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