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Medicines

Health Questionnaire / Return to Work Form

Individual food handlers are legally responsible under Food Safety law to make sure that they report medical conditions likely to be passed on in food. Please answer the following questions honestly, following your recent holiday or sickness absence from work:

Since you have been away, have you:

Please select if you an allergy to any of the following

I confirm all of the answers are true to the best of my knowledge and belief..

Successful Submission Thank you

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