This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin.
The document is provided in Mandarin (Chinese). As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-04020L?
A: Form F-04020L is the Student Immunization Record for Wisconsin.
Q: What is the purpose of Form F-04020L?
A: Form F-04020L is used to record a student's immunization history in Wisconsin.
Q: Who should complete Form F-04020L?
A: Form F-04020L should be completed by the student's healthcare provider or clinic.
Q: What information is required on Form F-04020L?
A: Form F-04020L requires information on the student's immunizations, including the vaccine name, date given, and healthcare provider information.
Q: Is Form F-04020L available in Mandarin (Chinese)?
A: Yes, Form F-04020L is available in Mandarin (Chinese).
Form Details:
Download a fillable version of Form F-04020L by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.