Appendix 6 undertaking declaration 2026

1. Click ‘Get Form’ to open the appendix 6 undertaking declaration in the editor.
2. Begin by reviewing the requirements outlined in Part 1. Tick the applicable option regarding your understanding and consent to participate in the assessment, screening, and vaccination process.
3. In Part 2, provide evidence of protection for hepatitis B. Select the appropriate option that reflects your vaccination history and serology results.
4. Read through Part 3 carefully, acknowledging your understanding of infection risks and agreeing to comply with protective measures as required by the health service.
5. Complete the declaration section by filling in your full name, date of birth, worker/student ID (if available), Medicare number, email address, and position on card.
6. Finally, sign and date the form before submitting it back to your health facility along with any required documentation.

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