Get Non-employed Worker Education Roster

Filling out the Non-Employed Worker Education Roster online is an essential step for individuals who have completed a self-study course and need to communicate that information accurately. This guide will walk you through each section of the form, ensuring that you provide all necessary information correctly.

Follow the steps to successfully complete the Non-Employed Worker Education Roster.

1. Click the ‘Get Form’ button to access the Non-Employed Worker Education Roster and open it in your preferred document editor.
2. In the first section, indicate the course you have completed by marking the appropriate box with an 'X'. You can choose between two options: 'Non-Employed Worker education – Contact with blood, body substances, or patients' or 'Non-Employed Worker education – No contact with blood, body substances, or patients'.
3. Next, enter the date on which you are completing this form. Make sure you format the date correctly, using the month/day/year format.
4. Sign the form in the designated area to confirm that you have completed the course and that you acknowledge responsibility for its content.
5. Print your name clearly below your signature in the provided space to ensure proper identification.
6. Provide the name of the Novant Health Department or Facility you are associated with in the designated area.
7. In the last part of the form, specify the name of your agency, school, or employer to complete your identification.
8. Lastly, review all the information you have entered to ensure accuracy. You can then save your changes, download the form, print it, or share it as needed.

Complete your Non-Employed Worker Education Roster online today to ensure compliance and acknowledgment of your education.