Get Mn Ic 140-0163 2013-2025

Filling out the MN IC 140-0163 form, also known as the Child Care Immunization Form, is essential for ensuring compliance with Minnesota's immunization requirements for children attending child care. This guide provides a clear, step-by-step approach to completing the form online.

Follow the steps to complete the MN IC 140-0163 online.

1. Click the ‘Get Form’ button to access the MN IC 140-0163 form online. Ensure the form opens in an editor that allows you to fill it out electronically.
2. Begin by entering the child's name and birthdate in the designated fields. Ensure that the information is accurate and spelled correctly.
3. Fill in the date of enrollment. This is the date your child starts attending child care.
4. Indicate the immunization status by selecting either section 1A or 1B. For children 15 months or older who have received all required immunizations, complete section 1A. For those younger than 15 months or who haven’t received all required vaccines, fill out section 1B.
5. In section 2, choose to document any medical or conscientious exemptions to immunizations if applicable. Complete the relevant parts, providing the necessary details and signatures.
6. If applicable, attach a copy of the child's immunization history or indicate the dates of vaccinations received in the specified fields.
7. Ensure that appropriate signatures are obtained where required, including those of the parent or guardian and the physician if applicable.
8. Once you have completed all sections of the form, review the entered information for accuracy and completeness.
9. After verifying the information, you can save the changes, download a copy for your records, print the form, or share it as necessary.

Complete your MN IC 140-0163 form online today to ensure your child's enrollment in child care!