Instructions for Form IMM-14 Immunization Audit Report Worksheet - New Jersey

Instructions for Form IMM-14 Immunization Audit Report Worksheet - New Jersey

This document contains official instructions for Form IMM-14 , Immunization Audit Report Worksheet - a form released and collected by the New Jersey Department of Health. An up-to-date fillable Form IMM-14 is available for download through this link.

FAQ

Q: What is Form IMM-14?
A: Form IMM-14 is the Immunization Audit Report Worksheet.

Q: What is the purpose of Form IMM-14?
A: The purpose of Form IMM-14 is to report immunization data in New Jersey.

Q: Who needs to fill out Form IMM-14?
A: Healthcare providers in New Jersey are required to fill out Form IMM-14.

Q: What information is required on Form IMM-14?
A: Form IMM-14 requires information about the immunization records, including the number of vaccines administered and the type of vaccines given.

Q: When is Form IMM-14 due?
A: Form IMM-14 is typically due on an annual basis, with the specific deadline determined by the New Jersey Department of Health.

Q: Are there any penalties for not submitting Form IMM-14?
A: Failure to submit Form IMM-14 or providing false information can result in penalties or legal consequences.

Q: Do I need to keep a copy of Form IMM-14 for my records?
A: Yes, it is recommended to keep a copy of Form IMM-14 for your records in case of future inquiries or audits.

Q: Who should I contact if I have questions or need assistance with Form IMM-14?
A: For questions or assistance with Form IMM-14, you can contact the New Jersey Department of Health or consult the instructions provided with the form.

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Instruction Details:

  • This 1-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the New Jersey Department of Health.

Download Instructions for Form IMM-14 Immunization Audit Report Worksheet - New Jersey

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  • Instructions for Form IMM-14 Immunization Audit Report Worksheet - New Jersey, Page 1
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