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Original Author: Wolf, Dennis
Date of Material: 02/15/2022

Personnel--Health and safety
Personnel--Health and safety--Infectious diseases

Pre-employment HIV Testing Declination Form

Reviewed Date: 02/16/2022
State law (T.C.A. § 7-51-209) provides a rebuttable presumption that any emergency rescue worker who suffers a condition or impairment of health that is caused by the human immunodeficiency virus (HIV), and that results in total or partial disability or death shall be presumed to have a disability suffered in the line of duty, unless the contrary is shown by a preponderance of the evidence that the exposure did not occur elsewhere. They employer may offer a preemployment test for the human immunodeficiency virus, and the applicant may choose to decline the test. MTAS created a template for a HIV preemployment testing declination form. You may modify this template to meet local needs, and MTAS recommends that your city attorney review this form before you use it.

Main Document(s):
file HIV Testing Declination Form.docx