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SLAQ Questionnaire Submission

SLAQ Submission

Use this form to submit your SLAQ data to CDPH by uploading completed, electronically filled PDF files in the "file upload" section below.

*Only submit questionnaires 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 SLAQs, return to this form to submit your additional questionnaires. 

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