The potential for the spread of infectious diseases is increased whenever individuals are brought into group settings. To prevent some of the most serious infections, the New Jersey school immunization rules, Immunization of Pupils in Schools (N.J.A.C. 8:57-4) require students to receive a series of immunizations prior to attendance at school. In addition, schools are required to enforce requirements, maintain records, and submit annual reports to the state and their respective local health department. The following materials provide guidance and tools for carrying out these requirements.