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Screen Date___West Virginia Department of Health and Human Resources Early and Periodic Screening, Diagnosis, and Treatment (EPS DT) Hatcheck Program Preventive Health Screen4 Month Forename___ DOB___

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Locate the date field on the screen.

02

Click on the date field to activate it.

03

Enter the day of the month in the designated space.

04

Using the drop-down menu, select the month from the options provided.

05

Double-check that the year is correct, and adjust if necessary.

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Click 'Submit' or 'Save' to finalize the date entry.

Who needs screen date 4 month?

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Individuals who are required to input specific dates on a screen for various applications or forms.

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What is screen date 4 month?

Screen date 4 month refers to the date within the fourth month of a specified time period when certain information or documents must be submitted.

Who is required to file screen date 4 month?

Entities or individuals who are subject to the reporting requirements for that specific time period.

How to fill out screen date 4 month?

Screen date 4 month can typically be filled out electronically through a designated platform or website, following the provided instructions.

What is the purpose of screen date 4 month?

The purpose of screen date 4 month is to ensure timely submission of relevant information or documentation for regulatory or compliance purposes.

What information must be reported on screen date 4 month?

The specific information or documents required to be reported on screen date 4 month may vary depending on the regulations or guidelines applicable to the reporting entity.

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