Tn Exemption Vaccination PDF Details

In Tennessee, the topic of vaccination can evoke a range of responses due to personal, religious, and philosophical beliefs. To accommodate such diversity, the State of Tennessee Department of Education provides a form known as the "Religious Exemption from Vaccination(s)" document. It serves as a crucial tool for parents or legal guardians who, due to their religious convictions, decide against vaccinating their children. This form, identified under the Tennessee Code Annotated §49-6-5001(b)(2), requires the parent or legal guardian to fill out their name, along with their child's name and address, and to assert that vaccinating their child contradicts their religious beliefs. By signing the form, the individual solemnly affirms, under penalty of perjury, the truthfulness of their claim. This exemption form underscores the balance Tennessee seeks to maintain between public health policies aimed at widespread immunization and the respect for individual religious beliefs. Moreover, the simplicity of the process reflects an effort to make such exemptions accessible to those who genuinely need them, thus highlighting the state’s recognition of personal freedoms alongside its commitment to health and safety.

QuestionAnswer
Form NameTn Exemption Vaccination
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestennessee form exemption vaccination, tennessee vaccination exemption, immunization exemption form tennessee, form religious exemption vaccination

Form Preview Example

STATE OF TENNESSEE

DEPARTMENT OF EDUCATION

BILL HASLAM

6TH FLOOR, ANDREW JOHNSON TOWER

KEVIN HUFFMAN

GOVERNOR

710 JAMES ROBERTSON PARKWAY

COMMISSIONER

 

NASHVILLE, TN 37243-0375

 

MODEL FORM

Religious Exemption from Vaccination(s)

Child’s Name ________________________________________________

Parent/Legal Guardian Name ___________________________________

Address _____________________________________________________

State _____ Zip __________

Pursuant to Tennessee Code Annotated §49-6-5001(b)(2), I am declining vaccination(s) for my child because the vaccinations conflict with my religious tenets and practices.

I declare under penalty of perjury that the foregoing is true and correct.

Parent/Legal Guardian Signature

_____________________________

Date ________________________

ED-5379

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