Hepatitis B Employee Status Form
Submit the Hepatitis B Employee Status Form Online
ALL employees should complete the forms listed below ONLY one time. If you have never completed these forms, please print the forms and return the completed forms to Health Services.
All high risk instructors/employees who have never completed the following required OSHA forms:
1) Submit the OSHA Required Test Online (One Time Only
2) Acceptance Form (One Time Only - Print and complete, requires signature of vaccine provider)
3) Waiver Form/Hepatitis B Injection Record (One Time Only - Print and attach lab results)
4) Bloodborne Pathogen Quiz (Yearly)
5) Hepatitis B Employee Status Form (Yearly)
and mail to:
Health Services
1480 Nashville Pike
Gallatin, TN 37066
Information: The Bloodborne Pathogen Manual
