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Vaccine Transfer Report (Louisiana)

This generates a Vaccine Transfer Report form, which can be manually completed online and then downloaded and/or printed depending on your browser and PDF plug-in.

Generate the Form

To generate this form, click the Reports > State Reports > Other > Vaccine Transfer Report link. The Vaccine Transfer Report page opens.  Enter the information as necessary. Print or download the form per your browser and PDF plug-in settings.

Example Report

The following image is of an example Vaccine Transfer report:

Example Vaccine Transfer Report for Louisiana

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