Ohio Legal Immunization Exemption Form
This form allows parents or guardians in Ohio to request a legal exemption from immunization for their child. It covers religious convictions and is compliant with Ohio statute 3313.671. Proper completion and submission ensure your child's school health records reflect your objection.
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How do I fill this out?
Filling out this form is straightforward. Begin by entering your child's details and your information as the legal guardian. Be sure to clearly state your beliefs and sign where required.

How to fill out the Ohio Legal Immunization Exemption Form?
1
Enter student information such as name and school.
2
Fill in guardian details including names and signatures.
3
Clearly state the reason for exemption.
4
Review the completed form for accuracy.
5
Save the document for submission.
Who needs the Ohio Legal Immunization Exemption Form?
1
Parents who object to vaccinations for religious reasons.
2
Guardians seeking to protect a child’s health choices.
3
Students enrolled in public schools in Ohio.
4
Medical professionals needing documentation for immunization status.
5
School administrators requiring updated health records.
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What are the instructions for submitting this form?
To submit this form, you may email it directly to your child's school health office or fax it to the provided school number. If the school offers an online submission option, follow the guidelines posted on their website for uploading health documents. Alternatively, you can mail the completed form to the school address listed on their official site. Always keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
It's crucial to stay informed about the important dates to submit these exemption requests for the school year ahead. Ensure you check with your child's school for specific deadlines related to health records and immunization requirements for the years 2024 and 2025. Submitting the form on time will ensure compliance with local education requirements.

What is the purpose of this form?
The Ohio Legal Immunization Exemption form serves as a formal request for parents and guardians to exempt their children from vaccination based on valid reasons such as religious beliefs. This form, in compliance with Ohio statute 3313.671, helps protect the rights of families who hold certain convictions against immunization. Proper use of this form ensures that schools are aware of a student's exemption status, which is critical during disease outbreaks.

Tell me about this form and its components and fields line-by-line.

- 1. Student Name: Enter the full name of the student applying for the exemption.
- 2. Guardian Names: List the names of the legal guardians signing the form.
- 3. School: Provide the name of the child's school.
- 4. City: Specify the city where the school is located.
- 5. Signature: Signatures of the guardians are required to validate the request.
- 6. Date: The date when the form is completed should be included.
What happens if I fail to submit this form?
Failure to submit this form on time may result in your child being excluded from school during disease outbreaks. It is essential to provide adequate documentation for your child's immunization status to avoid any complications regarding their attendance. Always ensure that the school health records are kept up-to-date.
- School Exclusion: Your child may be required to stay home during outbreaks without proper documentation.
- Health Record Issues: Failure to submit could lead to inaccuracies in the student's health record.
- Legal Compliance: Not submitting the form may affect your compliance with state education laws.
How do I know when to use this form?

- 1. Religious Exemption: Parents who object to immunizations on religious grounds should use this form.
- 2. Health Concerns: Use this form if there are underlying health issues preventing vaccinations.
- 3. Enrollment Requirement: A school may require this form for new student enrollment.
Frequently Asked Questions
Can I edit the immunization exemption form?
Yes, you can easily edit the immunization exemption form using our PDF editor.
How do I sign the document digitally?
You can sign the document digitally by selecting the signature option within our PDF editor.
What if I need to share my form with someone?
You can share your form by creating a shareable link through PrintFriendly.
Can I download the edited document?
Absolutely! After editing, you can download the updated document to your device.
Is the form compliant with Ohio law?
Yes, the form adheres to Ohio law regarding immunization exemptions.
How do I submit this form to my child's school?
You can submit the form by following the instructions provided in the submission section.
Can I fill out the form online?
Yes, our PDF editor allows you to fill out the form directly online.
Are there any important deadlines for submission?
Be sure to check the specific submission deadlines with your school.
What happens after I submit the form?
Once submitted, the form will be added to your child's health record.
Is there a cost associated with editing the PDF?
No, editing the PDF is free of charge using PrintFriendly.
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