313, Florida Statutes Rule 64D3 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the child's last name, first name, middle initial, and date of birth in the designated fields.
3. Fill in the parent or guardian's information along with the child's optional Social Security number and state immunization ID number.
4. In the vaccine section, input the dates for each dose received under the corresponding vaccine code. Ensure accuracy for school compliance.
5. Select the appropriate certificate option (A, B, or C) based on the child's immunization status and sign where indicated.
6. Review all entries for completeness and accuracy before saving your document.

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