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GRAY DAVIS, Governorate OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCYDEPARTMENT OF HEALTH SERVICES 714/744 P Street P.O. Box 942732 Sacramento, CA 942347320 (916) 6570258August 31, 2000TO:All All All Account
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Fill out your personal information such as name, address, and contact information.
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Provide details about your disability, including when it started, how it affects your daily life, and any treatments you are receiving.
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Include information about your work history, education, and any previous applications for disability benefits.
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Attach any supporting documents such as medical records, doctor's notes, and test results.

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Individuals who have a disability that prevents them from working and are seeking disability benefits.
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MC 221 - disability is a form used to report any disabilities that require special accommodations for the California Educational System.
Students with disabilities who need accommodations in the California Educational System are required to file MC 221 - disability.
MC 221 - disability can be filled out by providing information about the student's disability and the needed accommodations. The form must be signed by the student and a qualified professional.
The purpose of MC 221 - disability is to ensure that students with disabilities receive the necessary accommodations to participate in the California Educational System on an equal basis with their peers.
The information that must be reported on MC 221 - disability includes details about the student's disability, the recommended accommodations, and any relevant medical documentation.
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