Skip to main content

Pre-employment hepatitis C testing declination form

State law (T.C.A. 7-51-209) provides a rebuttable presumption that any emergency rescue worker who suffers a condition or impairment of health that is caused by the hepatitis C virus, and that results in total or partial disability or death shall be presumed to have a disability suffered in the line of duty, unless the contrary is shown by a preponderance of the evidence that the exposure did not occur elsewhere. They employer may offer a preemployment test for hepatitis C, and the applicant may choose to decline the test. MTAS created a template for a hepatitis C preemployment testing declination form. You may modify this template to meet local needs, and MTAS recommends that your city attorney review this form before you use it.

Wolf, Dennis
Form
Personnel--Testing
Personnel--Health and safety
Personnel--Health and safety--Infectious diseases
Public
02/18/2022
05/20/2021