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03.04.13 Blind or Visually Impaired Student Name: Building: Reviewer Name: Date of Evaluation Report: Evaluation (Must meet initial criteria) DOB Eligible: Yes No Reevaluation (Must address criteria
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030413 blind or visually refers to a form used to report information regarding individuals who are blind or visually impaired.
Individuals who are blind or visually impaired, or their legal representatives, are required to file the 030413 form.
To fill out the 030413 form, individuals must provide information about their visual impairment status, as well as any relevant medical or disability documentation.
The purpose of the 030413 form is to ensure that individuals who are blind or visually impaired receive appropriate accommodations and services.
Information required on the 030413 form includes details about the individual's visual impairment diagnosis, any treatments or services received, and any functional limitations experienced.
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