Report of Legal Blindness-Request for information 2026

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  1. Click ‘Get Form’ to open the Report of Legal Blindness in the editor.
  2. Begin by filling out the Patient Information section. Enter the patient's name, sex, birth date, and social security number. Ensure all fields are completed accurately to avoid delays.
  3. In Part A, check the appropriate condition and cause of blindness. This includes options like 'Blindness, both eyes, no light perception' or 'Blindness, better eye, with best correction not more than 20/200'.
  4. Provide the Vision Diagnosis and details about the examiner including their name, profession, exam date, and contact information.
  5. If applicable, complete the Parent/Guardian section for individuals under 18 by entering their details.
  6. In Part B, if seeking information from NYSCB, specify how they can assist with household tasks or job preparation. Include a contact person’s phone number if necessary.
  7. Review all entered information for accuracy before submitting. Use our platform's features to save your progress or share it directly with relevant parties.

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If you arent totally blind, you must get a certified statement from an eye doctor (ophthalmologist or optometrist) that: You cant see better than 20/200 in the better eye with glasses or contact lenses, or. Your field of vision is 20 degrees or less.
Statutory blindness is defined in the law as central visual acuity of 20/200 or less in the better eye with the use of correcting lens.
To know if you are legally blind you can look at your glasses or contact lens prescription. Typically, if your prescription number is below -2.5, you are classed as legally blind since you need to be standing much closer to an object to see it clearly than someone with regular vision.

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Translation: If you wear your glasses or contacts (or both) and then are measured on an eye chart as seeing 20/200 or less, or if the width of vision for both your eyes totals an arc of 20 degrees or less, you are legally blind according to this federal definition.
According to that definition, legally blind means at least one of the following applies: You have 20/200 (or worse) eyesight, even with correction. This means that even with glasses or contacts, you still have 20/200 eyesight or worse eyesight in the center of your field of view.
Visual field tests measure the range of vision and detect any areas where sight is reduced or lost. Legal blindness can also be determined by a visual field of 20 degrees or less, often described as tunnel vision.

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