Get Wahat Taflalit Form

Completing the Wahat Taflalit Form online is an essential process for reporting cases effectively. This guide will provide you with clear instructions on how to accurately fill out each section of the form, ensuring your submission is complete and compliant.

Follow the steps to fill out the Wahat Taflalit Form online.

1. Press the ‘Get Form’ button to access the Wahat Taflalit Form. This will open the form in an online editor for you to begin filling it out.
2. Enter the person's last name in the appropriate field, followed by their first name. Be sure to double-check the spelling for accuracy.
3. Provide the person's date of birth (DOB) using the format: Month/Day/Year. Ensure this information matches the official records.
4. Fill in the complete address, including street name, city, and ZIP code. This information is critical for accurate reporting.
5. Indicate the person's sex by selecting the appropriate option. Ensure that this selection reflects how the individual identifies.
6. State the race of the individual as required in the designated section. Follow the available options carefully.
7. Indicate whether the person is Hispanic by checking 'Yes' or 'No' in the specified field.
8. If the person has been vaccinated against varicella, provide the dates the vaccine was administered in the designated fields. If not vaccinated, select 'No' and indicate the number of doses received.
9. Complete the onset date for the varicella symptoms. This is important for tracking and health reporting.
10. Finally, include the county of residence and the date the case is being reported. Ensure all fields are filled out before proceeding.
11. Once you have entered all necessary information, save your changes. You may then download, print, or share the form as needed.

Start filling out your Wahat Taflalit Form online today to ensure accurate reporting.