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DISABILITY VERIFICATION Blindness/Low Vision & other Visual Disorders Please read the following prior to completing this form: Student Accessibility Services (SAS) at Kent State University provides
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How to fill out disability verification blindnesslow vision

How to Fill Out Disability Verification for Blindness/Low Vision:
01
Obtain the disability verification form: Begin by obtaining the disability verification form for blindness/low vision. This form may be obtained from the relevant government agency or organization responsible for disability benefits.
02
Read the instructions: Carefully read the instructions accompanying the disability verification form. The instructions will guide you on how to accurately fill out the form and provide the necessary information.
03
Personal information: Start by providing your personal information, such as your full name, address, contact details, date of birth, and social security number. This information is essential for the verification process.
04
Medical documentation: Include any relevant medical documentation that supports your claim of blindness or low vision. This may include records from eye specialists, optometrists, or ophthalmologists. Ensure that the medical documentation clearly outlines your visual impairment and its impact on your daily life.
05
Functional limitations: Describe the functional limitations that result from your blindness or low vision. This may include difficulties performing tasks such as reading, writing, using public transportation, or operating machinery. Be detailed in your description to provide a comprehensive understanding of your visual impairments.
06
Visual aids and assistive devices: If you utilize visual aids or assistive devices, mention them in the form. These may include glasses, contact lenses, magnifiers, or special software and equipment that aid in your daily activities.
07
Sign and date the form: Ensure that you sign and date the disability verification form. This confirms that the information provided is accurate and complete to the best of your knowledge.
Who needs disability verification for blindness/low vision:
01
Individuals with blindness or low vision: Anyone who is visually impaired and seeking disability benefits for blindness or low vision may require disability verification. This includes individuals with partial blindness, low vision, or complete blindness.
02
Those pursuing disability benefits: Individuals who aim to apply for disability benefits, such as Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), specifically designated for individuals with visual impairments may require disability verification for blindness/low vision.
03
Individuals seeking reasonable accommodations: People who need reasonable accommodations in educational or employment settings due to their visual impairments may also require disability verification. This verification helps establish the need for accommodations and supports access to appropriate assistance and services.
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What is disability verification blindnesslow vision?
Disability verification blindness/low vision is a form used to provide evidence of an individual's visual impairment.
Who is required to file disability verification blindnesslow vision?
Individuals with blindness or low vision who are seeking accommodations or services based on their disability.
How to fill out disability verification blindnesslow vision?
You must provide your personal information, details of your visual impairment, and any additional information requested on the form.
What is the purpose of disability verification blindnesslow vision?
The purpose is to document an individual's visual impairment to support their need for accommodations or services.
What information must be reported on disability verification blindnesslow vision?
Information such as the individual's name, contact information, medical diagnosis, and details of their visual impairment.
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