This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the OCC-25 form?
A: The OCC-25 form is the Documentation of Medical Evaluation for Respirator Use.
Q: What is the purpose of the OCC-25 form?
A: The purpose of the OCC-25 form is to determine if an individual is medically fit to use a respirator.
Q: Who needs to complete the OCC-25 form?
A: Individuals who are required to use a respirator at work need to complete the OCC-25 form.
Q: What information is required on the OCC-25 form?
A: The OCC-25 form requires information about your medical history and any conditions that may affect your ability to use a respirator.
Q: Who can help me complete the OCC-25 form?
A: Your healthcare provider or occupational health specialist can help you complete the OCC-25 form.
Q: Is the OCC-25 form specific to New Jersey?
A: No, the OCC-25 form is used nationwide in the United States and Canada.
Q: What should I do with the completed OCC-25 form?
A: You should give the completed OCC-25 form to your employer who will keep it on file as part of your medical records.
Q: How often do I need to complete the OCC-25 form?
A: The OCC-25 form needs to be completed initially and then updated as necessary, such as if your medical condition changes.
Form Details:
Download a printable version of Form OCC-25 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.