How to authorize MLP reimbursement direct deposit — and autofill 014-3889-84 with my-id.ca
Register for MLP premium reimbursement without retyping physician and banking details
Ontario physicians enrolling in the Medical Liability Protection Reimbursement Program repeat their legal name, CPSO registration, practice address, CMPA membership details, and direct deposit banking information on the authorization form. 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: Medical Liability Protection Reimbursement Program — ontario.ca
- Form (Central Forms Repository): Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit Request — 014-3889-84
What this form is about
Form 014-3889-84 is the Medical Liability Protection (MLP) Reimbursement Program Authorization and Direct Deposit Request used by CMPA members to register for partial reimbursement of medical liability premiums.
Before you start: what to gather
- Physician full legal name and CPSO registration number.
- Practice mailing address and contact phone or email.
- CMPA membership and billing arrangement details.
- Direct deposit banking information — confirm privacy rules on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your physician name, address, and registration 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
- When must the ministry receive this form?
- Confirm annual deadlines — the program typically requires the form by January 1 for the reimbursement year.
- How does my-id.ca help?
- It autofills physician name, address, and registration across ministry billing forms.
- Is this the same as form 014-3889-22?
- No — 014-3889-22 is a MAID clinician aid form; 014-3889-84 is for MLP reimbursement.
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.