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Ia request courtesy health related template 2026
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- Click ‘Get Form’ to open the ia request courtesy health related template in the editor.
- Begin by entering your name and the exam date at the top of the form. This information is essential for identifying your request.
- In section one, list any assistive devices you wish to bring into the secure exam area. Be sure to explain why each device is necessary for your health-related condition. If needed, attach an additional sheet.
- For section two, select your nonstandard accommodation requests by checking the appropriate boxes. Provide a brief explanation of why these accommodations are necessary for your health.
- If applicable, describe any special arrangements you would like for lactating purposes in section three.
- Finally, ensure you attach any required medical documentation that verifies your conditions and sign and date the form before submission.
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These forms can be found below. Request for Courtesy Accommodation for Health-Related Conditions (PDF)
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