Tn Exemption Vaccination PDF Details

Healthcare professionals in the state of Tennessee are required to carry specific forms of identification in order to prove their occupation. One of these is the Tn exemption vaccination form, which can be used as proof that a healthcare worker has been vaccinated against certain diseases. This form is valid for two years and must be updated if the vaccinations expire. The Tn exemption vaccination form is an important document for all healthcare workers in Tennessee.

You may find details about the type of form you wish to prepare in the table. It will tell you the length of time you will need to complete tn exemption vaccination, exactly what fields you need to fill in and several other specific facts.

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

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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