Forms and Blanks

  • The state board shall provide to each County Health Officer such blanks as may be required for the gathering and reporting of vital and sanitary statistics. The County HO will then distribute said forms to the city and town boards.

    The state board shall provide to each County Health Officer such blanks as may be required for the gathering and reporting of vital and sanitary statistics. The County HO will then distribute said forms to the city and town boards.
  • Forms still provided by State

    Forms still provided by State
  • All records of deaths, births, and cases of contagious and infectious diseases shall be kept by health officers in record books, the forms of which shall be supplied by the state board

    All records of deaths, births, and cases of contagious and infectious diseases shall be kept by health officers in record books, the forms of which shall be supplied by the state board
  • Births, stillbirths, and deaths must be reported upon standard forms furnished by the state.

    Births, stillbirths, and deaths must be reported upon standard forms furnished by the state.
  • BTP forms, monthly report cards, and necessary envelopes for reporting will be furnished by the state

    BTP forms, monthly report cards, and necessary envelopes for reporting will be furnished by the state
  • LHD (City and County) must keep ample supply of forms on hand in order to supply physicians, hospitals and funeral directors.

    LHD (City and County) must keep ample supply of forms on hand in order to supply physicians, hospitals and funeral directors.