Certificate of Immunization Status (CIS)

Before a child may attend a school or child care center, a parent must provide proof of the required immunizations or immunity using a department-approved Certificate of Immunization Status (CIS) form signed by the parent. The CIS may be completed by hand or be a form printed from the WA Immunization Information System (IIS). Parents can also print a CIS by signing up with MyIR.

• Hardcopy CIS school year 2020-2021: English (PDF) | Español (PDF) | Chinese (PDF) | Korean (PDF) | Russian (PDF) | Somali (PDF) | Tagalog (PDF) | Ukranian (PDF) | Vietnamese (PDF)
• Hardcopy CIS school year 2019-2020: English (PDF) | Español (PDF) | Chinese (PDF) | Korean (PDF) | Russian (PDF) | Somali (PDF) | Tagalog (PDF) | Vietnamese (PDF)
• Frequently Asked Questions about the Certificate of Immunization Status and the Certificate of Exemption

School and Child Care Exemptions from Immunization Requirements

Washington State Law allows parents or guardians to exempt their child from the school or childcare immunization requirements. Exemptions may be claimed for personal/philosophical, religious or medical reasons. Measles, mumps, and rubella may not be exempted for personal/philosophical reasons. To request an exemption a completed Certificate of Exemption must be submitted to the school or child care center. More information about exemptions is available in the Frequently Asked Questions document below.

• Certificate of Exemption, December 2019: English (PDF) | translations January 2020 Español (PDF) | Korean (PDF) | Russian (PDF) | Simplified Chinese (PDF) | Somali (PDF) | Tagalog (PDF) | Ukranian (PDF) | Vietnamese (PDF)
• Frequently Asked Questions about the Certificate of Immunization Status and the Certificate of Exemption
• Exemptions from the Immunization Requirements – Quick Reference Guide: English (PDF)