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  • Hepatitis Declaration Form State Of California

Get Hepatitis Declaration Form State Of California

HEPATITIS B VACCINE DECLARATION FORM Name (Last, First, MI) Email Daytime Phone(s) Employee ID Number Job Title SUNet ID Department Date of Birth (mm/dd/yy) Supervisor/PI Name Stanford Work Location.

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Starting in 1991, all infants and young children were recommended to receive the hepatitis B vaccine. As a result, the incidence of hepatitis B virus infections in the United States has started to decline.

In addition to the above recommendations, California state law requires that children who attend childcare or K-12 school (excluding home school) have received specific numbers of several vaccines, including hepatitis B vaccine. Many colleges also require evidence of hepatitis B vaccination.

To be certain that you are protected against hepatitis B, ask for a simple blood test to check your “antibody titers” that will confirm whether the vaccination was successful.

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.

In addition, employers must make hepatitis B vaccination available to these workers. Hepatitis B vaccination is recognized as an effective defense against HBV infection. The standard requires employers to offer the vaccination series to all workers who have occupational exposure.

Hepatitis B vaccination is recognized as an effective defense against HBV infection. The standard requires employers to offer the vaccination series to all workers who have occupational exposure.

Hepatitis B vaccination is required for students aged 4-6 admitted to California schools, it is not required after 7 years of age. Students entering seventh grade are required to have a Tdap booster (Tetanus, reduced diphtheria, and pertussis).

Students Admitted at TK/K-12 Need: Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses. (4 doses OK if one was given on or after 4th birthday. ... Polio (OPV or IPV) — 4 doses. ... Hepatitis B — 3 doses. ... Measles, Mumps, and Rubella (MMR) — 2 doses. ... Varicella (Chickenpox) — 2 doses.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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