Bloodborne Pathogen Program: Hepatitis B Vaccination Consent/Declination

Service Overview

Use this form to consent or decline the Hepatitis B vaccination provided by the University of Dayton. This service is for employees enrolled in the Bloodborne Pathogens program whose job duties carry a potential risk of exposure to blood or other potentially infectious materials.

Employees who decline the vaccination must complete a mandatory declination statement as required by OSHA standards and the University’s Exposure Control Plan.

Available To

  • Faculty
  • Staff
  • Student employees

Learn More

Exposure Control Plan

Questions?

For questions regarding this service or assistance with the request form, contact Environmental Health and Safety (EHS) at ehs@udayton.edu or (937) 229-4503.