Get Immu-12 Immunisation Exemption - Conscientious Objection Form 0

Completing the IMMU-12 Immunisation Exemption - Conscientious Objection Form 0 is a crucial step for parents or guardians wishing to declare their conscientious objection to vaccination. This guide provides clear instructions on how to fill out this form effectively in an online format.

Follow the steps to fill out the form online.

1. Click the ‘Get Form’ button to access the form and open it in your selected online editor.
2. Begin filling out the 'Child details' section. This includes entering the child's Medicare number, first name, surname, residential address, suburb or town, date of birth, and postcode. Ensure all information is accurate.
3. Indicate the child's gender by selecting either 'Male' or 'Female'.
4. In the 'Provider declaration' section, the immunisation provider must confirm that they have discussed the benefits and risks of immunisation with the parent or guardian. Enter the provider's Medicare provider/ACIR registration number, provide a signature, and date.
5. Proceed to the 'Parent/guardian declaration' section where you, as a parent or guardian, must acknowledge that you have discussed the immunisation concerns with the provider. You will also be required to affirm your belief against vaccination under the National Immunisation Program.
6. Print your name, sign, and date in the designated fields in the 'Parent/guardian declaration' section.
7. Review all filled sections for accuracy and completeness before proceeding.
8. Once you have confirmed that all information is correct, you may choose to save changes, download the form, print it, or share it as needed.

Complete your documents online today to ensure your conscientious objection is officially recorded.