Opt out Templates

This Form is used for New Mexico residents to opt-in or opt-out of their Health Home program.

This form is used for parents in Rhode Island to notify the school that they would like to opt their child out of English Language (EL) programs or specific EL services.

This form is used for opting out of sharing client data in the Georgia Homeless Management Information System (Ga HMIS).

This form is used for requesting to opt out of the mandatory expedited jury trial procedures in California.

This form is used for rescinding the opt-out decision for Immunet in the state of Maryland.

This document is used to opt out of the Owner-Occupied Payment Agreement (OOPA) in the City of Philadelphia, Pennsylvania.

This Form is used for opting out of the Owner-Occupied Payment Agreement (OOPA) in the City of Philadelphia, Pennsylvania. It is available in English and Chinese.

This type of document allows residents of New Hampshire to choose not to participate in the Immunization/Vaccination Registry.

This document is for choosing not to participate in the immunization/vaccination registry of New Hampshire.

This type of document is for individuals in New Hampshire who want to choose not to participate in the state's Immunization/Vaccination Registry.

This document is for parents or guardians in Minnesota who are Hmong and have made the decision not to participate in the statewide assessment.

This type of document is an Annual Human Papillomavirus (HPV) Vaccination Opt-Out Certificate specific to Washington, D.C., written in French. It allows individuals to decline receiving the HPV vaccine for themselves or their dependents.

This form is used for Metro/Multco employees to opt in or out of the Metro Supportive Housing Services Tax and Multnomah County Preschool for All Tax in Multnomah County, Oregon.

This form is used for opting out of receiving notifications from Local Education Agencies (LEAs) and State Education Agencies (SEAs) in Wisconsin.

This document provides information on how to opt out of Nez Incentives in the City of Fort Worth, Texas.

This Form is used for opting out of the Oregon Student Assessment System (OSAS) on an annual basis. It is available in French language.

This document is used for opting out of having a tenant representative in New York City.

This Form is used for opting out or rescinding consent for the Care Quality Network Information Exchange in the City and County of San Francisco, California.