Module 1
Module 2
3.MD.1
- none
3.MD.2
- none
Module 3
3.NBT.3
- none
3.OA.4
3.OA.7
- none
3.OA.8
- none
3.OA.9
- none
Module 4
3.MD.5
- none
3.MD.6
- none
3.MD.7
- none
All Proofs must be current originals (issued within the last 2 months) imprinted with the name and current Berkeley residential address of the parent/legal guardian. A student can have only one residency for purposes of establishing residency and must be living in Berkeley when submitting forms.
Only personal accounts will be accepted. No care of, DBA or Business accounts.
Submit one of the following. Must provide all pages.
Submit one of the following. Must provide entire bill.
Submit one of the following. Must provide all pages, cannot be bill.
If your child is new to Berkeley Unified School District or starting preschool, transitional kindergarten, kindergarten, or 7th grade, you will need to provide your child’s school with documentation that your child has been fully immunized. California state law (Senate Bill 277) no longer allows parents/guardians of students to submit a personal belief exemption form for any currently required immunizations.
Children who have not provided BUSD with documentation verifying they have received all required immunizations prior to the first day of school will not be allowed to attend school until all immunization records have been provided.