Get the free CERTIFICATION OF RELIGIOUS EXEMPTION-IMMUNIZATIONS.doc - dhhs nh

STATE OF NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF OPERATIONS SUPPORT BUREAU OF LICENSING & CERTIFICATION Nicholas A. Trumps Commissioner Mary P. Costello Senior Division Director

How to fill out certification of religious exemption-immunizationsdoc

To fill out the certification of religious exemption-immunizationsdoc, follow these steps:

1. Begin by downloading the certification of religious exemption-immunizationsdoc form from the appropriate source or obtaining a physical copy.
2. Provide your personal information in the designated sections of the form, such as your full name, date of birth, address, and contact information.
3. Indicate the specific vaccinations from which you are seeking exemption due to religious reasons. This may involve checking the corresponding boxes or writing down the names of the vaccines.
4. Clearly state your religious beliefs and how they conflict with receiving the vaccinations. Provide a detailed explanation of the nature of your religious convictions and how they directly oppose the immunizations.
5. Include any supporting documents or statements from religious leaders or organizations that further reinforce your religious objection to immunizations. These documents may help to strengthen your case for exemption.
6. Sign and date the form, affirming that the information provided is accurate and true to the best of your knowledge.

Who needs certification of religious exemption-immunizationsdoc?

Individuals who have religious objections to receiving vaccinations are typically required to obtain the certification of religious exemption-immunizationsdoc. This document serves as proof of their religious beliefs conflicting with immunizations and allows them to be exempted from the vaccination requirements imposed by certain institutions or organizations. It is important to consult with the relevant authorities or institutions to determine their specific requirements for obtaining and submitting this certification.

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What is certification of religious exemption-immunizationsdoc?

The certification of religious exemption-immunizationsdoc is a formal document that allows individuals to opt out of vaccination requirements based on their religious beliefs.

Who is required to file certification of religious exemption-immunizationsdoc?

Individuals, typically students or their guardians, who seek an exemption from vaccination mandates for religious reasons are required to file this certification.

How to fill out certification of religious exemption-immunizationsdoc?

To fill out the certification, individuals must provide their personal information, specify their religious beliefs as they pertain to vaccines, and potentially have the document signed by a religious leader.

What is the purpose of certification of religious exemption-immunizationsdoc?

The purpose is to legally acknowledge an individual's religious beliefs that prevent them from receiving vaccinations, allowing them to be exempt from immunization requirements.

What information must be reported on certification of religious exemption-immunizationsdoc?

Required information typically includes the individual's name, date of birth, details about their religious beliefs, and any required signatures from clergy or authorized personnel.