Get Jefferson Statement Of Exemption To College And University Student Vaccination Act
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How to fill out the Jefferson Statement of Exemption to College and University Student Vaccination Act online
This guide provides clear and supportive instructions on how to complete the Jefferson Statement of Exemption to College and University Student Vaccination Act online. Follow these steps to ensure that your form is filled out accurately and submitted successfully.
Follow the steps to fill out the form accurately and efficiently.
- Press the ‘Get Form’ button to obtain the document and open it for editing.
- In the first field, enter the student’s name as it appears on identifying documents.
- Next, input the date of birth of the student. Ensure this information is accurate.
- If the student is under the age of 18, provide the name of the parent or guardian in the designated field.
- Fill in the complete address, ensuring that all information is current and correct.
- Enter a telephone number where the parent or guardian can be reached.
- Read the provided information on the Meningococcal Vaccine Information Statement. Confirm understanding by asking any necessary questions.
- Choose between a medical exemption or a religious/other exemption. Provide the required information based on your selection.
- If requesting a medical exemption, obtain a physician's signature and date stating that immunization would endanger the student's health.
- If opting for a religious or other exemption, clearly state the reason for the exemption request in the provided area.
- Sign the form where indicated, whether by the student or by the parent/guardian if the student is under 18.
- Finally, return this completed form to the Student Coordinator at University Health Services as specified.
Complete your forms online today and ensure your submission is processed smoothly.
Examples of religious objections to the COVID vaccine may include beliefs that vaccines contain ingredients not aligned with one's faith or that vaccination interferes with divine will. Some may also hold the view that relying on a vaccine betrays their faith in divine protection. Citing the Jefferson Statement of Exemption to College and University Student Vaccination Act can provide a solid framework to express these objections when submitting your request.
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