How to list insulin pumps with ADP — and autofill form 014-4509-67 with my-id.ca
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 my-id.ca.
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 my-id.ca makes it faster
- Save it once. Store your organization name, address, and contact details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- Who submits this form?
- Vendors or manufacturers seeking to list insulin pumps under ADP.
- How does my-id.ca help?
- It autofills company name, address, and representative contact details.
- Is this the same as client funding applications?
- No — clients use separate ADP funding forms; this form is for listing approved equipment.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.