Apply for ADP insulin pump equipment listing without retyping vendor details

Vendors seeking to list insulin pumps under the Assistive Devices Program file an equipment listing application — and it repeats company name, address, and authorized representative contact information. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Assistive Devices Program — ontario.ca
• Form (Central Forms Repository): Application for Equipment Listing Insulin Pumps — 014-4509-67

What this form is about

Form 014-4509-67 is the Application for Equipment Listing Insulin Pumps, submitted by vendors or manufacturers seeking ADP approval to supply listed insulin pump products for eligible clients.

Before you start: what to gather

• Company legal name and business address.
• Authorized representative name and contact details.
• Device models, specifications, and pricing information.
• Quality and regulatory documentation for the pumps.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your organization name, address, and contact details in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.