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Get the free OCC-8, Hepatitis B Declination Statement - NJ.gov

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Hepatitis B Vaccine Declination Form I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection.
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How to fill out occ-8 hepatitis b declination

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How to fill out occ-8 hepatitis b declination

01
Step 1: Obtain the occ-8 hepatitis b declination form
02
Step 2: Fill out your personal information such as name, date of birth, and employee ID
03
Step 3: Indicate that you are declining the hepatitis b vaccination by checking the appropriate box
04
Step 4: Sign and date the form to acknowledge your decision
05
Step 5: Return the completed form to the appropriate department or supervisor

Who needs occ-8 hepatitis b declination?

01
Employees who have been offered the hepatitis b vaccination as part of their occupational health requirements
02
Individuals who have a medical reason for declining the hepatitis b vaccination
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The occ-8 hepatitis b declination is a form used to document an employee's decision to decline the hepatitis B vaccination.
Employees who choose to decline the hepatitis B vaccination are required to file occ-8 hepatitis b declination.
To fill out occ-8 hepatitis b declination, employees need to provide their personal information, indicate their decision to decline the vaccination, and sign the form.
The purpose of occ-8 hepatitis b declination is to ensure that employees are aware of the risks associated with declining the hepatitis B vaccination and to document their decision.
The occ-8 hepatitis b declination form must include the employee's name, date of birth, job title, decision to decline the vaccination, and signature.
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