Appendix A

Access to Employee Exposure and Medical Records (29 CFR 1910.1020)

OMB: 1218-0065

IC ID: 225683

Documents and Forms

Document Name Document Type
Form Appendix A Appendix A Form and Instruction
Appendix A Sample Authorization Letter for the Release of Employee Medical Record Information to a Designated Representative (Non-Mandatory) Appendix A for 1218-0065.pdf Form and Instruction