New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Appendix - APPENDIX

Current through Register Vol. 56, No. 14, July 15, 2024
INSTRUCTIONS FOR COMPLETING THE ANNUAL IMMUNIZATION STATUS REPORT
				  ON-LINE
The instructions below have been developed to assist New Jersey
				  Schools in completing the Annual Immunization Status Report (IMM-7) on-line.
				  N.J.A.C.
				  8:57-4.8(c)  requires schools to
				  submit this report by January 1 of the respective academic year after a review of
				  all appropriate students immunization records.
The IMM-7 is available on the New Jersey Department of Health and
				  Senior Services (NJDHSS), Vaccine Preventable Disease Program website at
http://nj.gov/health/cd/imm7/annualstatusrpt.shtml
.
				  Once you complete this report and click on "submit" it will automatically be sent to
				  NJDHSS. A printed copy must be sent to your Local Health Department and one copy
				  must be retained in your files. Please read the following instructions
				  carefully.
STEP-BY-STEP INSTRUCTIONS:
Before you start to fill out the report, please make sure that you
				  have all the correct and final information available. The top half of the report is
				  required demographic information for your school. The bottom portion is a table in
				  which you are required to input the immunization status of all pupils in the
				  designated grades, to report compliance with N.J.A.C. 8:57-4, Immunization of Pupils
				  in School.
1 Fill out the report by typing
				text into the appropriate areas and checking boxes where needed.
2 To move from field to field, use the Tab key or
				click in the box with your mouse where you want to fill in text.
3 Please be sure to fill out all required fields
				marked with red asterisks. The report will not respond to the "submit" command until
				the required fields are completed.
4 If
				you would like to clear the report and remove all data that you have entered on that
				page, click on the reset button on the bottom of the page.
5 Once the report is completed in its entirety,
				print and send one copy to your local health department and print one copy to be
				retained for you files.
6 To print the
				report, click on File/Print on the toolbar or right-click on the mouse and click on
				print.
7 Once you have printed a copy of
				the report, click the submit button on the bottom of the page.
NOTE: Below is a breakdown of each field on the Annual
				  Immunization Status Report. Please refer to this section if you have a question on a
				  specific field when filling out the report.
DEMOGRAPHIC INREPORTATION:
. Enter school ID (The school ID is located at the top right hand
				  corner of the Immunization Status Report cover letter). The cursor will
				  automatically tab over to the next box.
. Enter the county in which your school is located.
. Enter the municipality code. The municipality code table is
				  enclosed with these instructions.
. Enter the school district.
. Enter the name of school or child care facility.
. Enter the previous name of the school if the facility has
				  recently changed names.
. Enter the mailing address; include street address, city, and zip
				  code.
. Enter the school address if different from the mailing
				  address.
. Enter the name of person completing the report.
. Enter the telephone number of the school.
. Enter the school email address if available.
. Enter the name of principal/person in charge.
. Enter the title of the principal/person in charge.
. Enter the total school/child care enrollment.
. Enter the type of elementary/secondary school/child care
				  facility (public/private).
IMMUNIZATION STATUS TABLE:
COLUMNS:
. Check Not Applicable for any field that does not apply to your
				  school.
. Pupils Meeting All Immunization Requirements - Enter the number
				  of pupils that are up-to-date with required immunizations per N.J.A.C.
				  8:57-4.
. Pupils with Provisional Admittance - Enter the number of pupils
				  who have begun, or are in the process of completing, the required
				  immunizations.
. Pupils with Medical Exemptions - Enter the number of pupils who
				  have a valid medical exemption.
. Pupils with Religious Exemptions - Enter the number of pupils
				  who have a valid religious exemption that explains how the administration of
				  immunizations conflicts with the pupil's exercise of bona fide religious tenets or
				  practices.
. Pupils with Status Unknown - Those pupils coming from out of
				  state/out of country who have been granted a 30-day grace period to obtain
				  immunizations before they start their provisional period.
ROWS:
. If your school has pre-kindergarten classes, enter those
				  children on the pre-k line.
. If your school has a kindergarten grade, enter those children on
				  the kindergarten line.
. Do not include data in the grade 1 boxes unless the student is
				  beginning school for the very first time in grade 1.
. If your school has grade 6 enter those children on the grade 6
				  line.
. Un-graded special education pupils should be included with the
				  appropriate age cohort class.
. Transfer Students - all students newly transferring into grades
				  K-12 from out-of-State/out-of-country since submission of last status report.
CHILD CARE FACILITIES: Please note that child care facilities must
				  enter the immunization status of all enrolled children who are over 2 months of age
				  on the pre-k line.
Data in
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Data in
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The
				  adopted version of this appendix 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available