School Report to Local Health Department (F-04002) - Formalu Preview on Page 1

School Report to Local Health Department (F-04002) - Formalu 2026

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  1. Click ‘Get Form’ to open the School Report to Local Health Department (F-04002) in our editor.
  2. In Section A, enter the school's contact information, including the DPI LEA and school codes. Use the provided links to search for these codes if needed.
  3. Proceed to Sections B and C, where you will categorize students based on their vaccination status. Ensure that each category is filled accurately, entering '0' for any categories without students.
  4. Review your entries for accuracy before submitting. Make sure all totals align with the enrollment figures provided in Section A.
  5. Once completed, submit the form through the online REDCap survey link provided in the instructions.

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