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Exhibit No. 1 Language/Alternate Format Designation FormSomersworth Housing Authority Central Office: 25 Bartlett Ave Suite A, Somersworth, N.H. 03878 Phone (603) 6922864 Fax (603) 6922877 TDD (800)
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To fill out the language alternate format designation form, follow these steps:
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Obtain a copy of the form either online or by contacting the appropriate organization or agency.
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Read the instructions provided with the form carefully to understand the purpose and requirements of the form.
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Provide your personal information, such as your name, contact information, and any identification numbers required.
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Indicate the language or format in which you require alternate communication. This could be a specific language, sign language, braille, large print, audio, or any other accessible format.
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If there are any additional preferences or accommodations needed, provide detailed information regarding those preferences.
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Sign and date the form at the designated space.
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Submit the completed form to the designated organization or agency either by mail, email, or in person.
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Ensure that you keep a copy of the filled-out form for your records.

Who needs languagealternate format designation form?

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The language alternate format designation form is needed by individuals who require communication accommodations due to language barriers or disabilities. This form is typically used by organizations, agencies, or service providers to ensure effective communication and accessibility for individuals with different language needs or disabilities. It allows individuals to specify their preferred alternate format for receiving information or participating in programs, services, or activities. Anyone who faces difficulties understanding or accessing information in the standard format may benefit from using this form.

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