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Get Ca Imm-1053 2014
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How to fill out the CA IMM-1053 online
The CA IMM-1053 is a crucial form for logging vaccine usage in the Vaccines for Children (VFC) Program. This guide will assist you in completing the form accurately and efficiently online.
Follow the steps to complete the CA IMM-1053 form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in the date at the top of the form to reflect the current usage log day.
- Indicate the ordering period by filling in the start and end dates in the designated fields.
- For each vaccine used, check off or mark the corresponding box next to the patient name and medical record to indicate usage.
- At the end of the day, calculate the daily total by summing all the checks made for each vaccine and enter this number in the 'Daily Total' field.
- Upon preparing to order vaccines, sum up the daily totals during the ordering period and report this number as the total doses administered.
- Add your name in the 'Log taken by' section to record who maintained the log for accountability.
- Once you have filled out all sections, ensure that your entries are accurate, then save, download, print, or share the completed form as necessary.
Complete your CA IMM-1053 form online today for effective vaccine management.
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Yes, you can file the CA statement of information online through the California Secretary of State's website. This convenient option allows you to complete Form SI-100 without needing to print and mail the document. By using CA IMM-1053, you can navigate this process more easily, ensuring you meet all filing requirements for your corporation.
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