(1) A school must obtain and keep the following immunization data for each pupil on HES 101 after receiving adequate documentation of:
(a) legal name;
(b) birthdate;
(c) sex; and
(d) the vaccination date (month, day and year) of each vaccine administered.
(2) HES 101 may be accepted by the school without reference to other adequate documentation if:
(a) sections I and II are completed and signed by a physician, local health department official, the designee of either, or the form is directly obtained from the immunization information system; and
(b) the pupil claims no exemptions.
(3) If the information required by (1) has not been provided to the school on HES 101:
(a) immunization data must be transferred onto HES 101 from adequate documentation;
(b) sections I and II of HES 101 must be signed and dated by a school official or the official's designee; and
(c) a copy of the adequate documentation must be attached to HES 101.