641—67.4 (135) Persons excluded. Exclusions to these rules are permitted on an individual basis for religious reasons and for children determined by the department to be at very low risk for elevated blood lead levels. The parent or guardian of an applicant or transfer student approved for a religious exemption or an exemption for very low risk shall submit to the board of directors of each school district and the authorities in charge of each nonpublic school a valid Iowa department of public health certificate of blood lead testing exemption. To be valid, the certificate shall be the certificate of blood lead testing exemption provided or approved by the department.
	 67.4(1) Religious exemption. A religious exemption may be granted to an applicant or transfer student if the blood lead testing conflicts with a genuine and sincere religious belief.
	  a.   	 The certificate of blood lead testing exemption for religious reasons shall attest that the blood lead testing conflicts with a genuine and sincere religious belief and that the belief is in fact religious and not based merely on philosophical, scientific, moral, personal, or medical opposition to blood lead testing.
	  b.   	 The certificate of blood lead testing exemption for religious reasons shall be signed and dated by the applicant’s or transfer student’s parent or guardian.
	  c.   	 The certificate is valid only when notarized.
	 67.4(2) Exemption for very low risk. The department may grant to an applicant or transfer student an exemption for very low risk if the parent or guardian provides evidence satisfactory to the department that the applicant or transfer student meets the definition of very low risk.
	  a.   	 The certificate of blood lead testing exemption for very low risk shall be signed and dated by the applicant’s or transfer student’s parent or guardian and by the chief of the bureau of lead poisoning prevention.
	  b.   	 The certificate of blood lead testing exemption for very low risk is valid only when notarized.
	 67.4(3) A faxed copy, photocopy, or electronic copy of the valid certificate of blood lead testing exemption is acceptable.