DOH Form 210-058 Plague Reporting Form - Washington

DOH Form 210-058 Plague Reporting Form - Washington

What Is DOH Form 210-058?

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.

FAQ

Q: What is DOH Form 210-058?
A: DOH Form 210-058 is the Plague Reporting Form used in Washington.

Q: What is the purpose of the Plague Reporting Form?
A: The Plague Reporting Form is used to report cases of plague in Washington.

Q: Who is required to fill out the Plague Reporting Form?
A: Healthcare providers are required to fill out the Plague Reporting Form.

Q: Is the Plague Reporting Form specific to Washington?
A: Yes, the Plague Reporting Form is specific to Washington.

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Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Washington State Department of Health;
  • 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 DOH Form 210-058 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-058 Plague Reporting Form - Washington

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