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DEPARTMENT OF HEALTH SERVICES Division of Public Health F01736 (01/2017) STATE OF WISCONSIN TRACKS RETURN ID VACCINE RETURN REQUEST FOR AUTHORIZATION TO RETURN GRANTEE: WISCONSIN Date No. of shipping
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Who needs vaccine return - request?

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Individuals or organizations who have received vaccines that need to be returned due to certain reasons.
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Healthcare professionals or vaccine administrators who encounter issues with the quality, storage, or distribution of vaccines.
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Pharmaceutical companies or vaccine manufacturers who need to handle vaccine returns from various facilities.
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Government agencies or regulatory bodies responsible for managing and monitoring vaccine distribution.
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Vaccine return - request is a formal request submitted to return unused vaccines to the supplier.
Healthcare facilities or providers who have unused vaccines that need to be returned to the supplier are required to file vaccine return - request.
To fill out a vaccine return - request, the healthcare facility or provider must provide details of the unused vaccines, such as quantity, lot numbers, and expiration dates.
The purpose of vaccine return - request is to properly return unused vaccines to the supplier for proper disposal or redistribution.
The vaccine return - request must include information such as quantity of unused vaccines, lot numbers, expiration dates, and reason for return.
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