Get the free Staff Immunisation Refusal Form F11
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WGPN BOS Staff Refusal Immunisation FormName ___ Date of Birth ___ Address ___ Telephone ___ Email ___ Please indicate the serology and/or vaccine refused Serology Diphtheria/Tetanus/Pertussis (dTpa)Vaccine
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How to fill out staff immunisation refusal form
How to fill out staff immunisation refusal form
01
Obtain the staff immunisation refusal form from the HR department.
02
Fill in the necessary personal details such as name, employee ID, and contact information.
03
Indicate the reasons for refusing immunisation in the designated section.
04
Date and sign the form to confirm your refusal.
05
Submit the completed form to the HR department for processing.
Who needs staff immunisation refusal form?
01
Staff members who are refusing to receive immunisation shots.
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What is staff immunisation refusal form?
Staff immunisation refusal form is a document that allows employees to decline receiving immunisations.
Who is required to file staff immunisation refusal form?
Employees who choose not to receive immunisations are required to file staff immunisation refusal form.
How to fill out staff immunisation refusal form?
To fill out staff immunisation refusal form, employees need to provide their personal information and reasons for refusing immunisations.
What is the purpose of staff immunisation refusal form?
The purpose of staff immunisation refusal form is to inform the employer about the employee's decision to decline receiving immunisations.
What information must be reported on staff immunisation refusal form?
The staff immunisation refusal form must include the employee's name, contact information, reasons for refusal, and signature.
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