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5 U.S.C. 552a. PRINCIPAL PURPOSE(S): This form is completed by child's parent or guardian to claim exemption from immunization requirements. ROUTINE USE(S): The Department of Defense Education Activity (DoDEA) may release information without prior consent within the DoD when needed to perform an official DoD duty, in accordance with 5 U.S.C. 552a(b). In addition, in accordance with 5 U.S.C. 552a(b)(3), information contained therein may be disclosed outside the DoD as a routine use pursuant to ".

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How to fill out the 2943 online

This guide provides clear, step-by-step instructions for filling out the 2943 form online. By following these directions, you can easily navigate the process of requesting exemptions from immunization for your child.

Follow the steps to successfully complete the 2943 form.

  1. Press the ‘Get Form’ button to obtain the 2943 form and open it in your online editor.
  2. Enter the student's name in the provided fields as follows: last name, first name, and middle initial. Ensure the spelling is accurate.
  3. Select the appropriate school from the dropdown menu, where your child is currently enrolled.
  4. Indicate your child's grade level in the designated section. This information helps in processing the exemption correctly.
  5. Provide a detailed explanation for the requested exemption in the specified area. If more space is needed, attach an additional page.
  6. Read the statement regarding the potential exclusion of your child from school during an outbreak of a vaccine-preventable disease. Confirm your understanding.
  7. Sign the form with the signature of the parent, guardian, or student, depending on the relationship. Make sure to use a clear and legible signature.
  8. Enter the date you signed the form in the format YYYYMMDD.
  9. Once all fields are completed, review the form for accuracy. You can then save the changes, download the form for your records, print it, or share it as needed.

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