Get Exemption Form - School V2.docx

Filling out the Exemption Form - School V2.docx online is a straightforward process designed to assist users in claiming their right to exemption from school immunization requirements. This guide provides clear, step-by-step instructions to help you accurately complete the form.

Follow the steps to fill out the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Enter your child's name in the designated field at the top of the form.
3. In Section 1, carefully read through each statement regarding vaccine-preventable diseases. For any vaccine for which you are claiming an exemption, check the corresponding box, initial, and date each statement. Ensure you fully understand the implications of not vaccinating, as outlined in the statements.
4. Proceed to Section 2 to select one exemption type that applies. Choose either Medical Exemption, Religious Exemption, or Philosophical Exemption.
5. For Medical Exemption, have the licensed physician complete the required section, including their name, signature, and medical license number. If claiming a temporary medical exemption, specify the duration.
6. For both the Religious and Philosophical Exemptions, provide your name as the parent or guardian, and detail your reasons for opposing immunization in the space provided.
7. Include the full name and date of birth of the exempted child in the specified fields in Section 2.
8. Finally, review the entire form for accuracy. Save your changes, and choose to download, print, or share the completed form as needed.

Begin filling out your Exemption Form online today to ensure your preferences are formally recognized.