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HEARING OR SPEECH IMPAIRED MONTHLY SURCHARGE REMITTANCE FORM Mail or Deliver Hard Copy to: Secretary, Public Service Commission Weber M. Wells Building 160 E 300 S Suite 400 Salt Lake City, Utah 84111
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How to fill out hearing or speech impared

01
Find a form specifically designed for individuals with hearing or speech impairments. These forms usually have additional sections or instructions to accommodate their needs.
02
Ensure you have the necessary tools to fill out the form. This may include assistive devices like speech-to-text software or communication boards.
03
If you're filling out the form on behalf of someone with hearing or speech impairments, make sure to gather all the relevant information from them beforehand.
04
Read all the instructions carefully before starting to fill out the form. If you have any doubts or questions, seek assistance from someone who can effectively communicate with individuals with hearing or speech impairments.
05
Fill out the form step by step, following the provided sections and prompts. Take your time and double-check the information you enter to ensure accuracy.
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If there is a section in the form that you are uncertain about how to complete, leave it blank and seek guidance from someone who can assist you.
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Once you have filled out all the required sections, review the form again to ensure everything is complete and accurate.
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If necessary, attach any supporting documents or appendices as instructed.
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Finally, submit the completed form as per the specified instructions. If there is an option to submit the form online, consider using it to ensure faster processing.

Who needs hearing or speech impared?

01
Individuals with hearing impairments who require accommodations to effectively communicate and interact with others.
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Individuals with speech impairments who struggle to articulate their thoughts or express themselves verbally.
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People with both hearing and speech impairments who may require specialized assistance and accommodations for effective communication.
04
Caregivers, family members, or friends who are assisting individuals with hearing or speech impairments in navigating various processes or forms.
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Professionals in fields like speech therapy, audiology, or special education who work with individuals with hearing or speech impairments.
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Hearing or speech impaired refers to individuals who have difficulty hearing or communicating verbally.
Individuals who are hearing or speech impaired are required to file for accommodations based on their specific needs.
To fill out hearing or speech impaired, individuals can provide documentation of their impairment and request appropriate accommodations.
The purpose of hearing or speech impaired accommodations is to ensure that individuals with impairments have equal access to communication and information.
Information regarding the type and degree of impairment, as well as specific accommodations needed, must be reported on hearing or speech impaired forms.
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