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GENERAL INFORMATION MEDICAL AND PHYSICAL EXAMINATION PROGRAM (MAPEP) Inquiry Authority/Use Statement The collection of this information is authorized by O.C.G.A. 45-2-40. This information will be.

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How to fill out the MAPEP 10-51 Form.doc online

Filling out the MAPEP 10-51 Form online is a straightforward process that helps ensure your information is accurately collected for employment purposes. This guide will provide you with a step-by-step approach to completing the form effectively.

Follow the steps to fill out the MAPEP 10-51 Form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in your document editor.
  2. Begin by entering your last, first, and middle names in the designated fields under 'Employee Name.'
  3. Provide your social security number in the appropriate field, ensuring it is formatted correctly as 'XXX-XX-XXXX.'
  4. Enter your date of birth by filling in the day, month, and year in the 'Date of Birth' field.
  5. Fill out your daytime telephone number and address, making sure to provide complete and accurate information.
  6. In the 'Position Title' and 'Position Number' fields, input the relevant job title and number corresponding to your application.
  7. Please indicate the location of your position and the direct contact for position information in the respective sections.
  8. Respond to the questions regarding your understanding of the job duties and your ability to perform them, checking 'Yes' or 'No' as appropriate.
  9. For questions 15-17, provide details for any responses marked 'Yes' in the space provided below those questions.
  10. Review and certify the accuracy of your information by signing in the designated 'Signature of Employee' area and adding the date.
  11. The employer section must also be completed, including job information and any accommodations required.
  12. Once all sections are completed, save your changes, and you may choose to download, print, or share the form as needed.

Complete your MAPEP 10-51 Form online to ensure an efficient filing process.

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​​​The Medical and Physical Examination Program (MAPEP) is a pre-employment fitness-for-duty certification program initiated after an employment offer has been accepted. State law provides for this program at O.C.G.A. 45-20-40, et.

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