ContractEmployee Reporting Agreement • October 21st, 2020
D-fd-67 (New 09/20) Wisconsin Department of Agriculture, Trade and Consumer ProtectionDivision of Food and Recreational SafetyPO Box 8911, Madison, WI 53708-8911Phone: (608)224-4683
EMPLOYEE REPORTING AGREEMENTEmployee Reporting Agreement • January 10th, 2019
As part of an Employee Health Policy this agreement is to inform employees of their responsibility to notify the person in charge when they experience any of the conditions listed so that the person in charge can take the appropriate steps to preclude the transmission of foodborne illness.
Florence County Health DepartmentEmployee Reporting Agreement • July 16th, 2021
It is recommended that this document be used as an agreement between employees and management to help ensure that food employees notify the Person in Charge when they experience any of the symptoms listed below. The Person in Charge will then take appropriate steps to prevent the transmission of foodborne illness. The use of this document should help demonstrate to the regulatory authority that there is an Employee Health Program in place.
Employee Reporting AgreementEmployee Reporting Agreement • July 8th, 2021
The purpose of this agreement is to inform conditional employees or food employees of their responsibility to notify the person in charge (PIC) when they experience any of the conditions listed so that the person in charge can take appropriate steps to preclude the transmission of foodborne illness.
