Va form 10 9050-2025

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The document is a VHA Directive 1192 form for health care personnel regarding seasonal influenza vaccination. It outlines the requirement for employees, volunteers, and trainees to receive the vaccine or provide a valid reason for declining it. If declined, individuals must wear a face mask and may face disciplinary action for non-compliance. The form includes sections for personal information, reasons for declining the vaccine, and acknowledgment of understanding the policy.

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Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (36 Votes)

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