Form IMM-45 Request for Change to Njiis Immunization Record - New Jersey

Form IMM-45 Request for Change to Njiis Immunization Record - New Jersey

What Is Form IMM-45?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the form IMM-45?
A: Form IMM-45 is the Request for Change to Njiis Immunization Record in New Jersey.

Q: What is Njiis?
A: Njiis stands for New Jersey Immunization Information System.

Q: Who can use form IMM-45?
A: Anyone in New Jersey who needs to make changes to their immunization record in the Njiis system can use form IMM-45.

Q: How do I fill out form IMM-45?
A: You need to provide your personal information, the immunization information that needs to be changed, and any supporting documentation.

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Form Details:

  • Released on July 1, 2012;
  • 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-45 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form IMM-45 Request for Change to Njiis Immunization Record - New Jersey

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  • Form IMM-45 Request for Change to Njiis Immunization Record - New Jersey, Page 1
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