Any vaccine given four or fewer days prior to the minimum required age is valid.
Hib: required for pre-kindergarten only.
SSID: the Statewide Student Identifier (SSID) is a 10-digit number assigned to TK/K-12 public school pupils by the California Department of Education.
Roster: maintain a roster of all pupils who are unimmunized for immediate identification in case of disease outbreak or exposure in the community.
Transfers: the pupil's record shall be transferred by the former school no later than 10 school days following the date of request.
Foster children: California law requires schools to immediately enroll foster children transferring to their school.
| Question | Answer |
|---|---|
| Form Name | CDPH 286 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 75 |
| Avg. time to fill out | 13 min |
| Edition | 10/23 |
| Other names | CDPH 286, CDPH286, PM 286, Form 286, California School Immunization Record |
| Official source | CDPH 286 (Rev 10/23), California Department of Public Health |
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