PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DOC03-173
for the current year.
Form DOC03-173 Coronavirus (Covid-19) Vaccination Screening and Consent - Washington
What Is Form DOC03-173?
This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of form DOC03-173?A: The form is for Covid-19 vaccination screening and consent in Washington.
Q: What does the form cover?A: The form covers screening questions and consent for Covid-19 vaccination.
Q: Why is screening necessary?A: Screening is necessary to ensure that vaccination is safe for the individual.
Q: Who should fill out this form?A: Anyone who wants to receive a Covid-19 vaccination in Washington should fill out this form.
Form Details:
- Released on December 24, 2020;
- The latest edition provided by the Washington State Department of Corrections;
- 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 DOC03-173 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.
