Get Contact Person Data Sheet For Tissue Bank - California Department ... - Cdph Ca

This guide provides detailed instructions on how to effectively complete the Contact Person Data Sheet For Tissue Bank required by the California Department of Public Health. Follow the steps outlined here to ensure your submission is accurate and complete.

Follow the steps to fill out the Contact Person Data Sheet online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date in the designated field at the top of the form. This information is essential for record-keeping purposes.
3. Fill in the name of the tissue bank as printed on the license. Ensure accurate spelling as this will appear on official documents.
4. Input the Tissue Bank License ID Number in the next field. If this is a new application, state the name of the tissue bank to be printed on the license.
5. Provide the name of the current tissue bank director. This individual is responsible for overseeing the tissue bank's operations.
6. Enter the tissue bank director's telephone number or voicemail. This number is crucial for communication regarding the tissue bank.
7. List the name and title of the tissue bank contact person in the respective fields. This person will be the primary contact for inquiries.
8. Input the contact person's telephone number or voicemail for any urgent communications.
9. Fill in the contact person’s fax number, if applicable, for any document exchanges that may need to be sent via fax.
10. Enter the contact person’s email address in the designated field. This will facilitate quick and easy communication.
11. Provide the name and telephone number of the compliance or regulatory person. This role is important for ensuring adherence to relevant regulations.
12. List the names, titles, and telephone numbers of backup person(s) to contact in the absence of the primary contact.
13. Enter the facility name where the tissue bank operates.
14. Indicate the address where the tissue bank license is to be mailed to, including attention details if necessary.
15. Complete the city, state, and zip code fields for accurate mailing.
16. The final step involves obtaining the signature of the director or contact person, affirming that all provided information is accurate.
17. After filling out all sections, review the form for completeness and accuracy. Users can choose to save changes, download, print, or share the completed form as needed.

Complete your Contact Person Data Sheet online today to ensure compliance with the California Department of Public Health.