Get 4. Physical Disability Verification Form - Famu

Completing the 4. Physical Disability Verification Form for Florida A&M University is an essential step in securing necessary accommodations for students with disabilities. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the physical disability verification form and open it in your document editor.
2. Begin by entering the student’s first name, middle initial, and last name at the top of the form.
3. In the first section, provide a detailed description of the disability or disabilities, along with the date of diagnosis. Be thorough, as this information is crucial for verifying eligibility for accommodations.
4. Next, describe the severity of the student's functional limitations. Include specifics, such as limitations in mobility, visual acuity, or hearing loss. Attach any supporting documentation if necessary.
5. List any prescribed medications and their dosages in the designated section. This information may be relevant for understanding the student’s needs.
6. Indicate whether the disabilities mentioned are permanent/chronic or temporary, and specify a date if it is temporary.
7. In the next section, suggest accommodations that would assist the student in their academic environment. Ensure these suggestions align with the disabilities listed.
8. Mark whether the disability is observable or not observable in the respective section.
9. Indicate whether the information in this verification form may or may not be released to the student.
10. Finally, the certifying professional should print their name, provide a signature, job title, license number, address, phone number, city, state, zip code, and date.
11. Once the form is completed, save your changes, and then download, print, or share the document as required.

Complete your documents online to ensure timely submission and support for your accommodations.