English / French - 014-4750-84b - Application...
IHPs apply to submit claim information via EDT
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/f2bf32a0-e3ff-4ff2-ad25-cf68fc292086/download/4750-84e.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 | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022/11 |