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File Breakdown

Fact Name Details
Form Name Florida Certification of Immunization
Legal Authority Sections 1003.22, 402.305, 402.313, Florida Statutes; Rule 64D-3.046, Florida Administrative Code
Purpose To certify that a child has received the required immunizations for school attendance.
Completion Guidelines Refer to DH Form 150-615, Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes.
Optional Information Child’s Social Security Number and State Immunization ID are optional.
Certificate Parts Includes Part A (K-12), Part B (Temporary Exemption), and Part C (Permanent Exemption).
Expiration Date Temporary Medical Exemption must include an expiration date to be valid.
Last Update This form was last updated in July 2010.

Key takeaways

When filling out the Florida Certification of Immunization form, commonly known as the 680 form, there are several important points to keep in mind. Understanding these key takeaways can help ensure that the process goes smoothly and that your child meets the necessary requirements for school attendance.

  • Complete All Sections: Make sure to fill out every section of the form. This includes the child’s name, date of birth, and immunization history. Missing information can lead to delays or complications.
  • Document Immunization Dates: Clearly record the dates of each vaccine dose. This is crucial for verifying that your child is up to date with their immunizations.
  • Choose the Correct Certificate: Depending on your child’s immunization status, you will need to select the appropriate certificate (Part A, B, or C). Each part serves a different purpose, so be sure to choose wisely.
  • Temporary and Permanent Exemptions: If your child has a medical condition that prevents them from receiving certain vaccines, you can apply for a temporary or permanent medical exemption. Ensure that you provide valid clinical reasoning or evidence for this exemption.
  • Review Guidelines: Familiarize yourself with the Immunization Guidelines for Florida Schools, which can be found online. These guidelines provide valuable information on the immunization requirements.
  • Sign and Date the Form: After completing the form, don’t forget to sign and date it. An unsigned form is considered invalid and may not be accepted by schools or daycare facilities.
  • Keep Copies: Always keep a copy of the completed form for your records. This can be helpful for future reference or if you need to provide proof of immunization again.

By following these key takeaways, you can ensure that the 680 form is filled out correctly and that your child is ready for school. Proper immunization documentation is essential for their health and educational journey.

Dos and Don'ts

When filling out the Florida Certification of Immunization form (680), it's important to follow certain guidelines to ensure accuracy and compliance. Here are some things you should and shouldn't do:

  • Do fill in all required fields completely, including the child's name and date of birth.
  • Do provide accurate immunization dates for each vaccine listed.
  • Do sign and date the appropriate certificate at the end of the form.
  • Do check the specific requirements for exemptions if applicable.
  • Don't leave any required fields blank; incomplete forms may be rejected.
  • Don't use incorrect codes for vaccines; refer to the guidelines for the correct ones.
  • Don't forget to include the expiration date for temporary medical exemptions.
  • Don't submit the form without reviewing it for any errors or missing information.

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Instructions on Filling in 680

Filling out the Florida Certification of Immunization (Form 680) is a straightforward process. This form is essential for ensuring that your child meets the necessary immunization requirements for school attendance. Follow these steps carefully to complete the form accurately.

  1. Gather Necessary Information: Collect all relevant details, including your child’s full name, date of birth, and immunization records.
  2. Complete Personal Information: Fill in the last name, first name, middle initial (MI), date of birth (DOB), and the parent or guardian’s name. If applicable, include the child’s Social Security number and state immunization ID number.
  3. Document Vaccination Details: For each vaccine listed, enter the dates of administration for Dose 1 through Dose 5 in the provided spaces. Make sure to use the correct format (MM/DD/YY).
  4. Select the Appropriate Certificate: Choose between Part A, Part B, or Part C based on your child’s immunization status. Make sure to read the descriptions carefully to determine which applies.
  5. Sign and Date the Form: The parent or guardian must sign the form, confirming the accuracy of the information provided. Also, include the date of signing.
  6. Check for Additional Requirements: If applicable, ensure that any medical exemptions are documented clearly in Part C, including the physician's name and authorized signature.

After completing the form, review it for accuracy before submission. It’s important to keep a copy for your records. Once submitted, the school or childcare facility will process the information and confirm your child's immunization status.

Misconceptions

  • Misconception 1: The 680 form is only for school-aged children.

    • This form is applicable to children in daycare, preschool, and K-12 grades. It covers immunization requirements for various age groups.

  • Misconception 2: Completing the 680 form guarantees enrollment in school.

    • While the form is necessary for enrollment, it must be filled out correctly and all required immunizations must be documented to secure admission.

  • Misconception 3: Parents can submit the 680 form without any immunization records.

    • Parents must provide accurate immunization dates and doses. The form cannot be submitted without this information.

  • Misconception 4: The 680 form does not require a doctor's signature.

    • A physician or authorized clinic must sign the form to validate the immunization records provided.

  • Misconception 5: Temporary medical exemptions are indefinite.

    • Temporary medical exemptions must have an expiration date. They are valid only until the specified date unless renewed.

  • Misconception 6: All vaccines are mandatory for school attendance.

    • Some exemptions exist, such as medical exemptions. Parents can apply for these if their child has a valid medical reason.

  • Misconception 7: The 680 form is the only document needed for school immunization compliance.

    • Additional documentation may be required, depending on the school or district's policies. Always check with the specific institution.

  • Misconception 8: The 680 form is only relevant in Florida.

    • While the form is specific to Florida, similar forms exist in other states. Each state has its own requirements for immunization documentation.