Prequalify your organization for publicly funded influenza vaccine without retyping clinic details

Organizations requesting publicly funded influenza vaccine through the Universal Influenza Immunization Program repeat legal name, service address, authorized contact, and cold-chain capacity details on every seasonal prequalification 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: Vaccines and immunization — ontario.ca
• Form (Central Forms Repository): Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2026/2027 Universal Influenza Immunization Program (UIIP) — 014-4282-64

What this form is about

Form 014-4282-64 is the UIIP prequalification form for organizations requesting publicly funded influenza vaccine for the upcoming Universal Influenza Immunization Program season — confirm current season dates on ontario.ca.

Before you start: what to gather

• Organization legal name and primary service address.
• Authorized contact name, phone, and email.
• Cold-chain storage and handling capabilities.
• Anticipated vaccine volumes — confirm seasonal guidance on ontario.ca.

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.