Vaccination laws are very state specific. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
The Nebraska Affidavit for Waiver of Vaccination of Child due to Religious Convictions is a legal document that allows parents or guardians to request an exemption from vaccination for their child in the state of Nebraska on religious grounds. This affidavit serves as evidence of their sincerely held religious beliefs that prohibit them from vaccinating their child. In Nebraska, there are two types of Affidavits for Waiver of Vaccination due to Religious Convictions: 1. Nebraska Affidavit for Waiver of Vaccination of Child due to Religious Convictions: This is the general affidavit that parents or guardians can complete to apply for an exemption from mandatory vaccination for their child based on religious beliefs. It requires detailed information about the child, parents, and the specific religious convictions that prevent them from vaccinating their child. 2. Nebraska Affidavit for Waiver of Vaccination due to Religious Beliefs — Medical Exemption: This affidavit is specifically designed for children who have certain medical conditions or a history of adverse reactions to vaccines. It allows parents or guardians to request an exemption from vaccination based on both religious convictions and medical reasons. This affidavit requires additional medical documentation or a healthcare provider's signature to support the request. To complete the Nebraska Affidavit for Waiver of Vaccination of Child due to Religious Convictions, parents or guardians need to provide the following information: 1. Child's full name, birthdate, and gender. 2. Parent or guardian's full name, address, contact information, and relationship to the child. 3. A statement explaining the parent or guardian's religious convictions and beliefs that oppose vaccination. 4. Signature and date of the parent or guardian. It is important to note that each completed affidavit must be notarized by a licensed notary public to ensure its validity. The affidavit should be submitted to the relevant authorities, such as the child's school or the state's health department, to support the exemption from mandatory vaccinations. Disclaimer: This information is provided for informational purposes only and is not intended as legal advice. It is advisable to consult with a qualified attorney or legal professional for specific guidance on legal matters related to vaccination waivers in Nebraska.
