This version of the form is not currently in use and is provided for reference only. Download this version of Form 132 for the current year.
This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 132?
A: Form 132 is the Vaccine Wastage and Disposed Form.
Q: What is the purpose of Form 132?
A: Form 132 is used to track and document vaccine wastage and disposal in Mississippi.
Q: Who needs to fill out Form 132?
A: Healthcare providers who have administered vaccines need to fill out Form 132.
Q: When should Form 132 be filled out?
A: Form 132 should be filled out whenever there is vaccine wastage or disposal.
Q: Is Form 132 required by law?
A: Yes, healthcare providers are required by law to fill out and submit Form 132.
Q: What information is required on Form 132?
A: Form 132 requires information such as the vaccine brand, lot number, reason for wastage or disposal, and the person responsible for disposal.
Q: What should I do with filled Form 132?
A: Filled Form 132 should be submitted to the Mississippi State Department of Health.
Q: Are there any consequences for not filling out Form 132?
A: Failure to fill out Form 132 can result in penalties and may impact future vaccine distribution to the healthcare provider.
Form Details:
Download a fillable version of Form 132 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.