New Jersey reports TB suspects and cases, and their initial, current and final status, on this state version of CDC's Report of Verified Case of Tuberculosis (RVCT). The five-page fillable form (FEB 22) follows the patient from diagnosis through treatment: risk factors, test results, imaging, site of disease, drug regimen, susceptibility testing and outcome.
The treating physician or chest clinic and local health department TB program staff complete it, with the preparer named in item 33; the GEOID and state case number are assigned at the state level.
Download the current version from the source each time; forms change without notice.
New Jersey Tuberculosis Case, Suspect and Status Report
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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It collects the same data. The RVCT is CDC's national TB surveillance form, and some states use a modified version or their own tool; in New Jersey it is called the TB-70. The FEB 22 version reflects the expanded RVCT whose new variables began to be collected in January 2022.
Per the TB-70 instructions, a patient who recurs within 12 months of completing therapy keeps the previous state case number, while one who recurs after more than 12 months is treated as a separate episode and counted as a new case. A case is not counted twice within any consecutive 12-month period.