Location: Forms Home > Quick Search > Quick Search Results > Form Details

Form Details


Form Format
Click here if you are having trouble opening your PDF form

FormatForm Link AddressFunctionalitySize
Adobe PDF Adobe PDF document  Statement of Conscience or Religious Belief – Immunization of School Pupils ActThe 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 & Save143.0 kb

Form Classification
Classification / Identification:
 Form Number:014-4897-64EEdition date: 2017/07 
 Title:Statement of Conscience or Religious Belief – Immunization of School Pupils Act
 Ministry:Health  
 Branch/ABC:Public Health  
 Program:Public Health  
 Purpose of Form:A parent must complete a Statement of Conscience or Religious Belief and have it witnessed by a commissioner for taking affidavits if they wish to obtain a non-medical exemption for their child from vaccine requirements under the Immunization of School Pupils Act.  

You must download Adobe Acrobat Reader (version 10.0 or above) to view/print PDF forms.
Click here for further instructions.

If PDF forms do not open in the latest versions of Firefox and Chrome, click here for the solution.


When encountering a problem opening PDF using a browser such as Chrome, please follow these steps to open and complete the form.

  • Highlight the form on the Repository, right-click to select “Save link as” to save the PDF form onto the desktop. Do not double-click the form and open it in a browser.

  • Open the form that you saved on the desktop with Adobe Reader. Do not double-click to open the PDF form as Adobe Reader might not be the default program to open PDFs on your computer.

  • Now complete the form, save the data, and close it. Then open again to see if the input data is there.