REQUEST FOR SPECIAL ACCOMMODATIONS

If you have a disability that requires special testing accommodations, please complete this form and the Documentation of Disability-Related Needs and return it to your IC&RC member board for processing. The information you provide and any documentation regarding your disability and your need for accommodations in testing will be treated with strict confidentiality. Submitted documentation must follow ADA guidelines in that psychological or psychiatric evaluations must have been conducted within the last three years.  All medical/physical conditions require documentation of the treating physician’s examination conducted within the previous three months.

If this applies to you, please download the Special Accommodations form, have your physician complete it and submit it to the NHPCB, 501 South Street, 2nd Floor, Bow, NH 03304.  We are happy to work with you to accommodate your needs.

Special_Accommodations_Form Revised 10.12