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IMMUNIZATION ATTESTATION STATEMENT l, attest that(print parent/guardian name) (print child (men) name below) has received all required immunizations. (parent/guardian signature) Date Keep in your

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How to fill out immunization attestation statement

01

Step 1: Obtain the immunization attestation statement form from the relevant authority.

02

Step 2: Read and understand the instructions on the form.

03

Step 3: Provide your personal information, such as name, date of birth, and contact details.

04

Step 4: Indicate the type of immunization you have received and the date of administration.

05

Step 5: If applicable, provide any supporting documents or evidence of immunization.

06

Step 6: Sign and date the attestation statement to declare that the information provided is true and accurate.

07

Step 7: Submit the completed form to the appropriate recipient or authority as instructed.

Who needs immunization attestation statement?

01

Any individual who requires proof of immunization for specific purposes, such as attending school, working in healthcare facilities, or traveling to certain countries, may need an immunization attestation statement.

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