Form IMM-29 New Jersey Immunization Information System (Njiis) Request for Change of User Security Authorization / Request for Password Reset - New Jersey

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form IMM-29 for the current year.

Form IMM-29 New Jersey Immunization Information System (Njiis) Request for Change of User Security Authorization / Request for Password Reset - New Jersey

What Is Form IMM-29?

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-29?A: Form IMM-29 is the New Jersey Immunization Information System (NJIIS) Request for Change of User Security Authorization/Request for Password Reset form.

Q: What is NJIIS?A: NJIIS stands for New Jersey Immunization Information System. It is a system that collects and maintains immunization records in the state of New Jersey.

Q: What is the purpose of Form IMM-29?A: The purpose of Form IMM-29 is to request a change of user security authorization or to reset the password for accessing the NJIIS system.

Q: Who should use Form IMM-29?A: Form IMM-29 should be used by individuals who need to update their user security authorization or reset their password for NJIIS.

Q: Is there a fee for submitting Form IMM-29?A: No, there is no fee for submitting Form IMM-29.

Q: How do I submit Form IMM-29?A: Completed Form IMM-29 can be submitted via mail, fax, or email as specified on the form.

Q: What information is required on Form IMM-29?A: Form IMM-29 requires information such as the user's name, contact information, existing NJIIS user ID, requested changes, and a signature.

Q: How long does it take to process Form IMM-29?A: The processing time for Form IMM-29 may vary, but it typically takes a few business days.

Q: Who should I contact for assistance with Form IMM-29?A: For assistance with Form IMM-29, you can contact the New Jersey Immunization Program staff or refer to the contact information provided on the form.

ADVERTISEMENT

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-29 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form IMM-29 New Jersey Immunization Information System (Njiis) Request for Change of User Security Authorization / Request for Password Reset - New Jersey

4.5 of 5 (21 votes)
  • Form IMM-29 New Jersey Immunization Information System (Njiis) Request for Change of User Security Authorization / Request for Password Reset - New Jersey, Page 1
ADVERTISEMENT