This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Health and Welfare Fee (Childhood Vaccinations) Assessment Request is a legal document that was released by the Connecticut Insurance Department - a government authority operating within Connecticut.
Q: What is the Health and Welfare Fee (Childhood Vaccinations) Assessment?
A: The Health and Welfare Fee (Childhood Vaccinations) Assessment is a fee charged in Connecticut for childhood vaccinations.
Q: Why is the fee assessed?
A: The fee is assessed to cover the cost of providing childhood vaccinations and related services.
Q: Who is responsible for paying the fee?
A: Parents or guardians of children receiving childhood vaccinations are responsible for paying the fee.
Q: How much is the fee?
A: The fee amount varies and is determined by the Connecticut Department of Public Health.
Q: Are there any exemptions or waivers for the fee?
A: Yes, exemptions and waivers may be available for families who meet certain income eligibility requirements.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Insurance Department.