INZ 1253 — Absent Vaccination Documentation Record

Client Full name of parent or guardian (if applicable) Relationship to client (if applicable) The above client was seen in clinic by (physician name) They, or their parent or guardian, advise that they no longer have documents for the immunisations they have already received. They understand

Current version

February 2021

Format

PDF · 221 KB

Version checked

1 July 2026

Download INZ 1253 from Immigration New Zealand

Version history

Changes we have observed to this form since tracking began.

1. First captured — version February 2021 · 3 June 2026

Always download the form from the official Immigration New Zealand link above; versions change. General information, not immigration advice.