This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 DCYF Form 15-823?
A: DCYF Form 15-823 is a Pertussis Vaccination Agreement.
Q: Who is the form intended for?
A: The form is intended for individuals in Washington state.
Q: What is the purpose of the form?
A: The form is used to document an individual's agreement to receive a pertussis vaccination.
Q: Is the form specific to a certain age group?
A: No, the form can be used for individuals of all ages.
Form Details:
Download a fillable version of DCYF Form 15-823 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.