Register for MLP premium reimbursement without retyping physician and banking details

Ontario physicians enrolling in the Medical Liability Protection Reimbursement Program repeat their legal name, CPSO registration, practice address, CMPA membership details, and direct deposit banking information on the authorization form. 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: Medical Liability Protection Reimbursement Program — ontario.ca
• Form (Central Forms Repository): Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit Request — 014-3889-84

What this form is about

Form 014-3889-84 is the Medical Liability Protection (MLP) Reimbursement Program Authorization and Direct Deposit Request used by CMPA members to register for partial reimbursement of medical liability premiums.

Before you start: what to gather

• Physician full legal name and CPSO registration number.
• Practice mailing address and contact phone or email.
• CMPA membership and billing arrangement details.
• Direct deposit banking information — confirm privacy rules on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your physician name, address, and registration 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.