DOH Form 348-654 Alternative Temperature Display Request Form - Washington State Childhood Vaccine Program - Washington

DOH Form 348-654 Alternative Temperature Display Request Form - Washington State Childhood Vaccine Program - Washington

What Is DOH Form 348-654?

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 348-654?
A: DOH Form 348-654 is the Alternative Temperature Display Request Form.

Q: What is the purpose of DOH Form 348-654?
A: The purpose of DOH Form 348-654 is to request an alternative temperature display for the Washington State Childhood Vaccine Program.

Q: What is the Washington State Childhood Vaccine Program?
A: The Washington State Childhood Vaccine Program is a program that provides vaccines to eligible children in Washington State.

Q: Who can use DOH Form 348-654?
A: DOH Form 348-654 can be used by organizations participating in the Washington State Childhood Vaccine Program.

Q: What does the alternative temperature display request form allow?
A: The alternative temperature display request form allows participating organizations to request an alternative method of displaying vaccine refrigeration temperatures.

Q: Why would an organization need an alternative temperature display?
A: An organization may need an alternative temperature display if their vaccine storage equipment does not have a built-in display or if the built-in display is not functioning properly.

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Form Details:

  • Released on August 1, 2018;
  • 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 348-654 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 348-654 Alternative Temperature Display Request Form - Washington State Childhood Vaccine Program - Washington

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