Commonwealth of kentucky certificate of religious exemption form 2025

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  1. Click ‘Get Form’ to open the Commonwealth of Kentucky Certificate of Religious Exemption in the editor.
  2. Begin by entering the child's full name in the designated fields for Last, First, and Middle names. Ensure accuracy as this information is crucial for identification.
  3. Next, input the child's birthdate in the provided format. This helps verify age requirements for immunization exemptions.
  4. Fill in the name of the parent or guardian responsible for signing the form. This section is essential for legal acknowledgment.
  5. Complete the address section with accurate details including street, city, state, and zip code to ensure proper communication.
  6. In the religious exemption section, specify which immunization(s) are being objected to on religious grounds. Attach a sworn statement if required.
  7. Finally, ensure that a physician or health department representative signs and dates the form before submission. This validates your request.

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Required Immunizations in Kentucky For kindergarten entry, all children at least 5 years of age must have: Five doses of DTaP or DTP (diphtheria, tetanus, pertussis) or combinations of the two vaccines. Four doses of IPV or OPV (polio) or combinations of the two vaccines.
KRS 214.036 requires parents who object to immunization of their child to provide a written sworn statement objecting to immunization of the child on religious grounds. Place an X in a box or boxes to the left of each disease, listed below, for which you object to your child receiving the immunization.
Without vaccines, your child is at risk for getting seriously ill and suffering pain, disability, and even death from diseases like measles and whooping cough.
State Form EPID 230A: Parent or Guardians Declination on Religious Grounds to Required Immunizations. or Guardians Declination on Religious Grounds to Required Immunizations. This is the form that daycares, preschools, and K-12 schools will require if they will not accept a written sworn statement.
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
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Fill out an exemption request form. Your employer may or may not provide one for you. If they do not, there are templates you can find online. Weve provided a request form template for you to download and fill out here.
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.
Kentucky currently has no state laws that apply to vaccinations in the workplace. However, there are two types of workplace exemptions under federal law: medical exemptions and religious accommodations/exemptions.

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