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Get IL VSD 800 2010

Signed and completed. Side A must be completed by the physician and Side B must be completed by the applicant. DEFINITION: “PERSONS WITH DISABILITIES” (625 ILCS 5/1-159.1) “A natural person who, as determined by a licensed physician: (1) cannot walk without the use of, or assistance from, a brace, cane, crutch, another person, prosthetic device, wheelchair, or other assistive device; (2) is restricted by lung disease to such an extent that his or her forced (respiratory) expiratory volume .

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