DCYF Form 15-823 Pertussis Vaccination Agreement - Washington

DCYF Form 15-823 Pertussis Vaccination Agreement - Washington

What Is DCYF Form 15-823?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 DCYF Form 15-823?
A: DCYF Form 15-823 is a Pertussis Vaccination Agreement.

Q: Who is the form intended for?
A: The form is intended for individuals in Washington state.

Q: What is the purpose of the form?
A: The form is used to document an individual's agreement to receive a pertussis vaccination.

Q: Is the form specific to a certain age group?
A: No, the form can be used for individuals of all ages.

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Form Details:

  • Released on September 1, 2022;
  • The latest edition provided by the Washington State Department of Children, Youth, and Families;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DCYF Form 15-823 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.

Download DCYF Form 15-823 Pertussis Vaccination Agreement - Washington

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  • DCYF Form 15-823 Pertussis Vaccination Agreement - Washington, Page 1
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