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Click ‘Get Form’ to open the ca imm in the editor.
In Section A, enter the full name and date of birth of the family member you are designating as your representative. Ensure accuracy as this information is crucial for identification.
List each family member's name, date of birth, and their relationship to the designated representative in the provided fields. This establishes a clear connection between all parties involved.
In Section B, each family member aged 18 and over must sign and date to authorize the representative. This step is essential for granting permission to act on your behalf.
Finally, in Section C, the designated representative must sign and date to confirm that all information provided is true and complete. This declaration is vital for compliance with immigration regulations.
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Jan 26, 2026 The California I mmunization Registry (CAIR2) is a secure, confidential, statewide computerized immunization information system for California residents.
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