AGENCY: Department of Health and Human Services. Division of Services for People with Disabilities. Developmental Center

SERIES: 59965
TITLE: Hepvatix consent records
DATES: 1984-
ARRANGEMENT: Alphabetical by employee last name.

DESCRIPTION: This is a record of the newly hired employees who have been immunized against hepatitis. This will cover the Training School concerning the liability in regards to the employee. The employee also signs a Consent Refused portion of the form if they do not wish to be immunized.

This record includes the Consent Form and Consent Refused Form, the name of the person vaccinated, social security number, building working in, date, signature, dates vaccinated and the lot number.

These records should be transferred to the employees files after termination.

RETENTION

Permanent. Retain for 65 year(s)

DISPOSITION

Transfer to Archives.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 09/1988

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years after vaccine has been administered and then transfer to the employee's personnel record.

APPRAISAL

Administrative Legal

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Controlled

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