Form 3231 PDF Details

Detailed instructions for this form and immunization requirements by age are spelled out in policy guides 3231INS and 3231REQ distributed by the Georgia Immunization Office.

Dates: All dates must include month, day and year.

Natural immunity: In cases of natural immunity or Medical Exemption, the 4 digit year of infection, test or exemption must be filled in the appropriate box(es).

Expiration: A certificate must be replaced within 30 days after expiration.

School file: A school or facility official is responsible for keeping a current valid certificate on file for each child in attendance.

Transfers: When a child leaves or transfers to another facility, the Certificate of Immunization should be given to a parent/guardian or sent to the new facility.

QuestionAnswer
Form NameForm 3231
Form Length1 page
Fillable?No
Fillable fields0
Avg. time to fill out3 min
Edition07/2020
Issuing agencyGeorgia Department of Public Health
ReplacementWithin 30 days after expiration
Matches the agency's fileYes, checked October 12, 2026
Other namesForm 3231, GA Form 3231, Georgia 3231, RSA 3231, Certificate of Immunization, Georgia immunization certificate
Official sourceForm 3231 (07/2020)