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Get Mi Request For Immunization Record 2016-2025
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How to fill out the MI Request for Immunization Record online
The MI Request for Immunization Record is an essential document for obtaining immunization records from the state of Michigan. This guide provides clear, step-by-step instructions to help you successfully complete the form online, ensuring you have the information needed for submission.
Follow the steps to complete your request for immunization records.
- Press the ‘Get Form’ button to access and open the MI Request for Immunization Record in the online editor.
- Fill in your last name, first name, middle name (if applicable), and maiden name in the designated fields. Ensure the spelling is accurate.
- Enter your date of birth by selecting the month, day, and year from the options provided.
- Select your gender by checking the appropriate box next to either ‘Male’ or ‘Female.’
- In the ‘Requestor’s Information’ section, enter your name and specify your relationship to the person whose immunization record you are requesting.
- Provide your current address. If you have recently moved, include both your old and new addresses.
- Indicate if your telephone number has changed by selecting the appropriate box and providing both your old and current phone numbers.
- Sign the form using your digital signature, ensuring it is dated appropriately to confirm your request.
- Review the completed form for accuracy and completeness before submitting.
- Once satisfied, save your changes, download the form for your records, or print it directly from the online editor.
Complete your MI Request for Immunization Record online today for a smooth and efficient process.
In Michigan, you can obtain an immunization waiver through your local health department or school district. They often provide forms that you must complete and submit. If you need further assistance, you may also utilize the MI Request for Immunization Record as part of your documentation to support your waiver application.
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