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Formed (IV) Formic Disability Certificate (In cases other than those mentioned in Forms II and III) (NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE) (See rule 4) Recent PP size

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Individuals with disabilities who require certification of their disability status for official purposes are required to file Form IV Disability Certificate.

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The purpose of Form IV Disability Certificate is to officially certify an individual's disability status for accessing benefits, accommodations, or support services.

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Information such as personal details, type of disability, severity of disability, and any supporting documentation must be reported on Form IV Disability Certificate.

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