Get University Of Rochester Appendix D Information And Acknowledgement Form For Employees Or Students

Filling out the University Of Rochester Appendix D Information And Acknowledgement Form is essential for individuals voluntarily using respiratory protection devices. This guide will help you navigate through the form, ensuring that you provide the necessary information accurately and efficiently.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the Appendix D Information And Acknowledgement Form and open it in the online editor.
2. Begin by entering your full name in the 'Employee Name' field. Ensure that the name is clearly written as it appears in the official records.
3. Carefully read the provided information regarding respirator use. This section includes important details about the recommendations and cautions associated with using respiratory protection devices.
4. You must acknowledge that you have read the University’s Respiratory Protection Program, including the section on voluntary respirator use. A checkbox may be available to indicate this acknowledgment.
5. Sign the form in the 'Signature' field. Ensure that your signature is clear and legible to avoid any complications.
6. Enter the current date in the 'Date' field. This helps to establish the timeline of your acknowledgment and agreement.
7. If applicable, the supervisor should sign the form in the designated 'Supervisor Signature' field and enter the date next to their signature.
8. Once all fields are filled out and checked for accuracy, you can save your changes, download the document, print it for physical records, or share it as instructed.

Complete the University Of Rochester Appendix D Information And Acknowledgement Form online today to ensure your compliance and safety.