HBV Vaccine Consent/Declination- Employee – DIGITAL FORM
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Updated 2021
Briggs Hepatitis B Vaccine Consent/Declination form provides for documentation required by OSHA of employee information, consent, or declination. The VIS was updated by CDC on October 15, 2021 (URL for the VIS provided on this form).
The HBV Vaccination Record for the employee is found on the reverse side of the form.
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*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.