Illinois Certificate of Religious Exemption to Required Immunizations or Examinations Form

Parents or legal guardians who are requesting a religious exemption to immunizations or examinations must use this form for students entering kindergarten, sixth, or ninth grades. A separate form must be used for each child with a religious exemption enrolled to enter any public, charter, private or parochial preschool, kindergarten, elementary or secondary school.

Illinois Certificate of Religious Exemption to Required Immunizations or Examinations Form