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Templates for the School Vaccine Exemption Law Book

Nine letter templates from The School Vaccine Exemption Law Book, 2026 Edition, free to download. Each comes as a Word file you can edit and a PDF with fillable fields. Fill in the blanks, review them against your state’s current rules, and print.

  • Template 1
    Signed Religious Statement

    For states that accept a signed statement of a religious objection.

  • Template 2
    Notarized Statement or Affidavit

    For states that require a notarized statement or an affidavit.

  • Template 3
    Statement of Adherence to a Religious Doctrine

    A statement of adherence to the teaching of a religious body.

  • Template 4
    Cover Letter for an Official State Form

    A cover letter to send with an official state exemption form.

  • Template 5
    Cover Letter for an Education or Provider Step

    A cover letter for a state's education or health-provider step.

  • Template 6
    Medical Exemption Request (Parent Cover Letter)

    A parent's cover letter asking for a medical exemption.

  • Template 7
    Religious Accommodation Request (Employer or College)

    A request to an employer or college for a religious accommodation.

  • Template 8
    Medical Accommodation Request (Employer or College)

    A request to an employer or college for a medical accommodation.

  • Template 9
    Physician Letter Supporting a Medical Exemption

    A template for a physician's letter. The physician reviews, edits and signs it.

All nine in one fillable PDF (198 KB)

Read this first. The templates are drafting aids. In most states they accompany an official form and do not replace it. Use your state’s current official form where one exists, and check the rules with your school, district or health department.

The book and these templates are a general educational reference, not legal advice or medical advice. Law, forms and court matters in the 2026 Edition are current through October 29, 2026, and can change. The physician letter is a template for a licensed clinician to review and sign.