Borough of Butler, N.J. • 1 Ace Road, Butler NJ 07405.
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Health Department/Animal Control  
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    H1N1 Injectable Vaccine Forms
Forms required to receive the H1N1 Injectable form of the Vaccine
          2009 H1N1 Injectable Consent Form
This is a mandatory questionnaire required at the time the H1N1 Injectable Vaccine is administered. Please print this form, fill it out and bring it with you to the vaccination clinic.
          H1N1 Injectable Vaccine Information Sheet
Information about the Injectable version of the H1N1 Vaccine
 
    H1N1 Nasal Spray Forms
Forms and information related to H1N1 Nasal Spray
          2009 H1N1 Nasal Spray Consent Form
This is a mandatory consent form required at the time the H1N1 Nasal Spray Vaccine is administered. Please print this form, fill it out and bring it with you to the vaccination clinic.
          2009 H1N1 Screening Questionnaire
This is a mandatory questionnaire required at the time the H1N1 Vaccine is administered. Please print this form, fill it out and bring it with you to the vaccination clinic.
          H1N1 Live Virus Information Sheet
Information sheet about the live Nasal vaccination
 
    Health Department
          Application for a Certification or a Certified Copy of a Vital Record
An application to obtain vital records for informational purposes. NOTE: CHECKS MUST BE PAYABLE TO BOROUGH OF BUTLER!
          Dog/Cat License Application
Application to get a license for your dog or cat.
          Marriage/Civil Union License Application
          Marriage/Civil Union License Application Instructions
 


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