Stanford University

Voluntary Respirator Use Agreement

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Last updated: January 1, 2018
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How to Use

Employees that would like to wear a N95 respirator for comfort purposes but who are not required should complete this Voluntary Respirator Use Agreement form.

Submit a copy of the completed form to your supervisor for his/her records (retain records for as long as you use the respirator). Voluntary users do not need further training/fit­ testing. For additional consultation, contact us at (650) 723-0448.

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