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IMMUNIZATION FORM Last NameXIDDate of Birthright Name REQUIRED IMMUNIZATIONSVACCINE MMRDATEDATEMM/DD/YYY/DD/YYYY12 Months or Older minimum 1 month after 1st dose(Required if born after 1956 or positive
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Government agencies or departments dealing with child welfare or health services
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12 months or older refers to any individual or entity that has completed a full year or more.
Any individual or entity that falls into the 12 months or older category is required to file.
To fill out 12 months or older, you must provide relevant information and documents pertaining to the individual or entity.
The purpose of 12 months or older is to ensure accurate reporting and compliance with regulations.
Information such as income, expenses, assets, and liabilities may need to be reported on 12 months or older.
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