FAQs on Applying!

Have questions about applying and if you qualify?
Review the FAQs for answers.

There are five circular photos with yellow lines connecting five individuals. Photo descriptions from left to right: 1) A woman sitting on a couch next to a wooden table. The table has a photo, lamp and a landline telephone with enlarged dial pad. The woman has dark skin, medium length hair, is wearing a white turtleneck top and is smiling while holding the telephone to her ear. 2) A girl with fair skin and strawberry blonde medium length hair is looking up to her left, away from the camera. She is wearing a tie-dyed sweatshirt. She has a feeding tube taped on her cheek. She is holding a tablet in both of her hands. 3) A man with dark skin and shaggy medium hair is looking away from the camera to his right. He is wearing a yellow shirt, silver necklace with pendant and a cordless headset phone. 4) A woman is sitting in front of her desk with a blue wall and a frame behind her. On her desk is a landline telephone and flowers. The woman has fair skin and red hair. She is wearing a pastel peach color buttoned up shirt and a black blazer. She is holding the telephone to her ear and is smiling. 5) A man with dark skin and short hair is smiling away from the camera to his right. He is wearing glasses, an orange shirt and a plaid buttoned shirt that is left open. He also is wearing a hearing device around his neck.

Application Support

How to complete the Medical Professional Information section

Contact Information

Fill out the professional information for the medical professional or certifying agent that is verifying the consumer’s disability.

上傳輔助文件

This section is optional. If you have supporting documentation to verify a consumer’s disability you may upload it here. The documentation must meet the following criteria:

File Format and Size

You can upload the following types of files:

PDF
Doc
Docx

Files must be 1 MB or less.

To find the size and format of your file you can:

Windows:
- Right-click the file
- Select "Properties"
- A window will open showing information about your file
Mac
- Select the file
- Press Command + i on your keyboard
- A window will open showing information about your file

Acceptable Documentation

Your application will be considered complete without filling out the Medical Professional Information if you can upload one of the following:

Prescription
Reports including:
- Audiogram
- Vision Exam
- Health Certificate
Signed note or letter from a Medical Professional

Required Information

Your supporting documentation needs to be dated within the last two years and include the Medical Professional’s:

Full Name
Telephone Number
State license number (if applicable)

The document must also clearly indicate the applicant's disability.

Unacceptable Information

Do not include any documents that list your client's:

Social security number
Banking information
Credit card number
Identification number

專業人員簽名

Click the signature box and draw your signature.