Form Format

Format	Form Link Address	Functionality	Size
Adobe PDF	Statement of Conscience or Religious BeliefThe file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.	Fill & Print	200.0 kb

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Form Classification

Classification / Identification:
	Form Number:	010-3042E	Edition date:	2016/05
	Title:	Statement of Conscience or Religious Belief
	Ministry:	Education
	Branch/ABC:	Early Years & Child Care Policy Branch
	Program:	Early Years Policy Unit
	Purpose of Form:	To allow individuals to apply for religious/conscience exemptions for immunizations

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Last Modified: June 24, 2019