vaccination exemption forms & info 
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http://www.vaclib.org/exemption.htmAll states allow a medical exemption and some states allow philosophical and/or religious exemptions. However, the American Medical Association and ChildrensHealthCare.org are actively promoting the abolishment of religious and philosophical exemptions.
Likewise, other corporate fanatics are also challenging informed consent.
- Disclaimer:
- Use our exemption pages at your own discretion.
- Vaccination Liberation is a volunteer organization.
- Our services are freely given, although we appreciate donations and parallel efforts of like minded activists.
- We are NOT doctors or lawyers.
- Our work is for the purpose of assisting YOU to assert your rights.
- We make NO guarantee of outcome for your actions.
- Laws change frequently. Errors may occur.
- Please double check current laws for your state.
Important: Read our Full Disclaimer here:
- READ VERY CAREFULLY any waiver forms before you sign. Find out why signing the AAP waiver form is a self incriminating act. DoNotSign Waiver Info page
Links to Exemption Forms and Information: [AK] [AL] [AR] [AZ] [Australia] [Canada] [CA] [CO] [CT] [DC] [DE] [FL] [GA] [GUAM] [HI] [IA] [ID] [IL] [IN] [KS] [KY] [LA] [Maine] [MD] [Mass] [MI] [MN] [MO] [MS] [MT] [NC] [ND] [NE] [NH] [NJ] [NM] [NV] [NY] [New Zealand] [OH] [OK] [OR] [PA] [PUERTO_RICO] [RI] [SC] [SD] [TN] [TX] [UT] [VA] [VT] [WA] [WI] [WV] [WY]
Scroll down for links to General Information and Exemption Letters.Subject Links Animal-Exemptions | Forms1/Flyers | Forms2/Refusals | Legal | Letters | Mandatory | Membership | Package_Inserts | OSHA | Religion | Resources | Rights | Search_VacLib.org | Travel | Tuberculosis_&_TB_Test | VAERS
Scroll down for links to General Information and Exemption Letters.
READ VERY CAREFULLY
any waiver forms before you sign. Find out why signing the AAP waiver form is a self incriminating act. DoNotSign Waiver Info page
School Exemption Letter/form:
Do you need an exemption form that will inform school nurses and let them know you are making an informed choice? Here is a long one that you can edit for your school:
http://poisonevercure.150m.com/vaccines/2008-2009exemptionletter.pdf
Can employees be forced to be vaccinated?
http://www.fairmeasures.com/asklawyer/questions/ask318.html
[Archive of FairMeasures page.]
"California: If you were not a health care worker, the answer would certainly be NO!"
See above link for the "may be's" for nurses or doctors.http://www.ncsl.org/programs/health/imleg04.htm#Exemptions
Immunization Legislation 2004. Legislative activity on a variety of topics involved in immunization policy.If all your state requires is a 'letter', consider using the model letters for Idaho:
Idaho Exemption form:
Idaho - Text file Idaho - .doc file (MS Win95) Idaho - .doc file (MS 97/2000/XP) Idaho - PDF 328K Idaho - HTMLIf you want a great letter written by a lawyer to an Oregon School Board
Letter_Oregon_School_District.htm
This letter was originally found at: http://www.childscreen.org/Letter%20to %20the%20Oregon%20School%20District.htm, but is no longer posted on this site so it has been moved to http://www.vaclib.org/pdf/letters/Letter_Oregon_School_District.htmReligious exemption information for most states in one document!
Includes section on Hepatitis & religious objection:
Archived on Vaclib.org Source: http://www.rutherford.org/documents/pdf/brief_bank/B18-RE~1.PDF [size= 45K]Here is a great AFFIDAVIT that can be used for Daycare, Preschools and Schools.
AFFIDAVIT for Colorado Older Child (preschool and school age).
You can use this as a template for other states and simply replace the Colorado with your state and your state's statute. Please read the entire post about birth certificates as well.
Download the Microsoft Word document here. VaccineTruth.net/letters/AFFIDAVIT for Colorado Older Child.doc
Edit for your state and insert your state's statute.
(This affidavit is also available as a birth exemption, for adults in colleges and employment situations. Our 1-888 number and email address for Exemption information are posted here: http://www.vaccinetruth.net/contact.htm )You do not have to prove membership in any religion to use a religious exemption.
See article taken from www.immunizationattorney.com archived on VacLib.org
A good Summary of the concept that one is not required to hold formal church membership can also be found at: http://www.alaskawellness.com/archives/school-vacc.htm.http://www.geocities.com/titus2birthing/VacMilitary.html Vaccine Exemption and Military Service
Two sample medical exemptions for traveling by an MD:
Cholera Sample Letter and Yellow Fever Sample Letter
Archive of letters hereStatement of Exemption for Personal or philosophical reasons
http://www.la-home-education.com/tahenderso/articles/LAstatem.htmHow to write a letter for personal Religious exemption from immunizations.
http://www.la-home-education.com/tahenderso/articles/relexempt.htmlIf you did not find on our page what you needed, check the site below:
More Exemption Info for all states and Puerto Rico, also links to FindLaw and WashLaw legal search engines.
http://home.san.rr.com/via/STATES/allstates.htmhttp://www.unhinderedliving.com/statevaccexemp.html
Exemption from Immunization Requirements - international adoption
Vaccination Information Resources (People and contact information) Listed by State & Canada
Catholic Religious Exemptions.
Also "You May Also Contact Children of God for Life for Assistance in Filing A Religious Exemption in Your State. Please note that due to the large number of religious denominations, we cannot provide specific teachings for all faiths on this subject, however we will assist you with filing instructions and sample letters." http://www.cogforlife.org/ See link on left side of page.
OSHA & Hep BOSHA allows an exemption to recommendations for Hepatitis B vaccine for workers exposed to blood.
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=DIRECTIVES&p_id=2570#XIII 7. Hepatitis B Vaccination - Paragraph (f)(2). The Compliance Officer should determine whether or not all occupationally exposed employees have had the hepatitis B vaccination series made available to them after the training required by paragraph (g)(2)(vii)(I) and within 10 working days of their initial assignment. The term "made available" includes the healthcare professional's evaluation and arranging for the administration of the first dose of the hepatitis B vaccination series to begin within the 10 days. This includes all employees with occupational exposure, regardless of how often the exposure may occur. Part-time and temporary employees are included in this coverage. The vaccine does not have to be made available if the employer documents the exemption(s) set forth in paragraph (f)(2). It does not have to be administered if the employer can produce the signature of the employee on the mandatory declination form (See Appendix A of 29 CFR 1910.1030.)
http://www.osha.gov/pls/oshaweb/
owadisp.show_document?p_id=10052&p_table=STANDARDS
Regulations (Standards - 29 CFR)
Hepatitis B Vaccine Declination (Mandatory) - 1910.1030 App
[required language of declination form,
NOTE OUR ADDITION OF THE WORDS "it is alleged that", which we have added for your protection to prevent the admission of non-existent guilt for refusing an "immunization".]"I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, it is alleged that I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me."
If you want the above language so that you can simply print the page:
OSHAexemption.doc MS-DOC which can be modified and printed
OSHAexemption.pdf Adobe PDF file for printing.
Alaska
Alaska Exemption Information
Arkansas
[Arkansas Exemption Information page.]
Note: [2003] New law in Arkansas allows individuals to have a medical, religious or philosophical exemption.
Alabama
Alabama Exemption Information
Arizona
Arizona Exemption Information
Australia
Australia Exemption Information
Canada
Canada Exemption Information
California
California Exemption Information
Colorado
Coloradio Exemption Information
Connecticut
Connecticut Exemption Information
District of Columbia Exemption Information
Delaware
Delaware Exemption Information
Florida
Florida Exemption Information
Georgia
Georgia Exemption Information
Guam
http://www.justice.gov.gu/CompilerofLaws/GCA/10gca/10gc003.PDFSection 2. Section 3322 of Article 3, Chapter 3, Division 1 of Title 10 of the Guam Code Annotated:
§ 3322. Vaccination and Immunization.
(a) No student shall be permitted to attend any public or private school, college or university within Guam unless evidence is presented to the enrolling officer of such school, college or university that the student child is free from any communicable diseases, and has had all the required vaccinations or immunizations as the Director shall in conformity with Advisory Committee on Immunization Practice ('ACIP') of the United States Department of Human Services and the American Academy of Pediatrics ('AAP'); provided, that in the event that the recommendations of the ACIP and the AAP differ, the Department shall determine which recommendations shall apply, except that exemption may be granted to a student in a case:(i) when the vaccination or immunization would be against his or her religious beliefs and would not constitute a contagious health risk for the public at large, as certified annually prior to commencement of the school year by the Director in consultation with a Guam Licensed physician or by a Guam licensed physician; or
(ii) upon certification by a parent or guardian of a student who is a minor, that such vaccination or immunization would be against their religious belief and would not constitute a contagious health risk for the public at large, as certified annually prior to commencement of the school year by the Director in consultation with a Guam licensed physician or by a Guam Licensed physician; or
(iii) when a student who has been certified by a Guam licensed medical doctor that said student should be exempt from this Section where medical contraindication to his or her receiving a specific vaccine exists.
(b) Certificates of medical and religious exemption shall be kept on file in Bureau of Communicable Diseases Control of the Department. A copy of the certificate for medical and religious exemption shall be included in the student=s record at the school.
(c) The Director shall notify enrolling officers of all schools and shall notify all parents by public media of any changes to the existing immuni- zation schedules no later than March 1 of each year to allow for the smooth opening of traditionally scheduled schools.
(d) The Director shall require vaccination and immunization of any person or persons suspected as carriers of a communicable disease upon entering or leaving Guam which the Director believes may present a risk to the public health of Guam. In case of an epidemic or to control a possible epidemic of a communicable disease, the Director may direct that the general population be vaccinated and immunized against said disease. Students who are not immunized for whatever reason may be excluded from schools at the direction of the Director in case of an epidemic or to control a possible epidemic.
SOURCE: Repealed and reenacted by P.L. 24-154:2. Subsection (a) amended by P.L. 24-335:2.
Iowa
Iowa Exemption Information
Idaho
Idaho Exemption Information
Illinois
Illinois Exemption Information
Indiana
Indiana Exemption Information
Kansas
Kansas Exemption Information
Kentucky
Kentucky Exemption Information
Louisiana
Louisiana Exemption Information
Maine
Maine Exemption Information
Maryland
Maryland Exemption Information
Massachusetts
Massachusetts Exemption Information
Michigan
Michigan Exemption Information
Minnesota
Minnesota Exemption Information
Mississippi
Mississippi Exemption Information
Missouri
Missouri Exemption Information
Montana
Montana Exemption Information
North Carolina
North Carolina Exemption Information
North Dakota
North Dakota Exemption Information
Nebraska
Nebraska Exemption Information
New Hampshire
New Hampshire Exemption Information
New Jersey
New Jersey Exemption Information
New Mexico
New Mexico Exemption Information
Nevada
Neveda Exemption Information
New York State
New York Exemption Information
New Zealand
New Zealand does not have compulsory vaccination or financial penalties for non-vaccinators (yet). They do require a vaccination certificate on entry into childcare or school. This is to identify non-vaccinated children during a disease outbreak.Books and information:
Immunisation Awareness Society
PO Box 56 048
Dominion Road, Auckland, New Zealand
http://www.ias.org.nz/
Ohio
Ohio Exemption Information
Oklahoma
Oklahoma Exemption Information
Oregon
Oregon Exemption Information
Pennsylvania
Pennsylvania Exemption Information
Puerto Rico
PUERTO_RICO Exemption Information
Rhode Island
Rhode Island Exemption Information
South Carolina
South Carolina Exemption Information
South Dakota
South Dakota Exemption Information
Tennessee
Tennessee Exemption Information
Texas
Texas Exemption Information
Utah
Utah Exemption Information
Vermont
Vermont Exemption Information
Virginia
Virginia Exemption Information
Washington
Washington State Exemption Information
West Virginia
West Virginia Exemption Information
West Virginia has only a medical exemption, see above page for more information.
Wisconsin
Wisconsin Exemption Information
Wyoming
Wyoming Exemption Information
The following is an edited copy of a page saved from the AMA web site in March 2002.
H-440.970 Religious Exemptions from Immunizations
Since religious/philosophic exemptions from immunizations endanger not only the health of the unvaccinated individual, but also the health of those in his or her group and the community at large, the AMA
(1) encourages state medical associations to seek removal of such exemptions in statutes requiring mandatory immunizations;
(2) encourages physicians and state and local medical associations to work with public health officials to inform religious groups and others who object to immunizations of the benefits of vaccinations and the risk to their own health and that of the general public if they refuse to accept them; and
(3) encourages state and local medical associations to work with public health officials to develop contingency plans for controlling outbreaks in exempt populations and to intensify efforts to achieve high immunization rates in communities where groups having religious exemptions from immunizations reside. (CSA Rep. B, A-87; Reaffirmed: Sunset Report, I-97)October 2004: this article is still on the AMA site:
Note: you may have to click on the 'AMA ACCEPT OUR POLICY' link to get the page to load.
ChildrensHealthCare.org is an organization dedicated to promoting the legal removal of religious exemptions. They promote the ideas that it is a child's right to be "immunized" but apparently never checked to find out that sanitation, nutrition and hygiene are the great immunizations. http://www.childrenshealthcare.org/legal.htm
Source: http://www.fairmeasures.com/asklawyer/questions/ask318.html from archive of 12-12-02 webpage:
Can employees be forced to be vaccinated?12-12-02 I am being asked to produce documentation of immunization for measles, mumps and rubella for a medical/surgical nursing job. My nurse colleagues and I have never heard of this required for employment to any hospital. Does an employer have a right to force an individual into getting an MMR vaccination for the sole purpose of employment? Look forward to your comments. Thanks.
Ann Kiernan replies:
If you were not a health care worker, the answer would certainly be NO! But since the nature of nursing involves occupational exposure to infectious diseases, the employer might be able to ask about your immunization status and perhaps even to require re-vaccination if you do not have proof of current protection.
Under the Americans with Disabilities Act (ADA), after an applicant is given a conditional job offer, but before s/he starts work, an employer may conduct medical examinations, regardless of whether they are related to the job, as long as it does so for all entering employees in the same job category. But, after employment begins, an employer may make disability-related inquiries and require medical examinations only if they are job-related and consistent with business necessity. Also, an employer may require employees to submit to medical examinations that are required by another federal law or regulation. 29 C.F.R. 1630.15(e)(1998) See: Enforcement Guidance on Disability-Related Inquiries and Medical Examinations of Employees Under the Americans with Disabilities Act (ADA).
So, is immunity to measles, mumps and rubella either "job-related and consistent with business necessity" or required by other law? Maybe, according to our research at the Centers for Disease Control.
The CDC report strongly recommends that health care workers be immunized for hepatitis B, influenza, measles, mumps, rubella, varicella zoter, and tetanus.
Another federal agency, OSHA, says in its Technical Manual governing hospitals that: "Vaccination for rubella, measles, mumps, and influenza is recommended, especially for women of child-bearing age."
It is not directly relevant to your situation, but a recent federal appeals decision upheld a Navy captain's right to insist that both military and civilian personnel on his ship be vaccinated for anthrax when they were entering " high threat areas and contiguous waters". Mazares v. Dep't of the Navy, 302 F.3d 1382 (Fed. Cir. 2002)
Thanks for raising such an interesting issue. We have only scratched the surface here. This would be a good question to pose to your state nursing society or professional board for a definitive answer.
Information here is correct at the time it is posted. Case decisions cited here may be reversed. Please do not rely on this information without consulting an attorney first. ----Disclaimer End----
Vaccination Liberation - Idaho Chapter
Contact: Vaccination Liberation"Free Your Mind....From The Vaccine Paradigm"
www.vaclib.org
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