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Statement of Vaccine Exemption
Colorado State Law 254903(2)(b) states:
A parent may obtain an exemption from vaccines by submitting to the students school a
statement of exemption signed by one parent
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How to fill out statement of vaccine exemption

How to fill out statement of vaccine exemption
01
To fill out a statement of vaccine exemption, follow these steps:
02
Begin by providing your personal information such as your name, date of birth, and contact information.
03
Specify the reason for seeking a vaccine exemption, whether it is due to medical reasons, religious beliefs, or personal objections.
04
Provide any supporting documentation or evidence that is required to support your exemption claim.
05
Clearly state your request for a vaccine exemption and the specific vaccines from which you are seeking exemption.
06
Sign and date the statement of vaccine exemption, ensuring that all information provided is accurate and truthful.
07
Submit the completed statement of vaccine exemption to the appropriate authority or institution that requires it.
08
Note: It is important to familiarize yourself with the specific requirements and regulations regarding vaccine exemptions in your jurisdiction.
Who needs statement of vaccine exemption?
01
Individuals who have a valid reason for refusing vaccines may need a statement of vaccine exemption.
02
This can include individuals with medical conditions or allergies that prevent them from being safely vaccinated, individuals with religious beliefs that oppose vaccination, or individuals with personal objections to vaccines.
03
The specific criteria for who needs a statement of vaccine exemption may vary depending on local laws, regulations, and institutions.
04
It is important to consult with the relevant authorities or institutions to determine if a statement of vaccine exemption is required in your particular situation.
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What is statement of vaccine exemption?
The statement of vaccine exemption is a form filled out by individuals who wish to be exempted from receiving vaccines for medical, religious, or philosophical reasons.
Who is required to file statement of vaccine exemption?
Individuals who are seeking exemption from receiving vaccines are required to file a statement of vaccine exemption.
How to fill out statement of vaccine exemption?
The statement of vaccine exemption can be filled out by providing your personal information, reason for exemption, and any supporting documentation.
What is the purpose of statement of vaccine exemption?
The purpose of the statement of vaccine exemption is to formally request an exemption from receiving vaccines based on medical, religious, or philosophical reasons.
What information must be reported on statement of vaccine exemption?
The statement of vaccine exemption requires information such as personal details, reason for exemption, and any supporting documentation.
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