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CERTIFICATE OF IMMUNIZATION FORM FOR COMMUTER STUDENTS STUDENT INFORMATION: SOCIAL SECURITY #: (Last 4 digits only): xxxi#: Name: Date of Birth: / / Print:LastFirstM. I. &/or Maiden Name (include

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What is certificate of immunization form?

The certificate of immunization form is a document that verifies an individual's vaccination history.

Who is required to file certificate of immunization form?

Certain individuals, such as students enrolling in school or employees in certain industries, may be required to file a certificate of immunization form.

How to fill out certificate of immunization form?

To fill out a certificate of immunization form, one must provide information about their vaccination history, including dates and types of vaccines received.

What is the purpose of certificate of immunization form?

The purpose of the certificate of immunization form is to ensure that individuals are up to date on their vaccinations to prevent the spread of contagious diseases.

What information must be reported on certificate of immunization form?

Information such as the individual's name, date of birth, vaccination dates, and types of vaccines received must be reported on the certificate of immunization form.

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