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NC Department of Health and Human Services
Women's and Children's Health Home
N.C. Public Health Home
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 Reports

Mail Reporting Instructions

  • Complete the Annual Child Care Immunization Report by indicating the number of doses of vaccine each child has received.
  • Mail the white copy of the Annual Child Care Immunization Report to:

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

  • Mail the yellow copy of the Annual Child Care Immunization Report to your local health department.
  • Please mail the information by Friday, January 29, 2016

Reporting Tools


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: 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.


Information on vaccination requirements and other resources can be found on our Child Care Requirements page.