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How to fill out the Dhhs 1614 Form online
The Dhhs 1614 form is essential for submitting specimens for rabies testing to the North Carolina Department of Health and Human Services. This guide provides clear, step-by-step instructions on how to accurately complete the form online, ensuring all required information is provided to facilitate timely testing.
Follow the steps to successfully complete the Dhhs 1614 form online.
- Click the ‘Get Form’ button to access the Dhhs 1614 form and open it in your preferred editing tool.
- Begin by entering the federal tax number at the top of the form in the designated field.
- Complete the contact information section by providing a contact name, telephone numbers for daytime and after-hours, and a fax number if available.
- Specify the species of animal being submitted for testing, including the breed and color, and provide the specimen ID number.
- Indicate the location where the animal was found, including the county, and fill out the date of death and shipping information.
- Provide details on signs of disease exhibited by the animal. Check all applicable symptoms or behaviors.
- List individuals exposed to the animal and describe the nature of the exposure for each person, including their names, dates of exposure, and type of exposure.
- Once all fields are carefully filled out, ensure the information is legible and accurate. Keep in mind that each specimen requires a separate form.
- Seal the completed form in a plastic bag for inclusion with the specimen and prepare for shipping.
- After completing the form and associating it with the specimen, save any changes, and proceed to download, print, or share the document as needed.
Start filling out the Dhhs 1614 form online today to ensure timely testing and response.
To become a certified rabies vaccinator in North Carolina, you must complete a training program approved by the state. After finishing the training, you will need to pass an examination to earn your certification. Utilizing the Dhhs 1614 Form can assist you in tracking your progress and maintaining records required throughout your certification process.
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