This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
Q: What is DOH Form 331-497?
A: DOH Form 331-497 is the Fluoridation Monthly Operations Report Form used in Washington.
Q: Who uses DOH Form 331-497?
A: This form is used by those responsible for monitoring and reporting on the fluoridation operations in Washington.
Q: What is the purpose of DOH Form 331-497?
A: The purpose of this form is to track and report on the monthly operations of fluoridation systems in Washington.
Q: What information is required in DOH Form 331-497?
A: The form requires information such as the name of the water system, the amount of fluoride added, the number of days the system operated, and any incidents or issues encountered.
Q: Is DOH Form 331-497 mandatory?
A: Yes, it is mandatory for water systems in Washington that conduct fluoridation operations to fill out and submit this form on a monthly basis.
Form Details:
Download a printable version of DOH Form 331-497 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.