Form IMM-42 Enrollment Request for New Njiis Site - New Jersey

Form IMM-42 Enrollment Request for New Njiis Site - New Jersey

What Is Form IMM-42?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. Check the official instructions before completing and submitting the form.

FAQ

Q: What is IMM-42?
A: IMM-42 is a form for enrolling a new Njiis site in New Jersey.

Q: What is Njiis?
A: Njiis stands for New Jersey Immunization Information System, which is a statewide immunization registry.

Q: What is the purpose of the IMM-42 form?
A: The purpose of the IMM-42 form is to request enrollment of a new Njiis site in New Jersey.

Q: How can I obtain the IMM-42 form?
A: You can obtain the IMM-42 form by contacting the New Jersey Immunization Information System.

Q: Who needs to fill out the IMM-42 form?
A: The IMM-42 form needs to be filled out by those who want to enroll a new Njiis site in New Jersey.

Q: Are there any fees associated with the enrollment?
A: There may be fees associated with the enrollment, which can be confirmed by contacting the New Jersey Immunization Information System.

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Form Details:

  • Released on May 1, 2013;
  • The latest edition provided by the New Jersey Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form IMM-42 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form IMM-42 Enrollment Request for New Njiis Site - New Jersey

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  • Form IMM-42 Enrollment Request for New Njiis Site - New Jersey, Page 1
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