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Academic Year:___ Summer Fall SpringWOODLAND COMMUNITY COLLEGE Department of Supportive Programs and Services (DSP) 2300 East Gibson Road, Building 700, Room 764, Woodland, CA 95776 Phone: (530) 6615797

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How to fill out disability verification and consent

01

Obtain the disability verification and consent form from the appropriate organization or healthcare provider.

02

Fill out all the required personal information accurately, including name, address, contact information, and date of birth.

03

Provide details about the disability, such as the diagnosis, limitations, and any other relevant medical information.

04

Sign and date the form to certify that all the information provided is true and accurate.

05

Submit the completed form to the relevant party, either electronically or by mail.

Who needs disability verification and consent?

01

Individuals applying for disability benefits or accommodations

02

Employers or organizations requesting proof of disability for accommodations or assistance

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What is disability verification and consent?

Disability verification and consent is a process where individuals provide documentation to confirm their disability status and give permission for their information to be shared.

Who is required to file disability verification and consent?

Individuals who are seeking accommodations or services based on their disability are required to file disability verification and consent.

How to fill out disability verification and consent?

To fill out disability verification and consent, individuals need to provide documentation of their disability from a qualified professional and sign a consent form allowing the sharing of their information.

What is the purpose of disability verification and consent?

The purpose of disability verification and consent is to ensure that individuals with disabilities receive the appropriate accommodations and services they need.

What information must be reported on disability verification and consent?

Information such as the type of disability, limitations and impact on daily activities, and recommended accommodations must be reported on disability verification and consent.

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