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CITY OF SOMERVILLE, MASSACHUSETTS MAYORS OFFICE OF STRATEGIC PLANNING & COMMUNITY DEVELOPMENT JOSEPH A. CURBSTONE MAYOR GEORGE J. CROAKS EXECUTIVE DIRECTOR Planning Division ZONING BOARD OF APPEALS
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How to fill out provision of disability determination

01
Obtain the necessary application form for disability determination.
02
Fill out the personal information section of the form, including your name, address, contact information, and social security number.
03
Provide detailed information about your medical condition or disability, including the nature of the condition, symptoms, and any treatment or medication you have received.
04
Include any medical reports, test results, or other supporting documentation that can help strengthen your case for disability determination.
05
Complete the employment history section, providing details about your past work experience and any limitations or challenges you faced due to your disability.
06
Sign and date the form, acknowledging that the information provided is true and accurate to the best of your knowledge.
07
Submit the completed form and all supporting documentation to the relevant disability determination agency or organization.
08
Follow up with the agency or organization to ensure that your application is being reviewed and processed, and provide any additional information or documentation as requested.
09
It may be helpful to seek assistance from a healthcare professional or disability advocate to ensure that you accurately and effectively fill out the provision of disability determination.

Who needs provision of disability determination?

01
Anyone who believes they have a disability or medical condition that significantly impacts their ability to work or perform daily activities may need a provision of disability determination.
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This could include individuals with physical disabilities, chronic illnesses, mental health conditions, or other impairments that limit their functional capacity.
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The provision of disability determination is often sought by those who need to access disability benefits, apply for reasonable workplace accommodations, or obtain other forms of support or assistance for their disability.
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It is important to consult with a healthcare professional or legal expert to determine if the provision of disability determination is necessary or beneficial in your specific situation.
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