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This version of the form is not currently in use and is provided for reference only. Download this version of
DCYF Form 15-455
for the current year.
DCYF Form 15-455 Household Child Vaccine Exemption - Washington
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 DCYF Form 15-455?
A: DCYF Form 15-455 is a Household Child Vaccine Exemption form used in Washington.
Q: What is the purpose of DCYF Form 15-455?
A: The purpose of DCYF Form 15-455 is to request an exemption from required child vaccinations for households in Washington.
Q: Who can use DCYF Form 15-455?
A: DCYF Form 15-455 can be used by households in Washington seeking to exempt their child from required vaccinations.
Q: How can I obtain DCYF Form 15-455?
A: You can obtain DCYF Form 15-455 by contacting the Washington State Department of Children, Youth, and Families (DCYF).
Q: Are there any eligibility criteria for using DCYF Form 15-455?
A: Yes, households must meet certain eligibility criteria, which can be found on the form itself.
Q: Is there a fee for submitting DCYF Form 15-455?
A: There is no fee for submitting DCYF Form 15-455.
Q: What should I do if I have questions about DCYF Form 15-455?
A: If you have questions about DCYF Form 15-455, you can contact the Washington State Department of Children, Youth, and Families (DCYF) for assistance.
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Washington State Department of Children, Youth, and Families;
- Easy to use and ready to print;
- Available in Spanish;
- 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.
