Licensed Child Care Immunization Reporting

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​​​​​​​​​Nebraska Child Care Immunization Laws

Each licensed child care program in Nebraska is required to keep the immunization history of each child enrolled in its program on file (Neb. Rev. Stat.  §§ 71-1913.01 through 71-1913.03). In addition, licensed programs are required to report information on children's immunization status annually, due on November 1st, to the Nebraska Immunization Program. 

  • Do not report school age children or your own children.
  • Every licensed child care facility must complete the reporting form, either online or via the hardcopy, even if no children are being care for at this time.
  • Medical and Parental Refusal exemptions must also be reported.
  • Nebraska Child Care Licensing Unit will be notified of non-compliant programs.

To view regulations, please refer to Title 173 of the Nebraska Administrative Code, Chapter 4.

Chapter 4: Immunization in Licensed Child Care Programs

What If You Don't Immunize Your Child?

Immunization Documentation

Parents or guardians must present an immunization record showing the child is protected by age-appropriate immunization against:

• Measles, mumps, rubella
• Polio
• Diphtheria, tetanus, pertussis
• Haemophilus influenza type b (Hib)
• Hepatitis B
• Varicella (Chicken Pox)
• Pneumococcal​


While there are exemptions to the immunization requirements, child care providers and parents need to be aware that unvaccinated children are not the only ones at risk for contracting disease. When parents choose not to immunize, their decision affects every other child in that child care facility as well as their own child.

Child care facilities usually care for children of different ages and the younger children must rely on the older children to be immunized because some immunizations, like measles and chickenpox, cannot be given until a child is one year old. Other immunizations require multiple doses before a child builds up full immunity, and some children are not able to be vaccinated.  These vulnerable children depend upon “herd immunity" for protection.

Exemptions to the vaccination requirement include:

  • A certification by a physician, certified nurse practitioner, or physician assistant that immunization is not appropriate for a stated medical reason.
  • Copy of written statement from the parent or guardian must state the reason(s) why the parent or guardian does not wish to have the child immunized.

Varicella (Chickenpox)

If the child has not had the varicella (chickenpox) vaccine but has had the varicella (chickenpox) disease then a statement signed by a licensed medical physician, parent, or guardian must be submitted verifying the name of the student and the year in which he/she had the disease.

Documentation of Varicella Disease


DHHS Immunization Program 
Department of Health & Human Services
DHHS Immunization Program Contact List
Phone Number
(402) 471-6423
Toll Free Number
(800) 798-1696
Fax Number
(402) 471-6426
Mailing Address
P.O. Box 95026, Lincoln, Nebraska 68509-5026