How to sign the ADP authorizer agreement — and autofill form 014-0406-67 with my-id.ca
Complete your ADP authorizer agreement without retyping practice details
Registered ADP authorizers signing their agreement with the Assistive Devices Program repeat their name, practice address, registration number, and 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): Authorizer Agreement with the Assistive Devices Program — 014-0406-67
What this form is about
Form 014-0406-67 is the Authorizer Agreement with the Assistive Devices Program, executed by health professionals registered as ADP authorizers to confirm terms of participation and responsibilities.
Before you start: what to gather
- Your full legal name and practice address.
- Professional registration number and ADP authorizer identifier.
- Device categories you are authorized to assess.
- Contact phone and email.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your name, practice 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
- Do I need authorizer status first?
- Yes — you generally apply with form 014-0403-67 before signing this agreement.
- How does my-id.ca help?
- It autofills your name, practice address, and contact details across ADP registration forms.
- What are authorizer responsibilities?
- Confirm current ADP authorizer duties and renewal rules on ontario.ca.
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.