Form F-04020L Student Immunization Record - Wisconsin

Form F-04020L Student Immunization Record - Wisconsin

What Is Form F-04020L?

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

FAQ

Q: What is Form F-04020L?
A: Form F-04020L is the Student Immunization Record for Wisconsin.

Q: Why is the Student Immunization Record important?
A: The Student Immunization Record is important for documenting a student's immunization history.

Q: Who is required to complete Form F-04020L?
A: Students attending school in Wisconsin are required to have Form F-04020L completed.

Q: What information is included in Form F-04020L?
A: Form F-04020L includes information on the student's immunizations, including vaccines received and dates.

Q: Can I complete Form F-04020L myself?
A: No, Form F-04020L must be completed by a healthcare provider or clinic staff.

Q: Is there a deadline for submitting Form F-04020L?
A: Yes, Form F-04020L must be submitted before the start of the school year.

Q: What happens if I don't submit Form F-04020L?
A: Failure to submit Form F-04020L may result in the student being excluded from school.

Q: Are there any exemptions to the immunization requirement?
A: Yes, there are exemptions for medical, religious, and personal conviction reasons.

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Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Available in Hmong;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F-04020L by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-04020L Student Immunization Record - Wisconsin

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  • Form F-04020L Student Immunization Record - Wisconsin, Page 1
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