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DOH Form 420-031 Outbreak Reporting Form - Influenza-like Illness - Washington
What Is DOH Form 420-031?
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 420-031?A: DOH Form 420-031 is the Outbreak Reporting Form for Influenza-like Illness in Washington.
Q: What is this form used for?A: This form is used to report outbreaks of influenza-like illness in Washington.
Q: Who is required to fill out this form?A: Healthcare facilities and providers are required to fill out this form.
Q: What is considered an outbreak?A: An outbreak is defined as an increase in the number of cases of influenza-like illness above the expected level for a given time and place.
Q: What information is required on the form?A: The form requires information about the facility, dates of the outbreak, number of cases, symptoms, and control measures taken.
Form Details:
- Released on October 1, 2020;
- 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 420-031 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
