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COLORADO VACCINE RETURN FORM FAX TO: (303) 6916118 OR EMAIL TO: CACHE AFC STATE.CO.US *For The Return of State Supplied (AFC or 317) Vaccine Only DO NOT MAIL VACCINE TO THE COLORADO AFC PROGRAM* AFC
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How to fill out colorado vaccine return form

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How to fill out the Colorado vaccine return form:

01
Start by carefully reading the instructions provided with the form. This will ensure that you understand the requirements and can properly fill out the form.
02
Begin entering your personal information in the designated fields. This may include your name, date of birth, address, and contact information. Make sure to double-check for accuracy before moving forward.
03
Proceed to the section that requires you to provide details about your vaccination. This may involve indicating the specific vaccine brand, dates of administration, and any accompanying documentation, such as vaccine cards or records.
04
If you have received multiple doses of the vaccine, be sure to provide information for each dose separately. This could include the specific dates and locations where the shots were administered.
05
Check if the form requires any additional information, such as the reason for returning the vaccine or any adverse reactions experienced. Complete these sections as necessary.
06
Review the completed form to ensure all fields have been filled out correctly and completely. Look for any missing or inconsistent information.
07
Sign and date the form at the designated area to certify the accuracy of the information provided.
08
Make a copy of the completed form for your records before submitting it to the appropriate authorities.

Who needs the Colorado vaccine return form?

The Colorado vaccine return form is typically required for individuals who need to return or report their COVID-19 vaccine for various reasons. This could include situations where there was an error in the vaccination process, adverse reactions were experienced, duplicate shots were administered, or other specific circumstances. It is essential to consult with the relevant authorities or healthcare professionals to determine if you need to fill out this form.
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Colorado vaccine return form is a form used to report vaccines that were unused or returned by healthcare providers in Colorado.
Healthcare providers in Colorado who have unused or returned vaccines are required to file the Colorado vaccine return form.
To fill out the Colorado vaccine return form, healthcare providers need to provide information about the unused or returned vaccines, including the type and quantity.
The purpose of the Colorado vaccine return form is to track unused or returned vaccines in Colorado and ensure proper reporting and disposal.
Healthcare providers must report details of the unused or returned vaccines, such as type, quantity, lot number, and expiration date.
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