McLean County, IL · McLean County
Conditional Employee or Food Employee Reporting Agreement
This agreement records a conditional or food employee’s responsibility to report specified symptoms, diagnoses, and exposures to the person in charge.
At a glance
- Issued by
- City of McLean County · McLean County, McLean County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- mcleancountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The agreement explains what symptoms, medical diagnoses, and foodborne illness exposures conditional and food employees must report to the person in charge. It also acknowledges work restrictions or exclusions and good hygienic practices. The document asks for employee names, signatures, dates, and the signature of the permit holder or representative.
Who needs it
Conditional employees, food employees, and the permit holder or representative sign the agreement to document the reporting responsibilities it describes.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This agreement is signed without a notary; the conditional employee, food employee, and permit holder or representative sign and date it.
How to submit this form
- 1
Download the Agreement
Download the Conditional Employee or Food Employee Reporting Agreement PDF.
- 2
Complete the Agreement
Print the employee names, then have the conditional employee and food employee sign and date the agreement.
- 3
Get the Permit Holder Signature
Have the permit holder or representative sign and date the agreement.
- 4
Check Submission Details
The form gives no submission instructions; check the county website for current contact details.
Frequently asked questions
- What does the reporting agreement cover?
- It covers symptoms, medical diagnoses, and exposures that conditional and food employees agree to report to the person in charge, along with work restrictions and hygienic practices.
- Who signs the agreement?
- The form has signature and date lines for the conditional employee, food employee, and permit holder or representative.
- Do I need a notary for this reporting agreement?
- No. This agreement is signed without a notary; the conditional employee, food employee, and permit holder or representative sign and date it.
- How do I submit the reporting agreement?
- The document does not provide submission instructions. Check the McLean County website for current contact details for the appropriate county department.