Immunization Exemption Form Templates

This form is used for requesting exemptions from immunization within the Department of Defense Education Activity (DoDEA).

This document is used for applying for an immunization exemption for Girl Scouts of Northern California in the state of California.

This Form is used for requesting an exemption from immunization requirements in Rhode Island for children attending public and private daycare, preschool, school, and college.

This form is used for requesting a medical exemption from mandatory immunization in New Jersey.

This form is used for requesting an exemption from immunization requirements for participants in the Boy Scouts of America program.

This form allows individuals in the Boy Scouts of America to request an exemption from immunization requirements. The form is available in both English and Spanish.

This form is used for claiming a personal or religious exemption from vaccination requirements in the state of Washington.

This document is for requesting an exemption from immunization based on religious beliefs in the state of Iowa.

This Form is used for applying for a medical exemption for the influenza vaccination in the state of Washington.

This document is a religious immunization exemption certificate specifically designed for use in universities in the state of Nevada. It allows individuals to request an exemption from immunization requirements based on religious beliefs.

This document is for religious immunization exemption certificate for colleges in Nevada. It is used to request an exemption from immunization requirements based on religious beliefs.

This form is used to obtain a certificate of exemption from immunization requirements in Washington state. It is available in both English and Russian languages.

This document is used for obtaining a certificate of exemption from immunization requirements in Washington. It is available in both English and Punjabi languages.

This form is used for obtaining a certificate of exemption from immunization requirements in the state of Washington. It is available in both English and Spanish.

This form is used for obtaining a certificate of exemption from immunization requirements in Washington. It is available in both English and Chinese Simplified.

This Form is used for claiming an exemption from immunization requirements in North Dakota.

This document is for students in Connecticut who need a medical exemption from required immunizations.

This Form is used for parents or guardians in Arizona to request an exemption from immunization for household members aged 13 and younger.

This form is used for requesting an exemption from immunization requirements for school entry in New Brunswick, Canada. It follows Policy 706.

This document is for the declination of getting the influenza vaccination. It provides an option to refuse or decline getting vaccinated against the flu.

This form is used for parents to request an exemption from school immunization requirements based on medical, religious, or philosophical reasons.

This document is used by individuals seeking exemption from mandatory immunization due to religious beliefs. It contains a formal request to be excused, based on personal religious principles, from the necessity of receiving vaccinations.