English - 014-4282-64e - Prequalification Form...
Dataset description:
Prequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.
Additional Information
| Last updated | May 19, 2023 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/dd800603-fd54-4585-ae97-56fa301ecdf9/resource/cc1445b6-4cb8-47b2-ab8a-facc1d45dae5/download/014-4282-64e.pdf |
| Form File Identifier | 014-4282-64e |
| Name | English - 014-4282-64e - Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2023/2024 Universal Influenza Immunization Program (UIIP) |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2023-05 |