Washington State Department of Health Forms

This document is used for inspecting temporary worker housing in the state of Washington.

This form is used for denying parentage in the state of Washington.

This document is used for attestation for forensic phlebotomists in Washington state.

This Form is used for attesting training completion for forensic phlebotomists in Washington state.

This Form is used for applying to renew an expired activation for a forensic phlebotomist in Washington.

This Form is used for submitting information related to radiation protection to the Health Department.

This Form is used for applying for a radioactive material license for portable gauges in the state of Washington.

This document is used to apply for a radioactive material license for a gas chromatograph in Washington.

This form is used for applying for a radioactive material license for a gas chromatograph in Washington.

This Form is used for applying for a radioactive material license for industrial radiography in Washington state.

This form is used for applying for a radioactive material license for industrial radiography in the state of Washington.

This form is used for the School Module Information Sharing Agreement Cover Sheet for the Washington State Immunization Information System (IIS) in Washington.

This document is used for the Care Provider Agreement in the Infant at Work Program in Washington.

This form is used for the Individual Plan - Infant at Work Program in Washington.

This document provides a checklist for inspecting desks in the Infant at Work Program in Washington. It ensures that the workplace is safe and suitable for infants.

This document is used for waivers of liability and assumption of risk in the state of Washington. It helps individuals acknowledge the potential risks involved in certain activities and waive their right to hold others responsible for any harm or injury.

This form is used for verifying the credentials of out-of-state certified advisers in Washington State.

This document provides guidelines for food establishments in Washington on how to restore service after an extended water interruption. It outlines the steps and requirements to ensure safe and proper operation.

This document provides a checklist to help Washington residents conduct a DIY inspection of their septic system's gravity drainfield.

This checklist is used for conducting a DIY inspection of septic systems with mound systems in Washington. It provides guidelines and steps for assessing the condition and functionality of the septic system.

This checklist is used for inspecting a pressurized drainfield in Washington state. It provides a step-by-step guide for homeowners to conduct their own septic system inspection.

This document provides a checklist for homeowners in Washington who want to inspect their sand filter drainfield septic system on their own. It includes step-by-step instructions and important things to look for during the inspection.

This Form is used for the Medical Marijuana Consultant Certification Supplemental Employer Contact in Washington state.

This form is used for submitting a checklist for engineering reports on large on-site sewage systems in Washington.

This form provides guidance and instructions for conducting inspections and evaluations of large on-site sewage systems in Washington state. It includes a schematic and engineering evaluation guidance for existing systems.

This document is for large on-site sewage systems (loss) plans and specifications checklist in Washington State.

This form is used for reporting the abandonment of a large on-site sewage system in Washington.

This document is a warning notice for customers of drinking water in Washington. It is available in both English and Spanish and is issued by the Department of Health.

This document provides information on the lead and copper water sample results for a community water system in Washington. It is a consumer notice regarding the quality of drinking water in the area.

This Form is used for conducting self-inspections for small water systems in the state of Washington during start-up and shut-down procedures.

This Form is used for applying for a radioactive material license for fixed gauges in the state of Washington.

This form is used for cancelling exceptions in the Annual Summary Report for High-Hazard Premises Isolation Requirements in Washington.

This document is a Vibrio Parahaemolyticus Harvest Plan for Commercial Shellfish Companies in Washington state. It is used to ensure that these companies take necessary measures to prevent the growth of Vibrio Parahaemolyticus in their shellfish products.

This document is used for reporting the inspection and field test of a backflow preventer in Washington. It ensures that the device is working properly and preventing the reverse flow of water in plumbing systems.

This document provides instructions for conducting a backflow preventer inspection and field test in Washington. It outlines the steps and procedures to ensure that the backflow preventer is functioning properly and meets the required standards. The report must be filled out accurately and submitted to the appropriate authorities.

This document is used for tracking and recording the number of vaccine doses administered to adults in the Adult Vaccine Program in Washington.

This Form is used for requesting the transfer of childhood vaccines in the state of Washington through the Childhood Vaccine Program.