Arizona schools must submit an annual Immunization Data Report (IDR) on students enrolled in preschool, pre-k, kindergarten, sixth and tenth grades by November 15th each year. Childcare centers, small group childcare homes and Head Start programs must submit annual Immunization Data Reports on children born on or after October 1, 2007.

School Immunization Data Reports for 2012-2013 School Year

All Arizona schools with kindergarten, sixth and tenth grades must submit their annual Immunization Data Report through the Immunization Data Report (IDR) web application. Please visit the application site to create a log-in for your school and review the questions included in the reports. Immunization Data Reports are due by November 15, 2012.

Childcare, Preschool, and Head Start IDR forms

Immunization Data Report forms for childcare, preschool and Head Start centers will be mailed in August and September 2012. Maricopa and Pima County centers should contact County Health Departments regarding their forms. Centers in all other counties will receive their forms from Arizona Department of Health Services.

Master copies of forms may be printed and submitted. A copy of each report should be retained for the center's or school's records.

• Forms for sites located in Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Santa Cruz, Yavapai and Yuma Counties:
  • Immunization Data Report Form 108
  • Immunization Assessment Form 108B
• Forms for sites in Maricopa County:
  • Immunization Data Report Form 108
  • Immunization Assessment Form 108B
• Forms for sites in Pima County:
  • Immunization Data Report Form 108
  • Immunization Assessment Form 108B

Referral Notice and Exemption Forms

• Referral Notice of Inadequate Immunization for School/Child Care
• School Exemption Form
• Child Care Exemption Form

Note: Forms provided as PDF files.