Get Sample Food Employee Reporting Agreement - Ct.gov - Ct

The Sample Food Employee Reporting Agreement is a vital document that ensures food employees understand their responsibilities in preventing the transmission of foodborne illnesses. This guide will help you navigate through the form online, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the Sample Food Employee Reporting Agreement online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by providing any required general information such as your full name as the applicant or food employee. This name should be printed legibly in the designated field.
3. Review the list of symptoms that must be reported. Check each symptom that you might have experienced while at work or outside of work.
4. Indicate if you have been diagnosed with any of the specified illnesses listed in the medical diagnosis section. This should also be noted in the appropriate field.
5. In the high-risk activities or conditions section, mark any that apply based on your current circumstances or recent activities that may affect food safety.
6. Carefully read through the terms of the agreement. Acknowledge your understanding of the reporting requirements and work restrictions, if applicable.
7. In the signature section, sign your name as the applicant or food employee. Ensure to include the date of signing.
8. If necessary, the permit holder or representative should also sign and date the agreement.
9. Once all fields are completed, you can save your changes, download the completed form, print it, or share it as needed.

Complete your Sample Food Employee Reporting Agreement online today to ensure compliance and promote food safety.