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Get 4. Physical Disability Verification Form - Famu

Amed below may be eligible for accommodations at Florida A&M University. In order to provide services we must have verification of the disability. It is understood that information on this form is provided with a written release from the below named student (see attached page) and will be used in confidence for the educational benefit of the student. First Name Middle Initial Last Name 1. Description of disability (ies) and date of diagnosis (es):.

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