Q: What Is a Vaccine Exemption Form?

A Vaccine Exemption Form is a declaration used mostly by parents or legal guardians to ask the government not to mandate their young children to take a vaccination or immunization. Alternate Names: Vaccine Medical Exemption Form; Medical Vaccine Exemption Form. There could be several crucial grounds as to why a parent or guardian may object to this kind of medical treatment. It might have a religious, psychological, or philosophical basis. The government or jurisdiction recognizes their choice, but parents must fill out this Vaccine Exemption Form and accept the conditions stated in it. This form will include sections concerning the child's information, parental or caregiver information, listed name of vaccines, acknowledgement, disclaimer and release. The legal caregiver can decide whether or not their children should be excused from all vaccinations or only certain ones from those listed in the form of the available vaccinations. In addition, it inquires as to whether the waiver is a one off or on a continuous basis. The Vaccine Exemption Form template includes requests for the caregiver to explain their reasoning for the vaccine refusal. For a full list of Vaccine Exemption Form templates please feel free to check out our library below .

Question 1

What Is a Vaccine Exemption Form?

Accepted Answer

A Vaccine Exemption Form is a declaration used mostly by parents or legal guardians to ask the government not to mandate their young children to take a vaccination or immunization. Alternate Names:

Vaccine Medical Exemption Form;
Medical Vaccine Exemption Form.

There could be several crucial grounds as to why a parent or guardian may object to this kind of medical treatment. It might have a religious, psychological, or philosophical basis. The government or jurisdiction recognizes their choice, but parents must fill out this Vaccine Exemption Form and accept the conditions stated in it. This form will include sections concerning the child's information, parental or caregiver information, listed name of vaccines, acknowledgement, disclaimer and release. The legal caregiver can decide whether or not their children should be excused from all vaccinations or only certain ones from those listed in the form of the available vaccinations. In addition, it inquires as to whether the waiver is a one off or on a continuous basis. The Vaccine Exemption Form template includes requests for the caregiver to explain their reasoning for the vaccine refusal. For a full list of Vaccine Exemption Form templates please feel free to check out our library below.

Question 2

How to Fill Out a Vaccine Exemption Form?

Accepted Answer

Filling out the Vaccine Exemption Form is quick and easy, particularly if you are aware of which information they will ask so that you can prepare everything beforehand. Below you can find a detailed guide on the information that will be required along with what you need to write in each section:

Start by finding a suitable Vaccine Exemption Form template which can be edited for your convenience;
Before you begin filling in the form, remember to use block capital letters when entering information and make sure that your handwriting is legible;
Fill in the section about the legal guardian which includes their full name, relationship to the child, contact details (including telephone and email address) and an address;
Information about the child is also required which includes their full name, date of birth and details about the school that they attend;
You may also need to state the gender, ethnicity and race of the child;
Below this you will find a list of vaccinations that the child requires and you should clearly mark on which vaccinations you do not wish your child to receive. You may tick one, several or all of them this all depends on the circumstances and reasons for the exemption;
Include the date that the exemption will be valid for and below this you will need to specify the reason for the exemption. In some cases, you may be asked to submit evidence along with the form;
The parent or legal guardian should print their name, sign, and date the document;
A notary public may be required to also validate the form and if so, they will need to provide their details, the date along with the notary seal. Only after this will the document have any legal weight.

Free Vaccine Exemption Forms

Documents:

Form OLA-106 Certification of Objection to Immunization - South Dakota