HBV Vaccine Consent/Declination- Employee
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.
8 1/2" x 11"
Prints 2-sides Different
White paper, black ink
Padded in 100s.
Prints 2-sides Different
White paper, black ink
Padded in 100s.