DOH Form 348-106 Certificate of Exemption From Immunization Requirements - Washington (English / Ukrainian)

What Is DOH Form 348-106?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DOH Form 348-106?
A: The DOH Form 348-106 is a Certificate of Exemption From Immunization Requirements in Washington.

Q: Who needs to fill out the DOH Form 348-106?
A: Parents or legal guardians of children in Washington who wish to exempt their child from immunization requirements need to fill out this form.

Q: What is the purpose of the DOH Form 348-106?
A: The purpose of this form is to request an exemption from the immunization requirements in Washington for school or child care enrollment.

Q: Is this form available in multiple languages?
A: Yes, the form is available in both English and Ukrainian.

Q: Are there any specific requirements for filling out the form?
A: Yes, you must provide a valid reason for the exemption and complete all the required sections of the form, including the signature of a health care provider.

Q: Is there a deadline for submitting the form?
A: The form must be submitted before the child's school or child care enrollment deadline.

Q: What happens after I submit the form?
A: The school or child care provider will review the form and inform you of the exemption status for your child.

Q: Can the exemption status be revoked?
A: Yes, the exemption status can be revoked if certain conditions are not met, such as an outbreak of a vaccine-preventable disease.

Q: Are there any other exemptions available?
A: Yes, medical exemptions may be available for individuals who cannot receive vaccines due to medical reasons.