Rhode Island Sample Religious Immunization Exemption Form 2026

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  1. Click ‘Get Form’ to open the Rhode Island Sample Religious Immunization Exemption Form in the editor.
  2. In Section 1, enter the student’s information including their name, date of birth, grade, and contact details. Ensure accuracy for smooth processing.
  3. Proceed to Section 2 where the parent/guardian or student (if over 18) must read the Vaccine Information Statement. Initial each statement confirming understanding of the risks and benefits associated with vaccination.
  4. Select the vaccine(s) for which you are requesting an exemption by checking the appropriate boxes. This section is crucial as it outlines your religious beliefs regarding immunization.
  5. Sign and date the form at the bottom of Section 2 to validate your request for exemption.
  6. In Section 3, ensure that school officials complete their part by signing and dating as required. Distribute copies according to instructions provided.

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