Get Rekvisition P Synsprve Skrmbriller - Arbejdsmiljo Au

Filling out the Rekvisition P Synsprve Skrmbriller - Arbejdsmiljo Au online is a straightforward process that ensures your request for vision examination or screen glasses is handled efficiently. This guide provides step-by-step instructions to help you complete the form accurately and effectively.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Provide the billing address by entering 'Århus Universitet' and the corresponding code 'BtBP5'.
3. Fill in the customer number and EAN number in the designated fields.
4. In the 'Remarks' section, you may include any additional notes relevant to your request.
5. Complete the section labeled 'Employee's full name' with the person's accurate details.
6. Input the 'Service address' where the employee works.
7. Enter the employee's date of birth and year in the specified fields.
8. Fill in the email address and phone number of the employee.
9. Indicate the number of hours per day spent on screen work.
10. Specify whether the employee needs assistance to see the screen or keyboard as well as to see out in the room by selecting 'Yes' or 'No'.
11. Indicate the shortest reading distance in centimeters.
12. Note if new frames are required by selecting 'Yes' or 'No'.
13. Measure and enter the required distances labeled A to G according to the instructions provided.
14. Provide any relevant stamps or signatures in the 'Requested by' section, along with the date.
15. Complete the screen glasses correction aspect, filling in the right eye (H) and left eye (V) parameters including sphere, cylinder, axis, and addition as needed.
16. State if there is a need for screen glasses by marking 'Yes' or 'No' and specify if new lenses are required.
17. Confirm the type of lens required, such as single strength or multifocal, including the segment positioning.
18. Complete the final stamp and signature section indicating that the glasses/lenses have been delivered.
19. Review all entries for accuracy before saving changes, downloading, printing, or sharing the completed form.

Start filling out your Rekvisition P Synsprve Skrmbriller - Arbejdsmiljo Au online today for a seamless process.