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- Click ‘Get Form’ to open the Waiver of Tuberculosis Testing in the editor.
- Begin by entering your name in the designated field. Ensure it is printed clearly for verification purposes.
- Next, input your Social Security Number and Date of Birth in the respective fields. This information is crucial for identification.
- Indicate the program or agency you are representing by filling in that section accurately.
- Review the list of common tuberculosis symptoms provided. Check any symptoms you may have experienced to ensure accurate reporting.
- Confirm whether you have had recent contact with someone diagnosed with contagious tuberculosis by selecting 'I have' or 'I have not'.
- Read through the waiver statement carefully, then provide your signature and date at the bottom of the form. A staff witness must also sign and date it.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2020 | 4.8 Satisfied (46 Votes) | |
| 2020 | 4.8 Satisfied (237 Votes) | |
| 2020 | 4.8 Satisfied (96 Votes) | |
| 2020 | 4.8 Satisfied (110 Votes) | |
| 2020 | 4.2 Satisfied (41 Votes) | |
| 2019 | 4.9 Satisfied (58 Votes) | |
| 2019 | 4.1 Satisfied (36 Votes) | |
| 2019 | 4.8 Satisfied (67 Votes) | |
| 2019 | 4.8 Satisfied (116 Votes) | |
| 2019 | 4.8 Satisfied (100 Votes) | |
| 2019 | 4.8 Satisfied (88 Votes) | |
| 2018 | 4.8 Satisfied (182 Votes) | |
| 2018 | 4.8 Satisfied (250 Votes) | |
| 2018 | 4.8 Satisfied (121 Votes) | |
| 2017 | 4.8 Satisfied (73 Votes) |
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