This is a legal form that was released by the Florida Department of Health - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DH1622?
A: Form DH1622 is a document used in Florida to record occupational exposure during a monitoring period.
Q: Who is required to fill out Form DH1622?
A: Employers in Florida are required to fill out Form DH1622 for employees who may be exposed to certain hazardous substances.
Q: What is the purpose of Form DH1622?
A: The purpose of Form DH1622 is to document and track occupational exposures to hazardous substances.
Q: What information is included in Form DH1622?
A: Form DH1622 includes information about the employee, their job function, the hazardous substances they may be exposed to, and the monitoring results.
Form Details:
Download a printable version of Form DH1622 by clicking the link below or browse more documents and templates provided by the Florida Department of Health.