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STUDENT DISABILITY SERVICES Application for Services Page 1 Name:ID #:Date: Date of Birth: Gender: Email address: Permanent (HOME) Address: School Address (if different): Phone Numbers: HomeCellSchoolOtherList
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01
Download the disability services request form in the docx format.
02
Open the form using a compatible word processing software, such as Microsoft Word.
03
Fill in your personal information, including your name, contact details, and student ID number.
04
Specify the type of disability or impairment you have and provide any relevant medical documentation or diagnosis.
05
Indicate the specific accommodations or services you are requesting, such as extra time for exams or wheelchair accessibility.
06
Provide any additional information or details that may be helpful for evaluating your request.
07
Review the completed form for accuracy and completeness.
08
Save the form as a new document or export it as a PDF file for submission.
09
Submit the completed disability services request form by following the instructions provided by your educational institution.

Who needs disability services request formdocx?

01
Anyone who requires disability services or accommodations at an educational institution may need to fill out the disability services request form.
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The disability services request formdocx is a document used to request services and accommodations for individuals with disabilities.
Individuals with disabilities who require services and accommodations are required to file the disability services request formdocx.
To fill out the disability services request formdocx, individuals need to provide information about their disability, the services needed, and any supporting documentation.
The purpose of the disability services request formdocx is to ensure that individuals with disabilities have access to the services and accommodations they need to participate fully in activities.
Information such as the individual's disability, the services needed, any supporting documentation, and contact information must be reported on the disability services request formdocx.
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