Get Employee Hepatitis B Declaration Form

Filling out the Employee Hepatitis B Declaration Form online is a straightforward process that ensures compliance with health and safety regulations. This guide will assist you in completing the form accurately and efficiently.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the Employee Hepatitis B Declaration Form and open it in your preferred digital document editing platform.
2. Begin by filling out the Employee Information section. Provide your full name, employee ID number, job title, and the name of your supervisor.
3. Next, if you have received the hepatitis B vaccination, complete the Vaccine Received section. Indicate the name of the physician or clinic where you received the vaccine and provide approximate dates for each dose.
4. If you have not received the hepatitis B vaccination, choose either the Vaccination Acceptance or the Vaccination Declination (Statement of Non-Participation) section. If accepting, read the section carefully and confirm your understanding by signing and dating the form.
5. If you are declining the vaccination, read the statement thoroughly to understand the risks involved. After acknowledging your decision, provide your signature and date.
6. Review all the information filled in to ensure accuracy and completeness before finalizing your submission.
7. Once you have completed the form, save your changes, and if required, download, print, or share the document as necessary.

Start completing your Employee Hepatitis B Declaration Form online today to ensure your workplace safety compliance.