Get Hepatitis B Virus Acceptance Or Declination Form

This guide provides clear instructions on how to accurately complete the Hepatitis B Virus Acceptance or Declination Form online. Following these steps will help ensure that your submission is correct and complete.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to access the Hepatitis B Virus Acceptance or Declination Form and open it in your browser.
2. Begin by entering your name in the designated field for 'Employee’s name (printed)'. Make sure to provide your full name as it appears on official documents.
3. Next, fill in your department in the section labeled 'Department'. This helps to confirm your workplace and give context to your vaccination status.
4. In the designated area, provide your signature under 'Employee’s signature'. This acknowledges your understanding of the statement regarding the vaccination opportunity.
5. After signing, add the signature of a supervisor or witness in the 'Supervisor / Witness signature' field. This is typically required for verification purposes.
6. Fill in your HSC badge number as indicated. This is important for identification within the health organization.
7. Finally, include today’s date in the section labeled 'Date'. Accurate dating of this document is essential for record-keeping.
8. Review all the information entered for accuracy. Once confirmed, you can save changes, download, or print the completed form for your records.

Take the next steps in protecting your health by completing the Hepatitis B Virus Acceptance or Declination Form online today.