Get Annual Immunization Status Report

The Annual Immunization Status Report is a vital document that ensures compliance with immunization requirements for schools and childcare facilities. This guide provides clear, step-by-step instructions for completing the form online, ensuring users understand each section and its importance.

Follow the steps to complete the Annual Immunization Status Report accurately.

1. Click ‘Get Form’ button to access the report and open it in the corresponding editor.
2. Begin by filling out the required fields. Enter the School ID and select your County from the dropdown menu.
3. Complete the Municipal Code field (optional) and provide the School District name, as well as the Name of the School or Child Care Facility. If applicable, list the previous name of the facility.
4. Input the Mailing Address which includes Street, City, and Zip Code. If the School Address differs from the Mailing Address, fill in those details as well.
5. Provide the name, phone number, and email address of the person completing the form, as well as the name of the Principal or person in charge and their title.
6. Indicate the Total School/Child Care Center Enrollment and specify if it is a Public or Non-Public school.
7. Enter the immunization status for the entry level grade, grade 6, and transfer students. Be mindful to include all relevant details as instructed for each category.
8. If applicable, indicate your willingness to complete the Influenza Vaccine Implementation Survey (IVIS) by selecting 'Yes' or 'No' based on your context.
9. Review your entries for accuracy, then click on the submit button. Ensure to download or print a copy of your submission for your records.

Complete your Annual Immunization Status Report online today to ensure compliance with immunization requirements.