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M14.4, Room W56403 1200 New Jersey Avenue SE Washington, DC 20590 Voice: (202) 4930625, TTY: (202) 3665273, Confidential Fax: (202) 4932391 Email: DRC×dot.gov Website: http://www.dot.gov/drcCONFIDENTIAL
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Open the drcaccommodation-request-form-v41511doc - us department document
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Read the instructions carefully before filling out the form
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Start by providing your personal information such as your name, address, and contact details
04
Fill in the section related to the nature of your disability or impairment
05
Specify the accommodations or adjustments you are requesting
06
Provide any supporting documentation or evidence to support your request
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Sign and date the form to confirm the accuracy of the information provided
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Submit the completed form to the appropriate department or authority

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Anyone who requires accommodations or adjustments due to a disability or impairment needs drcaccommodation-request-form-v41511doc - us department. This form is specifically designed to address the needs of individuals who require accommodations in various settings such as education, employment, or public services.

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drcaccommodation-request-form-v41511doc - us department is a form used to request accommodation from the US Department.
Any individual or organization seeking accommodation from the US Department must file drcaccommodation-request-form-v41511doc.
To fill out the form, you need to provide personal information, details of the accommodation request, and any supporting documents.
The purpose of the form is to request accommodation from the US Department to ensure equal access and opportunity.
The form requires personal information, details of the accommodation needed, and any relevant supporting documents.
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