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Aetna Inc. PO Box 4000 Richmond, KY 404764000 Fax to: 18882383539 (1888AETFLEX) Flexible Spending Account (FSA) Dependent Care Reimbursement 1B 0B For the hearing impaired, call 18777035572 TDD/TTY
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How to Fill Out a Form for the Hearing Impaired:

01
Start by ensuring that the form is accessible and accommodates the needs of individuals with hearing impairments. This can include providing alternative methods of communication such as written instructions or sign language interpreters.
02
Use clear and concise language when drafting the form. Avoid using complex jargon or technical terms that may be difficult for someone with a hearing impairment to understand.
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Provide visual cues and instructions on the form to help guide individuals through the filling process. This could include using arrows, symbols, or diagrams to indicate where specific information needs to be provided.
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Make sure that the form is available in alternative formats such as large print or braille for individuals who may have additional visual impairments.
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Include sufficient space on the form for individuals to provide any additional information or notes that may be relevant to their specific situation.
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If necessary, provide a designated area on the form for individuals to indicate any accommodations they may require, such as the need for a sign language interpreter during any related proceedings.
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Ensure that the form includes contact information for individuals who may need assistance or have any questions about filling out the form.
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Regularly review and update the form based on feedback and input from individuals with hearing impairments to continuously improve its accessibility.

Who Needs a Form for the Hearing Impaired:

01
Individuals who have a hearing impairment and may face communication barriers when filling out standard forms.
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Those who rely on alternative methods of communication, such as sign language or written communication, to effectively understand and provide information on forms.
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Any individual who requires specific accommodations or modifications to ensure equal access and participation in the process of form filling.
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Form Hearing Impaired is a document designed for individuals who have difficulty hearing and may need accommodations to effectively communicate.
Individuals who are hearing impaired and need accommodations to communicate effectively are required to file Form Hearing Impaired.
To fill out Form Hearing Impaired, individuals need to provide information about their hearing impairment and the accommodations needed for effective communication.
The purpose of Form Hearing Impaired is to ensure that individuals with hearing impairments are provided with the necessary accommodations to communicate effectively in various situations.
Information about the individual's hearing impairment, the type of accommodations needed, and any relevant medical documentation may need to be reported on Form Hearing Impaired.
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