Get Usage Worksheet Form Revised 2008 (2)

This guide provides comprehensive instructions for users on how to complete the Usage Worksheet Form Revised 2008 (2) online. By following these steps, you will ensure accurate and efficient reporting of vaccine usage.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the form and open it in the desired editor.
2. Begin by entering the PIN number in the designated field at the top of the form. This is crucial for identifying your report.
3. In the eligibility section, check the box that corresponds to the type of eligibility for the children being reported, which may include Medicaid, no insurance, underinsured, or American Indian/Alaskan Native.
4. Record the total number of children immunized within each age category (<1 year, 1-6 years, 7-10 years, 11-12 years, and 13-18 years) and respective eligibility in the provided fields.
5. Complete the vaccine listings by entering corresponding totals for each type of vaccine administered. Ensure that you double-check the accuracy of the entries.
6. Fill in your mailing address at the bottom of the page. Provide the address of the Florida Department of Health, Bureau of Immunization for proper submission.
7. After entering all required information, review the form for completeness and accuracy. Make any necessary corrections.
8. Finally, save your changes. You may also choose to download, print, or share the completed form as per your needs.

Complete your documents online for efficient processing.