PDF
Word
DOH Form 420-019 Influenza Death Reporting Form - Washington
What Is DOH Form 420-019?
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 DOH Form 420-019?A: DOH Form 420-019 is the Influenza Death Reporting Form used in Washington.
Q: What is the purpose of Form 420-019?A: The purpose of Form 420-019 is to report influenza-related deaths in Washington.
Q: How is Form 420-019 used?A: Form 420-019 is used by healthcare providers to report influenza-related deaths to the Washington State Department of Health (DOH).
Q: Who should use Form 420-019?A: Healthcare providers in Washington should use Form 420-019 to report influenza-related deaths.
Form Details:
- Released on November 1, 2019;
- 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;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 420-019 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 420-019 Influenza Death Reporting Form - Washington
1
2
3
4
