Get the free Disability Services Intake Form - Eastern Illinois University

Students with Autism Transitional Education Program (STEP) Klein Hall, Room 1311 Eastern Illinois University 600 Lincoln Avenue Charleston IL 619203099 2175816361) 2175817105 (Fax)RELEASE OF INFORMATION

How to fill out disability services intake form

How to fill out disability services intake form

1. To fill out the disability services intake form, follow these steps:
2. Start by obtaining the intake form from the disability services office or their website.
3. Carefully read through the entire form, understanding the instructions and requirements.
4. Begin by entering your personal information such as your name, address, phone number, and email address.
5. Provide information about your disability, including its nature, severity, and any medical diagnoses or documentation supporting your disability.
6. Specify the types of accommodations or services you require to help overcome your disability-related barriers.
7. If applicable, indicate any specific equipment, technology, or support personnel you may need.
8. Answer any additional questions or sections on the form that pertain to your particular situation or the services you are seeking.
9. Review your responses before submitting the form to ensure its accuracy and completeness.
10. Sign and date the form to certify that the provided information is true and accurate.
11. Submit the completed form to the disability services office by the designated method. This may include in-person drop-off, mailing, or electronic submission.
12. Keep a copy of the form for your records as proof of submission.

Who needs disability services intake form?

1. The disability services intake form is typically required for individuals who:
2. - Have a disability or impairment that may require accommodations or support services in an educational, professional, or public setting.
3. - Are seeking assistance, resources, or accommodations to overcome barriers related to their disability.
4. - Plan to access disability services provided by a specific organization, institution, or agency.
5. - Require legal documentation or verification of their disability for eligibility purposes.
6. - Wish to disclose their disability and request appropriate accommodations or modifications in a respectful and confidential manner.

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What is disability services intake form?

Disability services intake form is a document used to collect information about an individual's disability in order to assess their needs and eligibility for services.

Who is required to file disability services intake form?

Individuals who have a disability and are seeking services or accommodations may be required to file a disability services intake form.

How to fill out disability services intake form?

To fill out a disability services intake form, individuals are typically required to provide information about their disability, medical history, and any accommodations or services they may need.

What is the purpose of disability services intake form?

The purpose of disability services intake form is to gather important information about an individual's disability in order to determine what services or accommodations they may need.

What information must be reported on disability services intake form?

Information such as details about the individual's disability, medical history, and any specific services or accommodations needed must be reported on the disability services intake form.