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NC Department of Health and Human Services
Women's and Children's Health Home
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North Carolina Immunization Branch

Child Care Facilities

All children in North Carolina must be vaccinated against certain diseases. Immunization records are checked when a child enters a child care facility. North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or child care.

Annual Immunization Report

By March 17, 2017, all licensed child care facilities must report the immunization status of newborn through pre-kindergarten children who attend child care.

Online Reporting: January 17 - March 17

You are strongly encouraged to submit your report via the online reporting survey using the button below.

Do not start the online report using the button below until:

  1. you have finished your review of the immunization records of your children AND
  2. have completed the paper/PDF version of the 2017 Annual Child Care Immunization Report.

Submit Immunization Report


  • 2017 Annual Child Care Immunization Report (PDF, 656 KB) - Required; Do not begin the online process unless you have completed a paper/PDF version first. Note: You do not need to send a copy of your report to your local health department
  • Age Worksheets (PDF, 409 KB) - Optional; This form is for data collection purposes. These worksheets are not mandatory to complete, but may help with the completion of the Immunization Report and may be requested from you by your Child Care Health Consultant or a Local Health Department official.
    Do not submit the Age Worksheets to the Immunization Branch.
  • Information on vaccination requirements and other resources can be found on our Child Care Requirements page.

Helpful Tips for Completion

  • If a child has a religious exemption, please mark them in the "Religious Exemption" category only.
  • Please do not submit Age Worksheets to the Immunization Branch! Your worksheets will be returned to you or destroyed.
  • Immunization software may be helpful with completing the 2017 Annual Child Care Immunization Report, but a printout of your center's immunizations is not an acceptable submission. Please use the software to fill out the 2017 Annual Child Care Immunization Report and submit the report online.
  • Once you have submitted your report online, please do not send the paper copies to the Immunization Branch. The paper copies are for your records.

Frequently Asked Questions

Q: Why is this report required?
A: Child care facilities are required by law [G.S. 130A-155(c)] to submit the requested information annually. It is also a licensing requirement. You will be contacted if the report is not received on time.

In the case of an outbreak of a vaccine preventable disease, this report will also help identify the children who are most at-risk for contracting the disease.

Q. Our child care facility doesn't have Internet access. May we send our report via standard mail?

A. If you do not have internet access and need to mail in your report, please send the 2017 Annual Child Care Immunization Report to:

N.C. Department of Health and Human Services
Divison of Public Health
Immunization Branch
1917 Mail Service Center
Raleigh, NC 27699-1917

Q: What happens if a parent does not submit their child’s immunization records within 30 days of attendance? 
A: The child should be excluded from attending child care until their records are submitted.

Q: What happens if the child is not legally up to date for their age?
A: If the child does not have the required number of shots for their age, the parents need to be informed and the child should be excluded per public health law [G.S. 130A-155(a)].

Q: Do I need to get a new immunization records from all my parents?
A: The Immunization Branch recommends confirming with the parent that you have the most updated record on file.