|Classification / Identification:|
| ||Form Number:||014-4897-64E||Edition 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.|| || |
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