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ANCHORAGE SCHOOL DISTRICT Immunization Child in Transition (CIT) Waiver Form, verify that Name of Parent or GuardianName of Student has received the immunizations required for school attendance and

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How to fill out school immunization affidavit

01

Step 1: Obtain the school immunization affidavit form from the school or download it from the school's website.

02

Step 2: Read the instructions on the form carefully to understand the requirements and guidelines.

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Step 3: Gather all the necessary documents and information for filling out the affidavit. This may include your child's immunization records, proof of residency, and personal identification.

04

Step 4: Fill out the personal information section of the form, including your child's full name, date of birth, and contact information.

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Step 5: Provide the required immunization information for your child. This typically includes the vaccine name, date administered, and healthcare provider's signature.

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Step 6: Attach the supporting documents, such as immunization records and proof of residency, as specified in the instructions.

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Step 7: Review the completed form for accuracy and completeness. Make sure all required sections are filled out and all attachments are included.

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Step 8: Sign and date the affidavit, acknowledging that the information provided is true and accurate to the best of your knowledge.

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Step 9: Submit the completed school immunization affidavit to the school or the designated authority as instructed.

Who needs school immunization affidavit?

01

Anyone who wishes to enroll their child in a school or educational institution typically needs to fill out a school immunization affidavit. This applies to students entering kindergarten, transferring from another school, or starting at a new educational program. The affidavit provides proof that the child has received the required immunizations and meets the immunization requirements set by the school or educational authorities.

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What is school immunization affidavit?

The school immunization affidavit is a form that verifies a student's immunization record.

Who is required to file school immunization affidavit?

Parents or legal guardians are required to file the school immunization affidavit for their children.

How to fill out school immunization affidavit?

The school immunization affidavit can be filled out by providing the necessary information about the student's immunization history.

What is the purpose of school immunization affidavit?

The purpose of the school immunization affidavit is to ensure that students are up-to-date on their immunizations to prevent the spread of diseases.

What information must be reported on school immunization affidavit?

The school immunization affidavit must include information about the student's vaccination history, including dates and types of vaccines.

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