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Get NC NCBLE Form B1

To be completed by the qualified professional who is recommending test accommodations on the bar examination for you on the basis of a visual disability. Please read, complete, and sign below before submitting this form to the qualified professional for completion of the remainder of this form. Applicant s full name: Date(s) of evaluation/treatment: Applicant s date of birth: SSN : I give permission to the qualified professional completing this form to release the information requested o.

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