PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DOC03-173
for the current year.
Form DOC03-173 Coronavirus (Covid-19) Vaccination Screening and Consent - Washington
What Is Form DOC03-173?
This is a legal form that was released by the Washington State Department of Corrections - 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 the purpose of Form DOC03-173?
A: Form DOC03-173 is used for Coronavirus (Covid-19) Vaccination Screening and Consent in Washington.
Q: Who needs to fill out this form?
A: Individuals who are seeking Covid-19 vaccination in Washington need to fill out this form.
Q: What information is required on this form?
A: The form requires personal information, medical history, and consent for Covid-19 vaccination.
Q: Is this form mandatory?
A: Yes, it is mandatory for individuals seeking Covid-19 vaccination in Washington.
Q: Do I need to provide proof of identification?
A: Yes, you will likely need to provide a form of identification when filling out this form.
Q: What happens after I fill out this form?
A: Once you fill out this form, the vaccination site will review your information and proceed with the vaccination process if you meet the eligibility criteria.
Q: Are there any fees associated with this form?
A: No, there are no fees associated with filling out this form.
Form Details:
- Released on May 24, 2021;
- The latest edition provided by the Washington State Department of Corrections;
- 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 DOC03-173 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.
