We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Hepatitis B Vaccination Declination Form - Montana Tech Of The ... - Mtech

Get Hepatitis B Vaccination Declination Form - Montana Tech Of The ... - Mtech

Hepatitis B Vaccination Declination Montana Tech of The University of Montana I, the undersigned employee, understand that due to my potential for occupational exposure to blood or other potentially.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Hepatitis B Vaccination Declination Form - Montana Tech Of The ... - Mtech online

Filling out the Hepatitis B Vaccination Declination Form is a straightforward process that ensures your understanding of the vaccination option available to you. This guide provides step-by-step instructions to complete the form correctly and efficiently.

Follow the steps to accurately complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the section labeled 'Employee Name (print)', clearly print your full name as you would like it to appear.
  3. Next, locate the 'Employee Signature' field. Sign your name here to confirm your decision.
  4. Now, find the 'Date' section next to your signature. Enter the date on which you are completing the form.
  5. Proceed to the 'Employer Representative Signature' field. This will be completed by your employer or designated representative at a later time.
  6. Finally, there will be an area for the employer representative to fill in the 'Date.' This should also be done at a subsequent time.
  7. Once all required fields are completed, you may save your changes, download the form, print it, or share it as needed.

Complete your Hepatitis B Vaccination Declination Form online today!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

PDF - 9.64 MB - 172 pages - CDC
Oct 15, 2019 — Tom Schwan, Hamilton, Montana, USA. Frederic E. ... oral poliovirus...
Learn more
View Hepatitis B Vaccination Declination Form
1300 W. Park Street | Butte, MT 59701 | mtech.edu | 406.496.4463. Hepatitis B Vaccination...
Learn more

Related links form

FL DBPR BCAIB 3 2012 FL DBPR CILB 15 2012 FL DBPR CILB 5-AE 2016 FL DBPR CILB 6-A 2016

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The hepatitis B vaccine is recommended for all infants, all children or adolescents younger than 19 years of age who have not been vaccinated, all adults age 19 through 59 years, and adults age 60 years or older with risk factors for hepatitis B infection.

Adults. All adults aged 19 through 59 years, and 60 years and older with risk factors for hepatitis B should get the hepatitis B vaccine. The vaccine is given in 3 doses. The second dose is given 1 month after the first dose, followed by a third dose 6 months after the second dose.

Risk for chronic infection is related to age at infection: approximately 90% of infected infants become chronically infected, compared with 2%–6% of adults. Chronic hepatitis B can lead to serious health issues, like cirrhosis or liver cancer. Learn more about hepatitis B.

An employee has a right to refuse the vaccination. If you do, however, you should realize that without the hepatitis B immunization three-injection series or evidence of immunity from previous viral infection, you remain at risk for acquiring hepatitis B virus (HBV) infection.

DECLINATION: I understand that due to my occupational exposure to blood or other poten tially infectious materials that I may be at risk of acquiring Hepatitis B Virus (HBV) infection. I have been given the opportunity to be vaccinated with Hepatitis B vaccine.

Routine administration schedule for hepatitis B vaccine in adults. The dosing schedule is 0, 1 to 2 months, and 4 to 6 months. There is some flexibility in the schedule, but be sure to keep in mind the minimum intervals between doses: At least four weeks between doses #1 and #2.

The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B (HepB) vaccination among all adults aged 19–59 years and adults > 60 years with risk factors for hepatitis B or without identified risk factors but seeking protection.

Workers infected with HBV face a risk for liver ailments which can be fatal, including cirrhosis of the liver and primary liver cancer. A small percentage of adults who get hepatitis B never fully recover and remain chronically infected.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Hepatitis B Vaccination Declination Form - Montana Tech Of The ... - Mtech
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232