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Vaccination Liberation www. vaclib. org or 888 249-1421 National Vaccine Information Center www. 909shot. VACCINATION EXEMPTION PURSUANT TO WISCONSIN STATUTE 252. 04 3 252. 04 3 The immunization requirement is waived if the student if an adult or the student s parent guardian or legal custodian submits a written statement to the school day care center or nursery school objecting to the immunization for reasons of health religion or personal conviction. At the time any school day care...
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How to fill out vaccination exemption pursuant to

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How to fill out vaccination exemption pursuant to

01
Obtain a copy of the vaccination exemption form.
02
Read the instructions carefully to ensure that you meet the criteria for exemption.
03
Fill out the personal information section of the form, including your full name, date of birth, and contact details.
04
Provide a valid reason for seeking exemption from vaccination. This may include medical contraindications, religious beliefs, or philosophical objections.
05
Attach any supporting documentation that is required to support your exemption request, such as medical records or religious exemption letters.
06
Review your completed form to ensure all information is accurate and complete.
07
Submit the vaccination exemption form to the appropriate authority as specified in the instructions. This may be a healthcare provider, school, or government office.
08
Await a response regarding the status of your exemption request. If approved, keep a copy of the exemption for your records.

Who needs vaccination exemption pursuant to?

01
Individuals who have valid medical contraindications to vaccination.
02
Individuals whose religious beliefs prohibit them from receiving vaccinations.
03
Individuals who have philosophical objections to vaccination.
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Vaccination exemption pursuant to refers to the process of seeking an exception from vaccination requirements.
Individuals who wish to be exempt from vaccination requirements are required to file vaccination exemption pursuant to.
To fill out vaccination exemption pursuant to, individuals need to provide relevant personal information and reasons for requesting the exemption.
The purpose of vaccination exemption pursuant to is to allow individuals to be exempt from vaccination requirements for various reasons such as medical conditions or personal beliefs.
The information that must be reported on vaccination exemption pursuant to includes personal details, reasons for exemption, and any supporting documentation.
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