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Home Occupation Statement Owners Consent Form Commercial Section 841 N. Broadway, Milwaukee, WI 53202 (414) 2863874 milwaukee.gov/commercialProperty Address: Unit Number: Tenants Name: Tenants Phone:
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How to fill out WI DNS-164C
01
Begin by obtaining a copy of the WI DNS-164C form.
02
Fill out the identifying information at the top, including your name and address.
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Individuals who are seeking services related to disabilities in Wisconsin may need to fill out the WI DNS-164C.
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What is WI DNS-164C?
WI DNS-164C is a form used in Wisconsin for reporting specific data related to immunizations and communicable diseases.
Who is required to file WI DNS-164C?
Health care providers, schools, and institutions that administer vaccinations or report on immunization records are required to file WI DNS-164C.
How to fill out WI DNS-164C?
To fill out WI DNS-164C, you need to provide details such as the patient's information, vaccination dates, and the type of vaccines administered.
What is the purpose of WI DNS-164C?
The purpose of WI DNS-164C is to collect and maintain accurate immunization records to protect public health and ensure compliance with state immunization laws.
What information must be reported on WI DNS-164C?
The information that must be reported includes patient demographic information, vaccine details, administration dates, and any contraindications to vaccination.
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