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Employee Information Statement on Health Measures in the Workplace

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Indicate the official name (full name) of the company (Employer) writing this statement.

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________
________



STATEMENT OF INFORMATION
ON HEALTH AND SAFETY MEASURE IN THE CONTEXT OF COVID-19

I, _____________________________, acknowledge having been informed by my employer about the health and safety measures currently implemented in the company, in response to the Covid-19 pandemic.

I further agree to comply with the health and safety instructions and regulations that have been communicated to me.





Signature and Company seal


________, in ________



_____________________________
________, ________



_____________________________
________, ________

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________
________



STATEMENT OF INFORMATION
ON HEALTH AND SAFETY MEASURE IN THE CONTEXT OF COVID-19

I, _____________________________, acknowledge having been informed by my employer about the health and safety measures currently implemented in the company, in response to the Covid-19 pandemic.

I further agree to comply with the health and safety instructions and regulations that have been communicated to me.





Signature and Company seal


________, in ________



_____________________________
________, ________



_____________________________
________, ________