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The form is used to record information that is used by the CYP Personnel to report incidences of Accidents, Incidents, Child Abuse and/or Neglect of the CYP. Disclosure of requested information is voluntary.

The policy clarifies information to installations on requirements of references: BUMEDINST 6230.15A and OPNAV 1700.9E in their bargaining agreements regarding immunization requirements for both employees and children in Navy CYP.

The current chart from the CDC detailing the recommended immunizations for children from birth through six years old.

The form is used for an employee to request an exemption to an immunization.

The form is used for the parent to request an exemption to an immunization for their child.

The form is used for a CDH Provider to request and exemption to an immunization.

Annual unannounced inspections are required at all Navy Child and Youth Programs (CYP) operated on any Navy installation or jurisdiction by Commander, Navy Installations Command (CNIC) CYP Higher Headquarters. This is the Inspection Criteria Checklist that will be used during the CY23 inspection cycle for CYP, effective 1 January 2023. All personnel responsible for CYP operations are required to be aware of the criteria and ensure they are met.

Children who have been excluded from care because of health or medical reasons may need to have an Illness/Injury Notification Clearance Form on file permitting them to return to care with a doctor's authorization.