PDF
Word
Form OEH700 Confidential Report of Known or Suspected Pesticide-Related Illness - California
What Is Form OEH700?
This is a legal form that was released by the California Office of Environmental Health Hazard Assessment - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form OEH700?A: The purpose of Form OEH700 is to report known or suspected pesticide-related illness in California.
Q: Who needs to fill out Form OEH700?A: Form OEH700 needs to be filled out by healthcare providers and other individuals who become aware of a known or suspected pesticide-related illness.
Q: What information is required on Form OEH700?A: Form OEH700 requires information about the patient, the pesticide exposure, the signs and symptoms of the illness, and the healthcare provider's contact information.
Q: How should Form OEH700 be submitted?A: Form OEH700 should be submitted to the local County Agricultural Commissioner's Office, which will forward it to the DPR.
Q: Is the information on Form OEH700 confidential?A: Yes, the information provided on Form OEH700 is confidential and protected by law.
Form Details:
- Released on July 1, 2020;
- The latest edition provided by the California Office of Environmental Health Hazard Assessment;
- 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 fillable version of Form OEH700 by clicking the link below or browse more documents and templates provided by the California Office of Environmental Health Hazard Assessment.
Download Form OEH700 Confidential Report of Known or Suspected Pesticide-Related Illness - California
1
2
3
4
5
