This version of the form is not currently in use and is provided for reference only. Download this version of Form DOC03-110 for the current year.
This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form DOC03-110 Covid-19 Screening Workplace Denial Form?
A: The purpose of this form is to deny entry to the workplace for individuals who do not pass the Covid-19 screening process.
Q: Who should fill out Form DOC03-110 Covid-19 Screening Workplace Denial Form?
A: This form should be filled out by individuals who are denied entry to the workplace due to not passing the Covid-19 screening process.
Q: What happens if someone does not pass the Covid-19 screening process?
A: If someone does not pass the Covid-19 screening process, they will be denied entry to the workplace.
Q: Is Form DOC03-110 Covid-19 Screening Workplace Denial Form specific to Washington?
A: Yes, this form is specific to Washington.
Q: What information is required to be filled out on Form DOC03-110 Covid-19 Screening Workplace Denial Form?
A: The form requires the individual's name, date, and reason for denial.
Form Details:
Download a fillable version of Form DOC03-110 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.