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Form IMM-40 New Jersey Immunization Information System (Njiis) Duplicate Record - New Jersey
What Is Form IMM-40?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form IMM-40?
A: Form IMM-40 is a document used in New Jersey for the New Jersey Immunization Information System (NJIIS) Duplicate Record.
Q: What is the New Jersey Immunization Information System (NJIIS)?
A: The New Jersey Immunization Information System (NJIIS) is a statewide registry that keeps track of immunization records for residents of New Jersey.
Q: When is form IMM-40 used?
A: Form IMM-40 is used when there is a duplicate record in the New Jersey Immunization Information System (NJIIS) and needs to be corrected.
Q: What information is required on form IMM-40?
A: Form IMM-40 requires information such as the duplicate record ID, the correct record ID, and details about the error.
Form Details:
- Released on July 1, 2012;
- The latest edition provided by the New Jersey Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form IMM-40 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
