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Click ‘Get Form’ to open the pregnant worker declaration in the editor.
Begin by filling out the 'WORKER DATA' section. Enter your name, last five digits of your Social Security number, birth date, job title, campus address, work phone, division/department, school, expected delivery date, and physician details as required.
In the 'RADIATION WORK' section, answer whether you will operate a radiation-producing device or work in an area with potential radiation exposure. If yes, specify the type of machines and describe your usage.
Complete the 'DOSIMETRY' section by indicating if you wish to receive a monthly fetal monitor and whether you currently use radiation dosimeters. Provide necessary contact information if applicable.
Finally, review and sign the form in the 'SIGNATURES' section. Ensure all information is accurate before submitting it to Radiation Safety.
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(28) Declared pregnant woman means a woman has voluntarily informed the licensee or registrant, in writing, of her pregnancy and the estimated date of conception. The declaration remains in effect until the declared pregnant woman withdraws the declaration in writing or is no longer pregnant.
How to declare pregnancy at work?
Tell your boss, then your colleagues, then everyone else. A conversation, in person or virtual, is best. Keep it short, simple and positive. Be professional.
Do you have to declare pregnancy at work?
By law, you dont need to tell your employer youre pregnant until the end of the 15th week before your due date (when youre 25 weeks pregnant). But its best to tell them as soon as possible, especially if you have physical symptoms like sickness and need their support.
How do you announce your pregnancy at work?
Im set to talk to HR to discuss my options on XX date, so once I know more we can start planning! I am happy to share that Im expecting! The baby is due in XX month. I know weve got plenty of time, but Id love to start figuring out my maternity leave and return-to-work plan soon!
How do I say I am pregnant professionally?
Working long hours whilst pregnant Employers are not required to reduce working hours below 40 hours a week, which is the average number of hours to work a week in the UK. Therefore, pregnant women can work 40 hours a week if the working conditions are safe for them to do so.
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What is the declaration of pregnancy by a pregnant radiation worker?
Under NRCs definitions (10 CFR 20.1003), a declared pregnant worker is a worker who has voluntarily informed the employer, in writing, of the pregnancy and the estimated date of conception.
Related links
Legal Rights of Pregnant ATCOs |
Dec 25, 2019 A woman unable to work for pregnancy related reasons is entitled to disability benefit or sick leave on the same basis as employees unable
Name: Employee ID Number: Your Job Title: Work/Study department: Supervisor: Month/Year you became pregnant: Complete the section below if you are a resident or
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