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How to use or fill out 6 4a Flu Vax Order Form 7 08 rtf - DHHR - wvdhhr with our platform
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Click ‘Get Form’ to open the Flu Vax Order Form in the editor.
Begin by entering the 'Date submitted' in the first box. This is essential for tracking your order.
In the second box, input your 'VFC PIN' which is assigned by the state. If you do not have this number, please contact the Immunization Program for assistance.
Next, fill in your 'Facility name' in the third box to identify where the vaccines will be delivered.
Proceed to select the vaccines you wish to order from the list provided. Indicate the brand and manufacturer, and specify how many doses you are ordering for each type.
Finally, provide your signature in the designated area and include any comments regarding special circumstances or delivery changes if necessary.
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Related links
Joint Committee on Government and Finance
Apr 1, 2014 6. Post Audits Subcommittee. B. The Joint Committee on Government and Finance received reports from the following: t. 2. a. 4. 5. 6. 7. 8. 9
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