What is the Certificate of Immunization Status (CIS) form? The CIS is a form that must be completed and turned into a child's school or child care to document the vaccinations required to document full immunity for children attending school or child care in Washington State.
• A Certificate of Immunization Status (CIS) form printed with the vaccination dates from the Washington State Immunization Information System (IIS), MyIR, or another state’s IIS. • A completed hardcopy CIS with a health care provider validation signature.
• A Certificate of Immunization Status (CIS) form printed with the vaccination dates from the Washington State Immunization Information System (IIS), MyIR, or another state’s IIS. • A completed hardcopy CIS with a health care provider validation signature.
Revised Form Promulgated by 12/21/2023 Notice to the Bar (effective 01/01/2024), CN 10517 (Appendix XII-B1) page 2 of 4 The Information Provided on This Form Cannot be Introduced into Evidence. Case Characteristics for Purposes of Determining if Case is Appropriate for Mediation
Complete information for your child including full name, birthdate, current mailing address, parents’ or guardians’ names and phone number. This information will be used to contact you if there are questions about your child’s immunization history. Fill in the month/day/year that your child received each dose of vaccine.
subject: company information sheet (cis) In accordance with Articles Two (2) through Five (5) of the Due Diligence Convention and the Federal BANKING Commission Circular of December 1998, concerning the prevention of money laundering, the
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2024年12月23日 · Use this form to apply for lawful permanent resident status if you are in the United States. 10/24/24. Starting Feb. 10, 2025, we will accept only the 10/24/24 edition. Until then, you can also use the 08/28/24 M and 08/28/24 editions. You can find the edition date at the bottom of the page on the form and instructions.