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.
| Question | Answer |
|---|---|
| Form Name | Tn Exemption Vaccination |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | vaccine exemption, tn vaccination religious exemption form, tennessee religious exemption, immunization exemption form tn |
STATE OF TENNESSEE
DEPARTMENT OF EDUCATION
BILL HASLAM |
6TH FLOOR, ANDREW JOHNSON TOWER |
KEVIN HUFFMAN |
GOVERNOR |
710 JAMES ROBERTSON PARKWAY |
COMMISSIONER |
|
NASHVILLE, TN |
|
MODEL FORM
Religious Exemption from Vaccination(s)
Child’s Name ________________________________________________
Parent/Legal Guardian Name ___________________________________
Address _____________________________________________________
State _____ Zip __________
Pursuant to Tennessee Code Annotated
I declare under penalty of perjury that the foregoing is true and correct.
Parent/Legal Guardian Signature
_____________________________
Date ________________________