Disability Verification Form
Form Template
If you are disabled between 18 and 54 years of age, please have the Disability Verification For mobile app completed by a medical specialist.
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Complete the application and the disability form and submit when proof of disability is required for services.
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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”
