Additional Information

Last updated	May 5, 2025
Created	December 11, 2021
Format	application/pdf
Form Number	https://forms.mgcs.gov.on.ca/dataset/dd800603-fd54-4585-ae97-56fa301ecdf9/resource/9e608d06-8abc-4b97-94e1-884a7b495c46/download/4282-64f.pdf
Form File Identifier	014-4282-64f
Name	French - 014-4282-64f - Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2025/2026 Universal Influenza Immunization Program (UIIP)
Form File Status	Available
Description
Language	French
Functionality	Fill, Print, and Submit
Form File Content Type	Form
Remark
Edition Date	2025-05