Home
Forms Library
Affidavit declaration of vaccination exemption

Affidavit declaration of vaccination exemption 2025

affidavit declaration of vaccination exemption Preview on Page 1

See details

4.8 out of 5

100 votes

The document outlines the provisions for vaccination exemptions in Kentucky, specifically under KRS § 158.035 and related statutes. It states that children may be exempt from tuberculosis testing and immunization if deemed harmful by a physician or if their parents object on religious grounds through a written statement. Additionally, it allows for emergency regulations requiring immunization during epidemics.

Here's how it works

01. Edit your affidavit declaration of vaccination exemption online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send affidavit declaration of vaccination exemption pdf via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out affidavit declaration of vaccination exemption with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the affidavit declaration of vaccination exemption in the editor.
Begin by filling in your name in the designated space at the top of the affidavit. This identifies you as the individual requesting the exemption.
In the statement section, clearly articulate that receiving any vaccine is against your personal religious beliefs. Ensure this statement reflects your convictions accurately.
Sign and date the form in the provided signature fields. You will need to sign twice if there are two signatures required.
Locate the notary section at the bottom of the form. Leave this area blank for now, as it will be completed by a notary public once you present your signed affidavit.

Start using our platform today to easily complete your affidavit declaration of vaccination exemption for free!

See more affidavit declaration of vaccination exemption versions

We've got more versions of the affidavit declaration of vaccination exemption form. Select the right affidavit declaration of vaccination exemption version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (100 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the reasons for vaccination declination?

These reasons vary widely between parents, but they can be encompassed in 4 overarching categories. The 4 categories are religious reasons, personal beliefs or philosophical reasons, safety concerns, and a desire for more information from healthcare providers.

What is an affidavit for vaccination exemption in Texas?

You will need two different immunization documents: An official notarized DSHS vaccine exemption affidavit. This document shows the vaccines the parent or guardian chose not to allow their child to receive for reasons of conscience. A valid immunization record indicating the month, date, and year of each given vaccine.

What are the excuses for not getting vaccinated?

Appendix I choose not to get any vaccines. I had COVID-19 recently, so the vaccine was unnecessary. I am not concerned about getting sick with COVID-19. My chances of getting infected with COVID-19 are low. I am allergic to the vaccine or there is another medical reason I cannot get the vaccine.

What are valid reasons to decline the flu vaccine?

6 reasons patients avoid flu vaccination Im healthy, so I dont need a flu vaccine. The flu vaccine isnt safe and can give me the flu. It is better to get sick with the flu. Ill wait until flu hits my area. I hate getting injections. I was vaccinated last year.

What is a good cause reason for vaccine exemption?

The only valid reasons for medical exemptions for immunizations are: An allergic or other serious reaction to the same vaccine in the past. The physician who ordered the first one and witnessed the reaction would be glad to write the exemption. This is, however, extremely rare with todays vaccines.

affidavit exemption from immunizations for reasons of conscience

NYS Immunization exemption form Texas Immunization exemption form PDF How to get a medical exemption for vaccines in NY Immunization Exemption Form for Adults Printable vaccine exemption form NYC religious exemption form pdf Vaccine exemption letter pdf nj Texas vaccine exemption form for adults

Which states have religious exemptions for vaccinations?

All states allow exemptions for medical reasons, and almost all states (except California, Mississippi and West Virginia) grant religious or philosophical exemptions for people who have sincerely held beliefs that prohibit immunizations.

What is a religious reason to not get vaccinated?

Objection to vaccination was also related to: faith in divine protection and healing for Protestants, Catholics, Jewish and Muslims (10); the use of aborted fetal cells for vaccines production among Amish and Catholic communities (including during the COVID-19 outbreak when Senior Catholic leaders from the US and

What are the reasons for immunization exemption?

All states allow exemptions from school immunization requirements for children who are unable to receive vaccines for medical reasons. State laws vary regarding non-medical exemptions, for religious or personal reasons. Personal exemptions are also referred to as philosophical exemptions by some states.