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Application for Extended Services for Library Patrons with Disabilities Name: Street Address: City, ST, Zip: Phone#: Do you have a current Berkeley Public Library card? ? YES (If YES, please provide
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How to fill out application for extended services

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How to fill out an application for extended services:

01
Start by obtaining the application form for extended services. This can usually be done by contacting the relevant service provider or downloading the form from their website.
02
Carefully read through the instructions provided with the application form. Make sure you understand the eligibility criteria and any supporting documents required.
03
Begin filling out the application form. Provide accurate and complete information about yourself, including your name, contact details, and any identification or reference numbers required.
04
Clearly state the type of extended services you are applying for. Specify whether it is for medical, financial, educational, or any other specific purpose.
05
Provide any necessary supporting documentation. This may include proof of income, medical reports, academic records, or any other relevant documents that demonstrate your eligibility for extended services.
06
Double-check all the information you have provided on the application form. Ensure there are no errors or missing details that could delay the processing of your application.
07
Sign and date the completed application form. Some forms may require additional signatures from witnesses or individuals who can vouch for your eligibility.
08
Make copies of the filled-out form and all supporting documents for your records.
09
Submit the application form along with any required supporting documents to the designated office or address. Follow the instructions provided on the form regarding submission methods, such as in person, by mail, or online.
10
Keep track of the application process. Note down any reference numbers or contact information provided for inquiries about the status of your application.
11
Await a response from the service provider regarding the outcome of your application. Make sure to follow up if you have not heard back within the specified timeframe.

Who needs an application for extended services?

01
Individuals who require additional support or assistance beyond what is typically offered or available.
02
Those who meet the eligibility criteria for extended services, such as individuals with disabilities, low-income individuals or families, students seeking financial aid, or individuals with specific medical needs.
03
Anyone who believes they could benefit from an extended service, whether it is related to healthcare, education, financial support, social services, or any other area where additional assistance may be required.
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An application for extended services is a form used to request additional services beyond the standard offering.
Any individual or organization seeking additional services must file an application for extended services.
The application for extended services can usually be filled out online or in person, and requires providing information about the requested services and justification for why they are needed.
The purpose of the application is to formally request additional services and provide justification for why they are needed.
Information such as contact details, service requested, reason for requesting the service, and any relevant supporting documentation must be included on the application.
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