Get University Of Maryland Baltimore Pregnant Worker Declaration 2019-2025
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How to fill out the University Of Maryland Baltimore Pregnant Worker Declaration online
Filling out the University Of Maryland Baltimore Pregnant Worker Declaration is an important step for individuals who are pregnant and may be exposed to radiation in their work environment. This guide provides clear, step-by-step instructions to ensure that you can complete this form accurately and confidently.
Follow the steps to complete the form correctly.
- Click ‘Get Form’ button to obtain the document and open it in your preferred editing tool.
- Begin filling out the worker data section. Enter your name, Social Security number (last five digits only), birth date, job title, campus address, work phone, division/department, school, expected delivery date, and your physician's information if applicable. Make sure that all fields are filled out clearly and accurately.
- In the radiation work section, indicate whether you will operate a radiation-producing device or work in an area where radiation exposure is possible. Answer 'Yes' or 'No' and, if applicable, describe the types of machines and your responsibilities regarding them.
- Continue with the dosimetry section. Specify if you wish to receive a monthly fetal monitor and whether you currently use radiation dosimeters. Provide the necessary contact information for the location(s) where you utilize radiation dosimetry if applicable.
- In the signatures section, confirm that you have read all the information provided and that the details are accurate. Sign and date the form, and ensure that the authorized user or supervisor also signs and dates the form as required.
- Once you have completed all sections, review the document for any missing information or errors. After ensuring everything is accurate, save your changes. You can then download, print, or share the completed form as needed.
Complete your documentation online to ensure your pregnancy and work safety.
The Pregnant Workers Fairness Act in Maryland is a law designed to ensure that pregnant workers receive necessary accommodations to support their health and well-being. This act requires employers to provide reasonable accommodations unless doing so would impose an undue hardship. Understanding this act is essential, and the University of Maryland Baltimore Pregnant Worker Declaration can help guide pregnant workers in navigating their rights under this legislation.
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