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Exam Candidate Name Licensed Professional Please Print your Name Phone Number Fax Number E-Mail License Number State of Licensure Board Certification Signature of Professional Date Candidate s diagnosis and your recommendation on back page Attach additional pages if needed. Page 4 Diagnosis Note mental and emotional disabilities must include diagnosis code from DSM-III-R or DSMIV. ACCOMMODATIONS REQUEST PACKET After completing these forms please Fax to 410-385-8504 OR Mail To Testing...
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How to fill out accommodations request

01
Start by obtaining the accommodations request form from the appropriate authority.
02
Read and understand the instructions mentioned in the form.
03
Provide your personal details like name, contact information, and identification number.
04
Specify the type of accommodation you require, such as visual aids, assistive technology, or physical accessibility modifications.
05
Explain why you need the accommodations and how it will support your participation or performance.
06
Attach any supporting documents, medical certificates, or evaluations that validate your need for accommodations.
07
Submit the completed accommodations request form along with all the necessary documents to the designated office or individual.
08
Wait for the review process to be completed, and keep track of any communication regarding your request.
09
If your request is approved, make sure to follow any instructions or guidelines provided by the authority.
10
If your request is denied, consider seeking further guidance or appealing the decision if you believe it was unjust.

Who needs accommodations request?

01
Individuals with disabilities or special needs may require accommodations.
02
Students or employees with physical impairments, sensory disabilities, learning difficulties, or medical conditions may need accommodations.
03
People who face barriers in accessing or participating in certain activities due to their disabilities are the ones who generally need accommodations.
04
Whether it is in an educational setting, workplace, public facility, or any other relevant context, accommodations are provided to ensure equal opportunities and inclusion.

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