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INTENSIVE ENGLISH PROGRAMPROOF OF IMMUNIZATION COMPLIANCE Page 1 of 2Louisiana R.S. 17:170/Schools of Higher LearningPlease return the completed form to: University of Louisiana at Lafayette; Office
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How to fill out proof of immunization compliance
How to fill out proof of immunization compliance
01
Obtain the proof of immunization compliance form from your school or employer.
02
Fill out the form completely with all required information, including your personal details, date of immunizations, and type of vaccines received.
03
Attach any supporting documentation, such as vaccination records or medical exemptions, if applicable.
04
Submit the completed form to the designated authority or organization for verification.
Who needs proof of immunization compliance?
01
Students enrolling in schools or universities.
02
Employees starting a new job or working in certain industries.
03
Travelers visiting countries with specific immunization requirements.
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What is proof of immunization compliance?
Proof of immunization compliance is documentation showing that an individual has received all required vaccinations.
Who is required to file proof of immunization compliance?
All individuals, including students, employees, and visitors, are required to file proof of immunization compliance.
How to fill out proof of immunization compliance?
Proof of immunization compliance can be filled out by providing a copy of vaccination records or completing a form provided by the healthcare provider.
What is the purpose of proof of immunization compliance?
The purpose of proof of immunization compliance is to ensure that individuals are protected against vaccine-preventable diseases and to create a safer environment for everyone.
What information must be reported on proof of immunization compliance?
Proof of immunization compliance must include the individual's name, date of birth, list of vaccinations received, dates of vaccination, and healthcare provider information.
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