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Insert Pharmacy Logo Insert Pharmacy Name Employee Hepatitis B Declaration Form Instructions: All employees with a job classification that puts them at risk for exposure to blood-borne pathogens must.

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There are certain circumstances in which you must disclose. For instance, if you are aware of having hep C and want long-term disability or life insurance, you must tell the truth when asked about your status. If you do not disclose to a sexual partner and you transmit HCV to them, then you may be held liable for this.

Hepatitis B is a sexually transmitted disease, but it is spread in other ways, too. This is a hardy virus that can exist on almost any surface for up to one month. You can get infected through contact with an infected person's blood or body fluids.

Having hepatitis B should not impact your ability to obtain employment. However, we realize that people with hepatitis B often face discrimination in the workplace. In the U.S. workplace, this primarily impacts healthcare providers (physicians, nurses, physical therapists, etc) who have hepatitis B.

The vaccination must be offered after the worker is trained and within 10 days of initial assignment to a job where there is occupational exposure, unless the worker has previously received the vaccine series, antibody testing has revealed that the worker is immune, or the vaccine is contra- indicated for medical ...

There is no obligation for you to inform your employer. If you need to take time off work because of your HCV, then you will be required to provide a statement of fitness for work certificate. These do not necessarily have to state that you have hepatitis C.

OSHA's Bloodborne Pathogens Standard requires that employers offer the hepatitis B vaccination series to any employee who is reasonably anticipated to have exposure to blood or other potentially infectious materials. The offer must be made within 10 days of employment and at no cost to the employee.

Hepatitis B. Vaccination Declaration. Occupational Assessment, Screening. and Vaccination Against Specified Infectious Diseases. This form is to be used where a hepatitis B vaccination record is not available.

You do not have to tell everyone. It's okay to take your time when deciding whom to tell and what to say. Tell your health care providers if they don't already know that you have Hep B.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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