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DOH Form 420-043 Waterborne Disease Case Investigation Worksheet - Washington
What Is DOH Form 420-043?
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 420-043?
A: DOH Form 420-043 is the Waterborne Disease Case Investigation Worksheet used in Washington.
Q: Why is the form used?
A: The form is used to investigate waterborne disease cases.
Q: What information does the form collect?
A: The form collects information about the affected individual, symptoms, potential sources of contamination, and other relevant data.
Q: Who is responsible for completing the form?
A: Healthcare providers and public health officials are responsible for completing the form for reported waterborne disease cases.
Form Details:
- Released on June 1, 2012;
- 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 420-043 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 420-043 Waterborne Disease Case Investigation Worksheet - Washington
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