Get the free IDPH TUPC Material Order Form (updated 11-30-17)

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DPH UPC Material Order Form (updated 113017) PLEASE FAX YOUR ORDER TO 5152816475 or email sheet to Noncontacts inf.Iowa.gov NAME: ADDRESS: CITY: State: ZIP:, COUNTY: PHONE: DATE ITEMS ARE NEEDED BY:

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How to fill out idph tupc material order

01

Gather all the necessary information and materials before starting the order form.

02

Fill in your personal information such as name, address, and contact details.

03

Specify the type and quantity of materials you need to order.

04

Provide any additional specifications or notes if required.

05

Double-check all the entered information for accuracy and completeness.

06

Submit the filled-out order form either online or through the designated submission method.

07

Keep a copy of the order form for your records.

Who needs idph tupc material order?

01

IDPH (Illinois Department of Public Health) authorized entities and individuals who require material supplies from the TUPC (Tobacco Use Prevention and Control) program.

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What is idph tupc material order?

IDPH TUPC material order is a form used to request supplies from the Illinois Department of Public Health (IDPH) for the Targeted Universal Precautions Campaign (TUPC).

Who is required to file idph tupc material order?

Healthcare facilities and organizations participating in the TUPC program are required to file the IDPH TUPC material order.

How to fill out idph tupc material order?

The IDPH TUPC material order can be filled out online through the IDPH website or by submitting a paper form via mail or fax.

What is the purpose of idph tupc material order?

The purpose of the IDPH TUPC material order is to ensure that healthcare facilities have access to necessary supplies to implement universal precautions and prevent the transmission of infectious diseases.

What information must be reported on idph tupc material order?

The IDPH TUPC material order requires information such as the name of the facility, contact person, mailing address, and the quantities of supplies requested.

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