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.
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.
Instruction Details:
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