A Permanent Medical Exemption, documented on the Form DH 680, can be granted if a child cannot be fully immunized due to medical reasons. Immunizations are in conflict with my religious tenets or practices.402.316(1), Florida Statutes). Please complete and submit this statement to Broward County Child Care Licensing and Enforcement office at the. Every county health department issues a standardized approved religious exemption form (DH 681). Religious exemption form Florida DH-681. We've provided a request form template for you to download and fill out here. Students may attend school without a Florida Certificate of Immunization if they have a religious exemption (Form DH 681), a temporary exemption. NON-PROFIT EXEMPTIONS: Exemption Application for Charter School Facilities (Form DR-504CS). If the PROPERTY IS HELD IN A TRUST, WE ALSO NEED EITHER A NOTARIZED CERTIFICATE OF TRUST OR A COMPLETE COPY OF THE TRUST AGREEMENT.