Document vaccine exposure or wastage without retyping clinic details

Vaccine providers reporting a cold chain incident, exposure, or wastage repeat clinic name, address, contact information, and vaccine lot details on every ministry report. 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): Vaccine Cold Chain Incident Exposure/Wastage Report — 014-4575-64

What this form is about

Form 014-4575-64 is the Vaccine Cold Chain Incident Exposure/Wastage Report, used by vaccine providers to document temperature excursions, exposures, or wastage affecting publicly supplied vaccine inventory — confirm reporting timelines on ontario.ca.

Before you start: what to gather

• Clinic or organization name and address.
• Contact person name, phone, and email.
• Vaccine product, lot number, and quantity affected.
• Date, time, and temperature readings for the incident if available.

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.