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Disability Service Request and Release of Confidential Information Form Please print or type: Name: Address: City/Zip: Check all that apply: Undergraduate Graduate Commuter OR Resident St. John Fisher

How to fill out disability service request and

How to fill out disability service request:

1. Obtain the disability service request form from the appropriate authority or organization.
2. Read the instructions carefully to understand the required information and supporting documents.
3. Begin by providing personal information such as name, contact details, and any identification numbers.
4. Clearly state the nature of the disability or impairment that requires the requested services.
5. Describe the specific accommodations or assistance required to address the disability.
6. If applicable, provide any relevant medical or educational documentation that supports the disability claim.
7. Sign and date the form, ensuring all required fields are completed accurately.
8. Submit the completed disability service request form along with any supporting documents to the specified authority or organization.

Who needs disability service request:

1. Individuals with disabilities or impairments who require accommodations or assistance.
2. Students with disabilities who need support in educational settings.
3. Employees or job applicants with disabilities who require workplace accommodations.
4. Individuals seeking accessibility services or resources in public facilities or events.
5. Individuals in need of disability-related services or assistance from government agencies or organizations.

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What is disability service request?

A disability service request is a formal request made by an individual with a disability to obtain specific accommodations or services to ensure equal access to facilities, programs, activities, or services provided by an organization or institution.

Who is required to file disability service request?

Any individual with a disability who requires accommodations or services to ensure equal access to facilities, programs, activities, or services provided by an organization or institution is required to file a disability service request.

How to fill out disability service request?

To fill out a disability service request, an individual needs to contact the appropriate department or organization responsible for handling accommodation requests. They will provide the necessary forms or procedures to complete the request.

What is the purpose of disability service request?

The purpose of a disability service request is to request and obtain appropriate accommodations or services that will enable individuals with disabilities to participate fully, equally, and without barriers in facilities, programs, activities, or services provided by an organization or institution.

What information must be reported on disability service request?

The specific information required on a disability service request may vary depending on the organization or institution. However, common information includes identifying details of the individual, description of the disability, requested accommodations or services, relevant medical documentation, and any supporting information.