Employee Health - Department of Public Health - Georgia 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your name in the 'Food Employee Name' section. Ensure that you print clearly for legibility.
3. In the reporting symptoms section, list any symptoms you may have experienced, such as diarrhea or vomiting, in the provided spaces.
4. Proceed to the diagnosed illnesses section and check off any relevant illnesses you have been diagnosed with, ensuring accurate reporting.
5. For exposure reporting, indicate any known exposures to listed illnesses. This is crucial for maintaining workplace health standards.
6. Review the exclusion and restriction from work guidelines carefully. Acknowledge your understanding by signing and dating the agreement at the bottom of the form.
7. Finally, ensure that your manager also signs and dates the form to complete the process.

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