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 611-001?
A: DOH Form 611-001 is the Voluntary Certification Cancellation Request Form.
Q: What is the purpose of DOH Form 611-001?
A: The purpose of DOH Form 611-001 is to request the cancellation of voluntary certification.
Q: What information is required on DOH Form 611-001?
A: DOH Form 611-001 requires information such as the applicant's name, contact information, and reasons for the cancellation request.
Form Details:
Download a printable version of DOH Form 611-001 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.