LHD Activity Checklist Submission
LHD Activity Checklist Submission
Use this form to submit your LHD Activity Checklist data to CDPH by uploading completed, electronically filled PDF files in the "file upload" section below.
*Only submit checklists with electronically filled data using this form. Do not submit forms that have been filled in by hand and scanned.*
There is a maximum of 10 file uploads with each form. If you need to submit more than 10 LHD Activity Checklists, return to this form to submit your additional checklists.