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(Legacy Office of Radiation Safety Services)Phone: 9739725305 Fax: 9739726498 Website: http://rehs.rutgers.eduDECLARATION OF PREGNANCY TO:Office of Radiation Safety Services (RSS) Medical Sciences
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How to fill out declaration of pregnancy to

01
Obtain the declaration of pregnancy form from your healthcare provider or employer.
02
Fill out your personal information such as name, address, and contact details.
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Provide information about your pregnancy including the expected due date and any medical restrictions.
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Have your healthcare provider sign and date the form to confirm the pregnancy.
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Submit the completed declaration of pregnancy form to your employer or relevant authority as required.

Who needs declaration of pregnancy to?

01
Employers may request a declaration of pregnancy from their employees as part of their maternity leave policy.
02
Government agencies or insurance companies may also require a declaration of pregnancy for processing maternity benefits or claims.
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Declaration of pregnancy is a formal notification to inform an organization or authority about a woman's pregnancy.
Pregnant women or their partners may be required to file a declaration of pregnancy to certain organizations or authorities.
The declaration of pregnancy can usually be filled out by providing basic information about the pregnancy such as the expected due date, the mother's name, and contact information.
The purpose of declaration of pregnancy is to inform relevant parties about the pregnancy so that any necessary accommodations or support can be provided.
Information such as the expected due date, the mother's name, contact information, and any relevant medical history may need to be reported on the declaration of pregnancy.
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