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Sample Declination Form 09.04.2012 California Code of Regulations, Title 8; ?5193. Blood-borne Pathogens, Appendix A — Hepatitis B Vaccine Declination The employer shall assure that employees who

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What is sample hep b declination?

Sample hep b declination is a form that allows individuals to refuse the hepatitis B vaccination, usually due to medical or religious reasons.

Who is required to file sample hep b declination?

Employees who are not able to receive the hepatitis B vaccination due to medical or religious reasons are required to file sample hep b declination.

How to fill out sample hep b declination?

To fill out sample hep b declination, individuals need to provide their personal information, reason for refusal, and sign the form to indicate their decision.

What is the purpose of sample hep b declination?

The purpose of sample hep b declination is to provide a legally documented record of an individual's refusal to receive the hepatitis B vaccination.

What information must be reported on sample hep b declination?

Sample hep b declination typically requires personal information such as name, address, reason for refusal, and signature of the individual.

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