Background: - Maternal vaccination with tetanus toxoid which should be given to women of reproductive age groups is recommended in declining the incidence of maternal and neonatal tetanus. So assessing the status of TT vaccination and its associated factors among reproductive age women (15-49 years) is important to increase its coverage Objective: - To assess the status of TT immunization and factors associated among women of reproductive age group in Debark district. Methods:-Community-based cross-sectional study from April 15 to 30/2018 was conducted. Multi stage systematic sampling method was employed to select samples of 735 women. Data were collected using a, pretested structured and a face-to-face interviewer-administered questionnaire. I entered data in to Epi Info version 7 and analyzed them by SPSS version 20 software. Odds ratios and a 95% CI at 0 < 0.05 p-values were calculated to ascertain the significance of associations. Result: - The proportion of women who vaccinated TT at least once from the total respondents were about 52.5% but the proportion of respondents who vaccinated TT2+ were only 90( 12.2%). The study also showed that education( able to read and write AOR=4.023; 95% CI(2.567,6.304 and p- value=<0.001),primary AOR=2.320(95% CI(1.509-3.566 p- value=<0.001 ) secondary and above AOR=2.735 95% CI(1.283-5.833 p- value= 0.009); Income( 1000-2000 Birr AOR=8.207, 95% CI( 5.115-13.17 and p-value <0.001) >2000 Birr AOR= 17.55 95% CI( 10.697-28.792 P-value= <0.001), transportation access AOR= 4.017with 95% CI( 2.639, 6.114, p- value= <0.001) and age of mothers > 30 Years AOR=1.962 with 95% CI ( 1.283-2.999 p- value=0.002) are factors significantly associated with TT vaccine utilization in multivariable analysis. Conclusion: - The study showed that there was poor TT vaccination uptake among reproductive age group women in the study area. Recommendation: - Debark District Health Office and all concerned bodies should work hard to improve TT vaccination coverage among reproductive age women in the study area.