How to Document a Disability

The De Anza College Disability Verification form is required to document most disabilities.  It must be dated within one year and signed by an appropriate professional.  For more information on eligible disability conditions and professionals authorized to verify them, see Disability Definitions/Documentation.

The Disability Verification Packet contains 4 items. Students should print all four items to take to their treating professional.

To complete the verification process, a prospective DSS student must

1. Click on Disability Verification Packet to open the PDF documents.
2. Complete  Student Section at the top of the Disability Verification form

   • Fill in the fields on the PDF form on-line OR
   • Fill in by hand AFTER packet is printed

3. Print all four items in the packet.
4. Provide this entire packet to your treating professional/doctor to complete and sign.
5. After the Disability Verification Form is completed and signed by the treating professional or doctor, it should be returned to
   
   Disability Support Services
   De Anza College
   21250 Stevens Creek Blvd.
   Cupertino, CA 95124
   FAX 408.864.5492
6. The fastest return method is by FAX directly to the DSS office at 408.864.5492.
7. The form may also be returned by hand, or by mail.
8. Upon receipt, the DSS office staff will telephone to schedule and Intake-Appointment.

NOTE: Use Adobe Acrobat Reader 5.0 to open and print document.