DOH Form 422-068 Attending Physician's After Death Reporting Form - Washington

DOH Form 422-068 Attending Physician's After Death Reporting Form - Washington

What Is DOH Form 422-068?

This is a legal form that was released by the Washington State Department of Health - 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 DOH Form 422-068?
A: DOH Form 422-068 is the Attending Physician's After Death Reporting Form used in Washington.

Q: Who should fill out the DOH Form 422-068?
A: The attending physician or an authorized medical professional should fill out the form.

Q: What is the purpose of the DOH Form 422-068?
A: The form is used to report information about a deceased individual to the Washington State Department of Health.

Q: What information is required on the DOH Form 422-068?
A: The form asks for information such as the deceased person's name, date of birth, cause of death, and other relevant details.

Q: When should the DOH Form 422-068 be submitted?
A: The form should be submitted within a specified timeframe, typically within a certain number of days after the death of the individual.

Q: Are there any fees associated with the DOH Form 422-068?
A: There are no fees associated with submitting the form.

Q: What happens after submitting the DOH Form 422-068?
A: The information provided on the form is used for vital statistics purposes and may be used for research and public health studies.

Q: Are there any penalties for not submitting the DOH Form 422-068?
A: Failure to submit the form as required by law may result in penalties or fines.

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Form Details:

  • Released on June 1, 2016;
  • The latest edition provided by the Washington State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DOH Form 422-068 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 422-068 Attending Physician's After Death Reporting Form - Washington

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