School Immunization Reporting

Lifespan Health
Public Health

What would you like to do?

What you need to know

​​​​​​​​​​In Nebraska, children can't attend classes in public or private school until the school has written proof of their immunization status (Neb. Rev. Stat.  §§ 79-217 through 79-253).

To attend school, children in Nebraska are required to be immunized against the following diseases:

• Diphtheria, tetanus, and pertussis
• Polio
• Measles, mumps, and rubella
• Hepatitis B
• Varicella (chicken pox)

Each school or school district in Nebraska is required to keep the immunization history of the students enrolled on file. In addition, schools or school districts are required to report information on student's immunization status annually by November 15th to the Nebraska Immunization Program. 

Immunization records must be maintained for all students, but information on the following three groups needs to be reported.
  • Students entering school for the first time (kindergarten or 1st grade).
  • 7th graders.
  • All out-of-state transfer students (including foreign exchange students).

For complete information, please refer to Title 173 of the Nebraska Administrative Code, Chapter 3: Rules and Regulations Relating to School Health, Communicable Disease Control, and Physical Examination and Immunization Standards. View Title 173.

 Additional Information for Schools



While there are exemptions to the immunization requirements, 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 the school as well as their own child. Many 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.

What if You Don't Immunize Your Child?

Exemptions to the vaccination requirement include:

  •  A statement signed by a physician, physician assistant, or advanced practice registered nurse - nurse practitioner that the required immunization would be injurious to the student or members of the student's family or household. 
    Medical Exemption From Vaccination
  •  An affidavit signed by a legally authorized representative stating that the immunization   conflicts with the tenets and practices of a recognized religious denomination of which the student is a member. 
    Religious Affidavit

Students with exemptions on file may need to be excluded from school if there is an outbreak of a vaccine-preventable disease.

Varicella (Chickenpox)

If the student 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

Provisional Enrollment

Some immunizations call for multiple doses of vaccine. For students who have not completed all doses required, state statute allows them to be provisionally enrolled in school if they have received at least one dose of each of the required vaccines prior to enrollment and continue to get the remaining shots as rapidly as is medically feasible.

This means that school staff will need to track progress toward the completion of the required immunizations. Vaccine series do not need to be restarted if the child has a documented immunization record, even if it has been a long time since the last dose, just have the child finish the series.


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