WA DOH 347-102 - Jefferson County 2021-2025 free printable template
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Form 347102Pacific County Public Health(360) 6429352 (Confidential FAX line)CONFIDENTIAL SEXUALLY TRANSMITTED DISEASE CASE REPORT STDs within three work days (WAC
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How to fill out WA DOH 347-102 - Jefferson County
01
Obtain the WA DOH 347-102 form from the Washington State Department of Health website or your local Jefferson County health department.
02
Read the instructions carefully before filling out the form.
03
Fill out the personal information section with your name, address, and contact details.
04
Provide any required details about the property or situation being reported.
05
Include any witnesses or other relevant parties, if applicable.
06
Review all the information for accuracy and completeness.
07
Sign and date the form at the designated area.
08
Submit the form to the Jefferson County health department as instructed.
Who needs WA DOH 347-102 - Jefferson County?
01
Individuals or organizations that need to report health concerns or conditions affecting public health in Jefferson County.
02
Property owners or managers reporting issues related to health regulations.
03
Residents who need assistance or guidance regarding public health matters in their community.
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What is WA DOH 347-102 - Jefferson County?
WA DOH 347-102 is a form used by the Washington State Department of Health for reporting specific health-related data concerning Jefferson County.
Who is required to file WA DOH 347-102 - Jefferson County?
Entities or individuals involved in public health reporting or those required to submit health-related data for Jefferson County are mandated to file WA DOH 347-102.
How to fill out WA DOH 347-102 - Jefferson County?
To fill out WA DOH 347-102, follow the instructions provided on the form itself, including entering specific data as required and ensuring accuracy for all fields.
What is the purpose of WA DOH 347-102 - Jefferson County?
The purpose of WA DOH 347-102 is to collect important health data that informs public health officials and supports health initiatives in Jefferson County.
What information must be reported on WA DOH 347-102 - Jefferson County?
The information required on WA DOH 347-102 typically includes demographics, health conditions, treatment data, and any other relevant public health details as specified by the form.
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