In order for all our blind and physically or developmentally disabled friends to receive free mailing of our audio books, the U.S. Post Office requires that we have a disability form on file for each patron stating their disability and signed by a competent authority. 

PLEASE HAVE A DOCTOR, NURSE, THERAPIST, LIBRARIAN OR PROFESSIONAL STAFF OF A CHURCH, INSTITUTION OR SOCIAL WELFARE AGENCY CERTIFY YOUR ELIGIBILITY BELOW. Email to: [email protected] 

I certify that the applicant named is unable to read or use standard printed material due to:

1 ____ TOTALLY BLIND

2 ____ LEGALLY BLIND - persons whose visual acuity, as determined by a competent authority, is 20/200 or less in the better eye with correcting glasses, or whose widest diameter of visual field subtends an angular distance no greater than 20 degrees.

3 ____ VISUALLY IMPAIRED - persons who need aids other than regular glasses for reading standard printed materials.

4 ____ PHYSICALLY DISABLED - persons unable to turn pages or comfortably hold a book for extended periods of time.

5 ____ READING DISABLED - persons having a certifiable reading disability. FEDERAL LAW REQUIRES CERTIFICATION BY A DOCTOR OF MEDICINE OR OSTEOPATHY.

Include the following info. Doctor name, title, address, phone contact 

In order for all our blind and physically or developmentally disabled friends to receive free mailing of our audio books, the U.S. Post Office requires that we have a disability form on file for each patron stating their disability and signed by a competent authority. 

PLEASE HAVE A DOCTOR, NURSE, THERAPIST, LIBRARIAN OR PROFESSIONAL STAFF OF A CHURCH, INSTITUTION OR SOCIAL WELFARE AGENCY CERTIFY YOUR ELIGIBILITY BELOW. Email to: [email protected]  

I certify that the applicant named is unable to read or use standard printed material due to:

1 ____ TOTALLY BLIND

2 ____ LEGALLY BLIND - persons whose visual acuity, as determined by a competent authority, is 20/200 or less in the better eye with correcting glasses, or whose widest diameter of visual field subtends an angular distance no greater than 20 degrees.

3 ____ VISUALLY IMPAIRED - persons who need aids other than regular glasses for reading standard printed materials.

4 ____ PHYSICALLY DISABLED - persons unable to turn pages or comfortably hold a book for extended periods of time.

5 ____ READING DISABLED - persons having a certifiable reading disability. FEDERAL LAW REQUIRES CERTIFICATION BY A DOCTOR OF MEDICINE OR OSTEOPATHY.

Include the following info. Doctor name, title, address, phone contact