235709
This form is used for reporting cases of Brucellosis, a bacterial infection that can be transmitted from animals to humans. It collects important information about the infected individual and helps healthcare professionals track and monitor the disease.
This form is used for reporting cases of Shiga-Toxin positive E. Coli, including E. Coli O157, in Ohio. It is a supplemental form specifically for ground beef cases.
This form is used for attestation of training, experience, and preceptorship for Radiation Safety Officers and Associate Radiation Safety Officers in the state of Ohio.
This form is used for reporting cases of Q Fever, a bacterial infection that can cause flu-like symptoms and is transmitted to humans from animals.
This form is used for medical applications in Ohio.
This Form is used for applying for installation or weld repair in Ohio.
This form is used for the WIC program application in Ohio. The WIC program provides nutrition assistance to low-income women, infants, and children.
This document is used for conducting a thorough inspection of a business or organization in Ohio on a regular basis, typically once a year. The purpose of the inspection is to ensure that the business is operating in compliance with relevant regulations and standards.
This form is used for requesting a change in the managing physician for the Community Mental Health (CMH) services in Ohio.
This Form is used for reporting the results of a clearance examination in the state of Ohio.
This Form is used for submitting a rescission offer in the state of North Dakota.
This form is used for applying to register as an agent in the state of North Dakota.
This form is used for renewing the registration of an issuer-dealer or agent in North Dakota.
This document is used for reporting the inspection of septage hauler trucks in Ohio. It ensures that the trucks meet the required standards for safe and proper disposal of septage waste.
This document is used for reporting medical expenses related to the Children With Medical Handicaps Program in Ohio. It helps parents or guardians document and seek reimbursement for eligible medical costs incurred for children with medical handicaps.
This form is used for reporting cases of leptospirosis, a bacterial infection spread through contact with contaminated water.
This Form is used for tracking cases of Streptococcus Pneumoniae.
This form is used by employers in Ohio to report a presumptive overexposure incident. It is meant to be filled out confidentially and provides important information for tracking and addressing workplace health and safety concerns.
This form is used for requesting the reactivation of an active status from escrow in the state of Ohio.
This form is used for Louisiana residents to apply for reciprocity in Ohio.
This Form is used for South Carolina residents applying for reciprocity to carry a concealed weapon in Ohio.
This form is used for residents of Tennessee who want to apply for reciprocity in the state of Ohio.
This Form is used for West Virginia residents who wish to apply for reciprocity with the state of Ohio. It allows individuals to request recognition of their West Virginia qualifications in Ohio.
This document is used for renewing a health care facility license in the state of Ohio. It is a necessary form to ensure that the facility meets all the required standards and regulations.
This Form is used for applying for a license to operate a campground in the state of Ohio.
This form is used for requesting a variance in Ohio.
This form is used for authorized medical physicists in Ohio to record their training, experience, and to have their preceptor attest to their qualifications.
This form is used for reporting and documenting cases of human infection with the 2019 Novel Coronavirus.
Este tipo de formulario se utiliza como parte de las medidas de prevención del CDC (Centros para el Control y la Prevención de Enfermedades) para combatir la Listeria, una bacteria que puede causar enfermedades transmitidas por los alimentos.
This form is used for in-vitro testing with radioactive material in the state of Ohio.
This form is used for conducting self-inspections of fire safety in Ohio. It helps individuals ensure that their premises meet the required fire safety standards.
This form is used for reporting changes in the TTT (Troops to Teachers) program in Ohio.