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This version of the form is not currently in use and is provided for reference only. Download this version of
DOH Form 422-112
for the current year.
DOH Form 422-112 Facility Affidavit for Correction - Washington
What Is DOH Form 422-112?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 422-112?
A: DOH Form 422-112 is the Facility Affidavit for Correction form used in Washington.
Q: What is the purpose of DOH Form 422-112?
A: The purpose of DOH Form 422-112 is to provide a means for correcting or updating information related to a facility in Washington.
Q: Who needs to fill out DOH Form 422-112?
A: Facility owners or operators in Washington who need to correct or update information about their facility.
Q: Are there any fees associated with submitting DOH Form 422-112?
A: There are no fees associated with submitting DOH Form 422-112.
Form Details:
- Released on August 1, 2018;
- The latest edition provided by the Washington State 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 DOH Form 422-112 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 422-112 Facility Affidavit for Correction - Washington
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