Form IMM-47 Registrant Withdrawal From Njiis - New Jersey

Form IMM-47 Registrant Withdrawal From Njiis - New Jersey

What Is Form IMM-47?

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 the purpose of the Form IMM-47?A: The purpose of Form IMM-47 is to withdraw registration from the New Jersey Immunization Information System (NJIIS).

Q: Who should use Form IMM-47?A: Form IMM-47 should be used by registrants who want to withdraw their registration from NJIIS.

Q: Do I need to provide a reason for withdrawing from NJIIS on Form IMM-47?A: No, you do not need to provide a reason for withdrawing from NJIIS on Form IMM-47.

Q: Is there a deadline for submitting Form IMM-47?A: There is no specific deadline mentioned for submitting Form IMM-47. However, it is recommended to submit the form as soon as you decide to withdraw from NJIIS.

Q: Are there any fees associated with submitting Form IMM-47?A: No, there are no fees associated with submitting Form IMM-47.

Q: Can I re-register for NJIIS after submitting Form IMM-47?A: Yes, you can re-register for NJIIS if you change your mind after submitting Form IMM-47.

Q: What should I do if I have more questions about Form IMM-47?A: If you have more questions about Form IMM-47, you can contact your local health department or the New Jersey Department of Health, Immunization Program for assistance.

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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-47 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form IMM-47 Registrant Withdrawal From Njiis - New Jersey

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  • Form IMM-47 Registrant Withdrawal From Njiis - New Jersey, Page 1
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