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Page 1 of 4 THE UNIVERSITY OF THE STATE OF NEW YORK THE STATE EDUCATION DEPARTMENT REQUEST FOR RELIGIOUS EXEMPTION TO IMMUNIZATION FORM PARENT/GUARDIAN STATEMENT Name of Student Identification Number

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What is religious exemption to immunization?

Religious exemption to immunization is a provision that allows individuals to opt out of vaccination requirements for religious reasons.

Who is required to file religious exemption to immunization?

Individuals who have religious beliefs that conflict with immunization requirements are required to file a religious exemption.

How to fill out religious exemption to immunization?

To fill out a religious exemption to immunization, individuals typically need to provide information about their religious beliefs and why they conflict with vaccination requirements.

What is the purpose of religious exemption to immunization?

The purpose of religious exemption to immunization is to respect individuals' religious beliefs while still upholding public health vaccination requirements.

What information must be reported on religious exemption to immunization?

Information on religious exemption forms typically include personal information, details about religious beliefs, and a statement explaining why vaccination conflicts with those beliefs.

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