Loading
Get Or Dhs 53-05a 2014
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to use or fill out the OR DHS 53-05A online
The OR DHS 53-05A is essential for providing proof of immunization or requesting exemptions for children attending school or childcare in Oregon. This guide will lead you through each step to accurately fill out the form online.
Follow the steps to complete the OR DHS 53-05A form accurately.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Begin by entering the child's last name, first name, and middle initial where indicated. Ensure the names are spelled correctly for accurate record-keeping.
- Fill in the birthdate of the child in the format mm/dd/yyyy. This information is crucial for validating vaccination records.
- Provide the mailing address, including city, state, and zip code. This ensures the form can be processed and returned if necessary.
- List all immunizations in the order they were received. Enter the dates of each dose for each vaccine required. Ensure accuracy as this serves as the official immunization record.
- If the child has had chickenpox disease, check the appropriate box and provide the date when the condition occurred.
- Ensure a parent, guardian, or authorized individual signs the form certifying that the information is accurate. Include the date of signature for verification purposes.
- Save your changes and choose to download, print, or share the form as needed to comply with submission requirements.
Complete your OR DHS 53-05A form online to ensure your child's immunization records are accurately submitted.
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Claiming 0 allowances typically leads to higher tax withholdings, while claiming 1 allows for lower withholdings. The best choice depends on your financial situation and tax strategy. Referring to the IRS guidelines for OR DHS 53-05A can provide you with personalized insights to make an informed decision that aligns with your tax goals.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.