Immunization EXEMPTION Form govst immunizations 2026

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  1. Click ‘Get Form’ to open the Immunization EXEMPTION Form in the editor.
  2. Begin by entering your full name in the designated field, ensuring you include your last, first, and middle names.
  3. Input your date of birth in the format mm/dd/yyyy to confirm your identity.
  4. Provide your GSU Student ID number for proper identification within the university system.
  5. Fill in your phone number for any necessary follow-up communications regarding your exemption request.
  6. Enter the date of your request to document when you are submitting this form.
  7. Select the reason for your exemption by checking the appropriate box: either attending classes at an off-site location or being enrolled exclusively in an online degree program.
  8. Ensure that you obtain your advisor’s signature and date it accordingly, as this is required for processing your exemption request each semester.
  9. Sign and date the form yourself to validate your request before submission.
  10. Submit the completed form either in person at the Registrar’s Office or via fax/mail using the provided contact information.

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Please initial next to each of the statements below: I request a reasonable accommodation due to my sincere religious beliefs. I understand and assume the risks of non-vaccination. I accept full responsibility for my health, thus removing liability from the City to the required vaccinations.
Texas Administrative Code (TAC) 97.62 covers the conditions under which a student can request an exemption from getting immunizations to enter their school or college. There are three conditions for exemption: If a health care provider determines that it is not safe for the student to get a certain vaccine.
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.
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There are a number of ways that someone can prove strongly held religious beliefs that getting the vaccine would contradict. Writing a formal letter requesting exemption. Getting a close friend, family member or fellow member of the clergy to write a letter. Filling out and submitting a religious exemption request form:

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