DCYF Form 15-455 Household Child Vaccine Verification and Exception Form - Washington (English / Spanish)

DCYF Form 15-455 Household Child Vaccine Verification and Exception Form - Washington (English / Spanish)

What Is DCYF Form 15-455?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 DCYF Form 15-455?
A: The DCYF Form 15-455 is a Household Child Vaccine Verification and Exception Form used in Washington.

Q: What is the purpose of the form?
A: The form is used to verify a child's vaccination status and request exceptions for required vaccines.

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

Q: Who uses the form?
A: Parents or guardians of children in Washington use the form.

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Form Details:

  • Released on September 1, 2020;
  • The latest edition provided by the Washington State Department of Children, Youth, and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DCYF Form 15-455 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.

Download DCYF Form 15-455 Household Child Vaccine Verification and Exception Form - Washington (English / Spanish)

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