DOH Form 962-957 Lost, Stolen, or Damaged Multi-User Electric Breast Pump Report - Washington

DOH Form 962-957 Lost, Stolen, or Damaged Multi-User Electric Breast Pump Report - Washington

What Is DOH Form 962-957?

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 962-957?A: DOH Form 962-957 is the Lost, Stolen, or Damaged Multi-User Electric Breast Pump Report form used in Washington.

Q: What is the purpose of DOH Form 962-957?A: The purpose of DOH Form 962-957 is to report a lost, stolen, or damaged multi-user electric breast pump in Washington.

Q: Do I need to fill out DOH Form 962-957?A: Yes, if you have lost, had stolen, or damaged a multi-user electric breast pump in Washington, you are required to fill out DOH Form 962-957.

Q: What information is required on DOH Form 962-957?A: DOH Form 962-957 requires information such as your personal details, the breast pump make and model, the incident details, and any supporting documentation.

Q: What should I do after completing DOH Form 962-957?A: Once you have completed DOH Form 962-957, you should submit it to the Washington State Department of Health (DOH) as instructed on the form.

Q: Is there a deadline for submitting DOH Form 962-957?A: Yes, you are required to submit DOH Form 962-957 within 10 days of the incident occurring.

Q: Are there any fees associated with submitting DOH Form 962-957?A: There are no fees associated with submitting DOH Form 962-957 to the Washington State Department of Health (DOH).

Q: Who should I contact if I have questions about DOH Form 962-957?A: If you have questions about DOH Form 962-957, you should contact the Washington State Department of Health (DOH) for assistance.

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Form Details:

  • Released on November 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 962-957 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 962-957 Lost, Stolen, or Damaged Multi-User Electric Breast Pump Report - Washington

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