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Disabilities Disclosure and Request for Accommodation If you have a documented disability (a learning disability, ADD, ADHD, mobility problems, health concerns, significant hearing or vision problems)

How to fill out disabilities disclosure and request

How to fill out disabilities disclosure and request:

1. Start by obtaining the disabilities disclosure and request form, which is typically provided by the organization or institution you are dealing with.
2. Read the instructions on the form carefully to ensure that you understand the purpose, requirements, and any specific guidelines for filling it out.
3. Begin by providing your personal information, including your name, contact details, and any identification numbers or references required.
4. Identify the specific disabilities or medical conditions that you are disclosing. Be specific and provide any relevant documentation or evidence, such as medical reports or assessments, if requested.
5. Indicate the types of accommodations or support services you are requesting. This can include reasonable adjustments, auxiliary aids or services, or modifications to policies or procedures that will facilitate your participation or access.
6. If applicable, outline any additional information or circumstances that may be relevant to your request.
7. Include your signature and the date on the form to certify the accuracy of the information provided.
8. Keep a copy of the completed form for your records, and submit it according to the instructions provided.

Who needs disabilities disclosure and request?

1. Students with disabilities, seeking accommodations at educational institutions such as colleges or universities.
2. Employees with disabilities who require workplace accommodations or adjustments to perform their job tasks effectively.
3. Individuals applying for government programs or benefits that offer support or resources to individuals with disabilities.
4. Patients seeking medical treatment, who may need to disclose disabilities or conditions that may affect their care or require specific accommodations.
5. Any individual participating in programs, events, or activities that are offered by organizations or institutions that require disclosure and request for disabilities accommodations.

Note: The specific details and requirements may vary depending on the organization, institution, or jurisdiction in which the form is being used. It is always advisable to review the instructions and guidelines provided with the form to ensure accurate and complete completion.

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