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Adobe PDF Adobe PDF document  Vaccine Cold Chain Incident Exposure/Wastage ReportThe file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.Fill, Print & Save2025.0 kb
Form Classification
Classification / Identification:
 Form Number:014-4575-64EEdition date: 2022/01 
 Title:Vaccine Cold Chain Incident Exposure/Wastage Report
 Ministry:Health  
 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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