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.
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.
Q: What is DOC03-173?
A: DOC03-173 is a form for Coronavirus (Covid-19) Vaccination Screening and Consent in Washington.
Q: What is the purpose of this form?
A: The purpose of this form is to screen and obtain consent for Covid-19 vaccination in Washington.
Q: Who needs to fill out this form?
A: Anyone who wants to receive the Covid-19 vaccination in Washington needs to fill out this form.
Q: What information do I need to provide on this form?
A: You will need to provide personal information, medical history, and consent for Covid-19 vaccination.
Q: Can I refuse to fill out this form?
A: Yes, it is optional to fill out this form, but it is required to receive the Covid-19 vaccination.
Q: Is this form specific to Washington only?
A: Yes, this form is specific to Covid-19 vaccination in Washington.
Form Details:
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.