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Instructions for Form IMM-42 Enrollment Request for New Njiis Site - New Jersey
This document contains official instructions for Form IMM-42 , Enrollment Request for New Njiis Site - a form released and collected by the New Jersey Department of Health. An up-to-date fillable Form IMM-42 is available for download through this link.
FAQ
Q: What is Form IMM-42?
A: Form IMM-42 is an enrollment request form for a new Njiis site in New Jersey.
Q: What is Njiis?
A: Njiis stands for New Jersey Immunization Information System. It is a statewide immunization registry.
Q: What is the purpose of Form IMM-42?
A: Form IMM-42 is used to request enrollment for a new Njiis site in New Jersey.
Q: Who should use Form IMM-42?
A: Healthcare providers or organizations who want to open a new Njiis site in New Jersey should use Form IMM-42.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the New Jersey Department of Health.
