Public Health & Education
Statement of Conscience or Religious Belief — Notarized Online
The Ontario form used to exempt a school pupil from a required immunization on grounds of conscience or religious belief, sworn over a secure video call.
Under Ontario's Immunization of School Pupils Act, a parent or guardian seeking an exemption for a child from a required school immunization must have this statement sworn before a commissioner for taking affidavits before their local public health unit will accept it.
Bring the form provided by your public health unit to the appointment, unsigned. The commissioner verifies your photo ID, witnesses your signature, and applies the seal — the form is then ready to submit.
Commissioned in accordance with O. Reg. 431/20. We do not provide medical or legal advice on immunization requirements or exemptions — your local public health unit is the right resource for those questions.
Statement of Conscience or Religious Belief FAQ
Where do I get this form?
From your local public health unit — we commission the form, we do not supply it.
Can this be sworn online?
Yes, over a secure video appointment.
Will every public health unit accept an online-sworn statement?
It is sworn under the same regulation as any other remote commissioning; we recommend confirming with your specific health unit if you are unsure.
Looking for the Official Form?
Many government and court forms are free to download. Find official Ontario and Government of Canada forms in one place, then sign them with us by video.
READY TO GET STARTED?
Have Your Statement of Conscience or Religious Belief Notarized Online
Book your appointment, join the video call, and sign while the notary witnesses and seals your document — in accordance with Ontario Regulation 431/20.
Book an Appointment