Georgia Department of Public Health Immunization Form
This affidavit allows parents to declare a religious objection to vaccination requirements for their children. It outlines the necessary vaccination laws in Georgia. Use this document to formally express your beliefs regarding immunization for school admission.
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How do I fill this out?
To fill out this affidavit, begin by providing your personal information as the parent or guardian. Next, clearly state your child's name and date of birth. Finally, sign the document in the presence of a notary public.
How to fill out the Georgia Department of Public Health Immunization Form?
1
Provide the name of the parent or guardian.
2
Enter the child's name and date of birth.
3
Affirm your religious objections to vaccinations.
4
Sign the form in front of a notary public.
5
Submit the form as required by the Georgia Department of Public Health.
Who needs the Georgia Department of Public Health Immunization Form?
1
Parents who wish to enroll their children in childcare without vaccinations.
2
Legal guardians advocating for children's health choices.
3
Individuals seeking a formal exemption for school immunization requirements.
4
Families with specific religious beliefs against immunizations.
5
Healthcare providers needing documentation of religious objections.
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What are the instructions for submitting this form?
Submit the completed affidavit in person or via mail to your local school district or childcare center. Be sure to provide the necessary notarization on the document before submitting it. If you have further questions, contact the institution for specific submission guidelines.
What are the important dates for this form in 2024 and 2025?
There are no specific deadlines for this affidavit, but it is advisable to submit it well before school enrollment periods to avoid complications. Keep track of any vaccination deadlines your local school might have. Review the laws and updates regarding immunization requirements regularly.
What is the purpose of this form?
The primary purpose of this form is to allow parents and guardians to formally declare their religious objections to the vaccination requirements set forth by the Georgia Department of Public Health. This affidavit serves as a necessary document for those wishing to obtain exemptions for their children from immunization mandates required for school and childcare admission. By completing this form, families can ensure their beliefs are recognized and documented appropriately with the state.
Tell me about this form and its components and fields line-by-line.
- 1. Parent/Guardian Name: The name of the person completing the form.
- 2. Child's Name: The name of the child for whom the exemption is being requested.
- 3. Date of Birth: The birth date of the child.
- 4. Religious Beliefs Statement: A declaration affirming the religious objection to vaccinations.
- 5. Signature: Signature of the parent or guardian before a notary.
What happens if I fail to submit this form?
Failure to submit this form can result in your child being excluded from childcare or school during vaccination-required enrollment periods. Additionally, this may lead to complications during epidemics when vaccinations are enforced rigorously by state health authorities.
- Exclusion from School: Children may be barred from attending school or daycare facilities.
- Increased Health Risks: Without vaccination, the child may be at risk of contracting preventable diseases.
- Legal Repercussions: Parents may face challenges in advocating for their child's health choices.
How do I know when to use this form?
- 1. School Enrollment: To exempt children from required vaccinations for school.
- 2. Childcare Admission: For enrolling children into childcare facilities.
- 3. Religious Objection Documentation: To formally document vaccination objections on religious grounds.
Frequently Asked Question
How can I edit my affidavit?
Use our online editor to make changes to your affidavit easily.
Where can I submit this form?
Submit the completed form to your local school or childcare facility.
Is there a charge for filling out the PDF?
Filling out and editing the PDF is entirely free.
What if I don't have a printer?
You can fill it out online and download it for submission.
Can I share the form with others?
Yes, our platform has simple sharing options available.
Do I need a notary for this form?
Yes, the affidavit must be notarized for validation.
Can I save my changes on your site?
You can download the edited file after making changes.
What if I make a mistake on the form?
You can return to the editor and make any necessary corrections.
Is it legal to sign electronically?
Yes, electronic signatures are accepted for this affidavit.
Will you keep my information private?
Your information is secure within our editing platform.
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