Ga. Comp. R. & Regs. r. 511-2-2-.07
Rule 511-2-2-.07. Religious Objections to Required Immunizations
(c) Persons who wish to register a religious objection to the vaccination of their child shall do so using the following DPH Form 2208:
AFFIDAVIT OF RELIGIOUS OBJECTION TO IMMUNIZATION
[Name of parent or legal guardian] personally appeared before the undersigned notary public and swore or affirmed as follows:
3. I understand that the Georgia Department of Public Health has determined:
5. I understand that, notwithstanding my religious objections, my child may be excluded from childcare facilities or schools during an epidemic or threatened epidemic of any disease preventable by a vaccination required by the Georgia Department of Public Health, and that my child may be required to receive a vaccination in the event that such a disease is in epidemic stages, as provided in Georgia Code Section 31-12-3 and DPH Rule 511-9-1-.03(2)(d).
This ____ day of ____________, ________.
___________________________________
Parent or Legal Guardian
Sworn and subscribed before me this ___ day of ________________, ______.
___________________________________
Notary Public
My commission expires _______________.
Note: Correction of non-substantive typographical error in Rule History on SOS Rules and Regulations website. "History. Original Rule entitled "Purpose" adopted. F. Sep. 23, 2013; eff. Oct. 13, 2013." corrected to "History. Original Rule entitled "Religious Objections to Required Immunizations" adopted. F. Sep. 23, 2013; eff. Oct. 13, 2013." Effective June 12, 2019.
Authority: O.C.G.A. §§ 20-2-771, 31-2A-6, 31-12-3, 49-5-12.
History. Original Rule entitled "Religious Objections to Required Immunizations" adopted. F. Sep. 20, 2013; eff. Oct. 10, 2013.
Repealed: New Rule of same title adopted. F. Apr. 15, 2014; eff. May 5, 2014.
Amended: F. May 27, 2015; eff. June 16, 2015.
Amended: F. May 13, 2019; eff. June 12, 2019, as specified by the Agency.