	English / French
Functionality	Fill and Print
Form File Content Type	Form
Remark
Edition Date	2022/11