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.
Q: What is DOH Form 420-019?
A: DOH Form 420-019 is the Influenza Death Reporting Form used in Washington.
Q: What is the purpose of Form 420-019?
A: The purpose of Form 420-019 is to report influenza-related deaths in Washington.
Q: How is Form 420-019 used?
A: Form 420-019 is used by healthcare providers to report influenza-related deaths to the Washington State Department of Health (DOH).
Q: Who should use Form 420-019?
A: Healthcare providers in Washington should use Form 420-019 to report influenza-related deaths.
Form Details:
Download a printable version of DOH Form 420-019 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.