Update Trillium household enrolment without retyping names and health numbers

Households enrolled in the Trillium Drug Program requesting removal of a member repeat every household member's name, health number, and address on every change request. 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: Get help with high prescription drug costs (Trillium) — ontario.ca
• Form (Central Forms Repository): Request to Remove a Household Member(s) from the Trillium Drug Program — 014-4930-87

What this form is about

Form 014-4930-87 is the Request to Remove a Household Member(s) from the Trillium Drug Program, used when a enrolled household needs a member removed from Trillium coverage — for example due to a move, change in eligibility, or separate household status — confirm rules on ontario.ca.

Before you start: what to gather

• Primary applicant name and Ontario address.
• Health numbers for remaining and departing household members.
• Member to be removed — full legal name and reason for removal.
• Effective date requested — confirm on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your household names, health numbers, and address 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.