How to fill the Ontario immunization exemption (statement of conscience or religious belief) — and autofill it with my-id.ca
Fill the immunization exemption's child and parent fields, fast
A non-medical immunization exemption for a school pupil uses a Statement of Conscience or Religious Belief, plus an education session and a witnessed signature. This guide is an example of letting my-id.ca handle the repeating child and parent fields so the process is smoother.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Vaccines for children in schools — ontario.ca
- Form (Central Forms Repository): Statement of Conscience or Religious Belief — 014-4897-64
What this form is about
The statement records a non-medical exemption from vaccine requirements under the Immunization of School Pupils Act. It must follow the required process, including an education session and a witnessed signature.
Before you start: what to gather
- The child's name and details.
- The parent or guardian's details.
- Your Vaccine Education Certificate from the required education session.
The statement must be witnessed by a commissioner for taking affidavits. Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Store your family details once. Save the child and parent details in my-id.ca.
- Autofill the repeating fields. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved details inside my-id.ca.
- Complete the required steps. Finish the education session and have your signature witnessed.
- Submit yourself to your local public health unit with your certificate.
Why do it in my-id.ca
The child and parent details here also appear on school and health forms. Stored once in my-id.ca — in Canada, with no third-party AI — the repeating fields fill themselves.
Frequently asked questions
- What does the immunization exemption form ask for?
- The child's name and details and the parent's details. The non-medical exemption also requires completing an education session and having your signature witnessed by a commissioner for taking affidavits. my-id.ca can autofill the child and parent fields.
- Can my-id.ca witness or submit the form?
- No. The statement must be witnessed by a commissioner, and you submit it with your education certificate to your local public health unit. my-id.ca only autofills the child and parent details.
- Where does the form go?
- You submit the original signed statement and your Vaccine Education Certificate to your local public health unit. Confirm the current process on ontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.