|Classification / Identification:|
| ||Form Number:||014-4575-64E||Edition date: ||2019/05 |
| ||Title:||Vaccine Cold Chain Incident Exposure/Wastage Report|
| ||Ministry:||Health and Long-Term Care|| || |
| ||Branch/ABC:||Public Health|| || |
| ||Program:||Public Health - Disease Control Service|| || |
| ||Purpose of Form:||Used by public health units to report vaccine cold chain incidents and wasted or exposed vaccine.|| || |
| ||Ordering Information:||Download|
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