The immunization status of every student in the district will be assessed upon entry to his/her respective school. Parent/guardian of student whose immunizations are not up to date will be notified on the 15th and 25th school day using legal notice form DOH 4001. On the 30th school day, if non-compliant, mandatory exclusion for no more than 10 consecutive school days will occur in grades K through 5 if the district has less than 99% student compliance from the previous year. Exclusion is optional for additional grades or districts with more than 99% compliance.
Non-compliant students include:
- No record on file.
- Behind schedule for the first dose of DTP/DT/Td, polio, hepatitis B and/or MMR.
- Behind schedule for the 3rd and/or 4th doses of DTP/DT/Td and/or polio, second MMR and/or 3rd dose of hepatitis B vaccine.
This immunization requirement will be waived for students whose parent/guardian elects a religious or personal conviction waiver option on the Student Immunization Record form DOH 4020. A health waiver is also available and must be signed by a physician. In the event of a substantial outbreak as determined by the Wisconsin State Department of Health, students who are not immunized may be excluded from school.
By the 40th school day, the district must submit an assessment report to the local health department using form DOH 4002.
By the 60th school day, names of students missing the first deadline must be given to the local district attorney using form DOH 4212.
By the 80th school day, parent/guardian of students who are non-compliant are issued a legal notice using form DOH 4001.
By the 90th school day, the second legal notice is sent to parent/guardian of students who are behind schedule with the second dose of MMR, DTP/DT/Td, polio and/or hepatitis B.
On the 100th school day, a second report is sent to the local district attorney with the names of students who remain non-compliant using form DOH 4212.
Individual immunization records shall be designated as student progress records and shall be kept on file by the district for a minimum of 5 years after the student graduates or ceases to be enrolled.
The district will maintain immunization records on all students as outlined under State Statute 252.04. It is the responsibility of the parent/guardian to provide the district with such records.
Legal Reference: State Statute 252.04 - Immunization Requirement
State Statute 118.125 - Pupil Records
