Get the free Disability Disclosure Form – Mobility Impairment - northeastern

This form is used by students at Northeastern University to request services from the Disability Resource Center, requiring documentation of disabilities related to mobility impairments.

How to fill out disability disclosure form mobility

How to fill out Disability Disclosure Form – Mobility Impairment

1. Obtain the Disability Disclosure Form – Mobility Impairment from your institution or organization.
2. Read the instructions carefully to understand the required information.
3. Fill out your personal details, including your name, contact information, and any identification number if required.
4. Indicate the nature of your mobility impairment in the designated section.
5. Provide any supporting documentation or medical evidence as required.
6. Specify the accommodations you need to assist with your mobility impairment.
7. Review the completed form for accuracy and completeness.
8. Submit the form to the appropriate office or individual as specified in the instructions.

Who needs Disability Disclosure Form – Mobility Impairment?

1. Individuals who have a diagnosed mobility impairment.
2. Students seeking accommodations in educational settings due to mobility challenges.
3. Employees requiring workplace adjustments to facilitate mobility in their job.
4. Persons applying for disability benefits related to mobility impairments.

People Also Ask about

What is the difference between a physical disability and a mobility disability?

Mobility is the ability to move. A disability is the result of an impairment that affects a person's ability to carry out tasks. For example, a person may find it difficult to walk very far due to joint pain. Not all disabilities affect mobility.

What is an example of a disability disclosure statement?

“I have (provide the preferred term for your disability). I have (list your key skills/abilities) and can perform the essential functions of this job, but sometimes (indicate your functional limitations) might interfere with my ability to (describe the duties you may have difficulty performing).

What is an example of a disability statement?

E.g. “I attended my GP with symptoms of suspected [disability] on [date]. I was referred to a specialist consultant on [date] and after further tests was diagnosed with [disability] on [date].”

What is an example of a disability disclosure?

“I have (provide the preferred term for your disability). I have (list your key skills/abilities) and can perform the essential functions of this job, but sometimes (indicate your functional limitations) might interfere with my ability to (describe the duties you may have difficulty performing).

What do you say on disability forms?

Generally, if you choose to disclose, it is most helpful to share the following: General information about your disability; Why you are disclosing your disability; How your disability affects your ability to perform key job tasks; Types of accommodations that have worked for you in the past; and.

How do I disclose my disability to my employer?

You are not required to disclose your disability. If you do disclose that you have a disability, you do not necessarily need to disclose what that disability is - though in many states the employer can ask the name of the disability. It is often recommended to be as vague as you can be.

For pdfFiller’s FAQs

What is Disability Disclosure Form – Mobility Impairment?

The Disability Disclosure Form – Mobility Impairment is a document used to formally disclose an individual's mobility-related disabilities for the purpose of receiving necessary accommodations or support.

Who is required to file Disability Disclosure Form – Mobility Impairment?

Individuals who have a mobility impairment and require accommodations in educational, workplace, or other environments are typically required to file this form.

How to fill out Disability Disclosure Form – Mobility Impairment?

To fill out the form, individuals must provide personal information, details about their mobility impairment, and specify the accommodations they require.

What is the purpose of Disability Disclosure Form – Mobility Impairment?

The purpose of the form is to ensure that individuals with mobility impairments receive appropriate accommodations to facilitate their access and participation in various settings.

What information must be reported on Disability Disclosure Form – Mobility Impairment?

The form typically requires personal identification details, a description of the mobility impairment, medical documentation, and a list of specific accommodations needed.