Form N-648, Medical Certification for Disability Exceptions
Location (if different from business address on Page 1; otherwise type or print "same as business address") Years. Months. Form N-648 05/23/19 Page 3. 6. Has the applicant's disability and/or impairments lasted, or do you expect it to last, 12 months or more? 7. Is the applicant's disability and/or impairments the result of the applicant's ... ................
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