An applicant for participation in TEAP shall submit or arrange to be submitted on the applicant's behalf a certification of disability by providing the following information on the “Telecommunications Equipment Assistance Program Certification of Disability” form:

1. (a) The applicant's name;
2. (b) The applicant's disability;
3. (c) The name, address, and telephone number of an appropriate professional certifying that the applicant has a disability;
4. (d) The signature of such certifying professional to a statement preprinted on the form which declares that he or she certifies that the applicant has a disability that makes it difficult or impossible to use a standard telephone; and
5. (e) The date of signing by the certifying professional.

Source. #7636, eff 1-30-02, EXPIRED: 1-30-10 New. #10128, INTERIM, eff 5-16-12, EXPIRED: 11-13-12 New. #10340, eff 5-17-13; ss by #13811, eff 11-23-23