Get Special Accommodation Form - Kansas Department On Aging

Filling out the Special Accommodation Form is a crucial step for individuals seeking reasonable accommodations for state tests administered by the Kansas Department On Aging. This guide provides clear instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Special Accommodation Form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by providing your personal details in section A. This includes your name, address, home phone number, work phone number, and social security number.
3. In section B, indicate the reason for your accommodation request. You may check all applicable boxes such as Deaf, Hard of Hearing, Visually Impaired, Physical Disability, Special Learning Disability, Psychological Disability, or Other. If needed, provide explanations for the reasons checked.
4. Proceed to section C, where you will check the requested accommodations. Options include Reader/Oral Test (for Nurse Aide Test only), Sign Language Interpreter, Large Print, Extended Time, Time and a half, and Double Time.
5. In section D, respond to whether the same accommodation was requested during the Nurse Aide or Home Health Aide course. If the answer is no, briefly explain why it was not requested.
6. Finally, sign and date the form to attest that the information provided is accurate and complete. Be sure to save the changes made to the form.
7. After completing your section, make sure that the instructor completes the back side of the form as required.
8. Once both sections are complete, you can save the changes, download, print, or share the completed form as needed.

Complete your Special Accommodation Form online today to ensure your testing needs are supported.