Get Bph App Test.indd - West Virginia Library Commission - Librarycommission Wv

The BPH App Test form is an essential document for individuals seeking library services specifically tailored for those who are blind or physically handicapped. This guide walks you through the process of completing the application online, ensuring that you provide the necessary information accurately and efficiently.

Follow the steps to fill out the BPH App Test form effectively.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Complete the personal information section: Enter your last name, first name, and middle name as prompted. Fill in your address details, including street, city, county, state, and ZIP code.
3. Provide your contact information: Enter your daytime telephone number with area code, evening telephone number if applicable, and your email address.
4. Indicate your date of birth by providing the format as requested. Specify your gender by checking the appropriate box.
5. Designate a contact person: Include the name and daytime telephone number of a person who can be reached if you are unavailable.
6. Assert your military service: If applicable, check the box indicating that you have been honorably discharged from the armed forces.
7. Specify your disability: Indicate the primary disability that limits your ability to read regular printed material by checking one of the provided boxes.
8. If relevant, denote any hearing impairment and specify the degree of hearing loss.
9. Have a certifying authority complete the necessary section confirming your eligibility. This includes their signature, date, and personal details.
10. Select your reading preferences by checking either option A or B and provide details about the types of books you are interested in if you choose option B.
11. Select the materials and services you wish to receive by checking the corresponding boxes for books, magazines, equipment accessories, and additional services.
12. Review your completed application for accuracy and make corrections as needed. Once finalized, save your changes and choose the option to download, print, or share the form for submission.

Complete the BPH App Test form online today to gain access to essential resources and services.