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For Office Use Only ----Verification of Disability - astate

For Office Use Only ----Verification of Disability - astate 2026

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The document is an application form for Disability Services at Arkansas State University, designed for new and prospective students seeking assistance due to disabilities. It collects personal information, details about the applicant's disability, educational background, and specific services needed. The form also includes sections for emergency procedures and authorization to release medical information, ensuring compliance with the Americans with Disabilities Act.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information, including your last name, first name, ASU Student ID#, birth date, and email address. Ensure all details are accurate for effective processing.
Fill in your local and home addresses along with contact numbers. This information is crucial for communication regarding your application.
In the 'For Office Use Only' section, leave space for the verification date and the name and title of the person verifying your disability.
Detail your disabilities in the 'ABOUT YOUR DISABILITY' section. Clearly describe each condition and any relevant medical history to provide context.
Indicate any services you may require by checking the applicable boxes under 'GENERAL SERVICES' and 'TESTING SERVICES'.
Review all entries for accuracy before saving or submitting your form through our platform.

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How do I verify disability UVA?

Verification of Disability Form Our preferred method of submission is via docHub. If the treating provider is currently under supervision, they should download and fax back the form to SDAC at (434) 243-5188. Alternative formats available for this form: Verification of Disability form (PDF)

Does ASU have disability services?

ASU Student Accessibility and Inclusive Learning Services is the central campus resource for students with disabilities to ensure access to their education and help increase awareness in the university community.

How do employers verify disability?

Do You Need Proof? You typically will not need to supply proof of a disability to an employer in California. If you have an obvious disability, most employers will accommodate your needs without requiring further documentation.

What is a verifiable disability?

A physical, mental or emotional impairment that is expected to be of long-continued and. indefinite duration; substantially impedes his or her ability to live independently; and is of such a. nature that ability to live independently could be improved by more suitable housing conditions