This form serves as an affidavit for individuals seeking an exemption from Texas immunization requirements for reasons of conscience. It must be submitted individually for each person wishing to opt out of vaccinations. The form is valid for two years once notarized and must be completed accurately. 

How to fill out the Affidavit Exemption from Immunizations Texas?

1. Provide the individual's full name and date of birth.

2. Select the vaccines you do not wish to receive.

3. Read the Benefits and Risks of Vaccination information.

4. Sign the affidavit as the parent or legal guardian.

5. Have the affidavit notarized.

Who needs the Affidavit Exemption from Immunizations Texas?

1. Parents seeking to exempt their children from vaccinations.

2. Adults wanting to decline vaccinations for personal beliefs.

3. Individuals enrolled in educational institutions requiring immunization records.

4. Healthcare workers concerned about mandated vaccinations.

5. Religious groups advocating for vaccination exemptions.

What is the purpose of this form?

The purpose of this affidavit is to formally document an individual's request for exemption from immunity requirements based on personal beliefs. This form is especially important in educational settings where schools mandate immunizations for attendance. By providing this affidavit, individuals exercise their rights while ensuring that educational institutions are aware of their exemption status.

What are the instructions for submitting this form?

To submit the completed affidavit for exemption from immunizations, send it to your child’s school administration or healthcare provider. You can also fax it to the relevant health department if applicable. Ensure to keep a copy of the submitted affidavit for your records.

It’s important to submit your affidavit for exemption before the enrollment period for schools or before vaccination deadlines in Texas. If notarized in a given year, it remains valid for two calendar years, so timely submission is essential. Always keep track of the expiration date of your affidavit to ensure compliance.

What happens if I fail to submit this form?

Failure to submit this form may result in an individual being required to receive vaccinations. In schools, it could lead to exclusion from attendance during outbreaks or declared emergencies. Therefore, it is critical to submit the affidavit in a timely manner.

• Exclusion from School: Students may be barred from attending school if they do not provide the affidavit.

• Health Risks: Potential health risks may arise due to lack of vaccination during disease outbreaks.

• Legal Implications: Individuals could face penalties for non-compliance with immunization laws.

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How do I know when to use this form?

Use this form when you or your child are eligible for an exemption from required immunizations under Texas law. It's particularly relevant if you hold genuine personal, ethical, or religious beliefs against vaccination. Always ensure that the form is completed and submitted before school or health deadlines.

1. Mandatory Vaccination Requirements: Use this form to seek an exemption due to mandatory vaccination laws in schools.

2. Personal Beliefs: If you hold personal beliefs that oppose vaccinations, this form will serve your needs.

3. Religious Exemptions: Use this form for religious reasons that warrant an exemption from immunization.

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