Disabiity Support Services

Disability Support Services Department

Disability Definitions and Documentation

Eligibility for disability services is based on an individual's condition
which must--

  1. Fall within the diagnostic categories listed below, and
  2. Impair a major life activity, and
  3. Pose an educational limitation for which accommodation is required and appropriate

De Anza College uses the information requested on the Disability Verification Form for the purpose of determining a student’s eligibility to receive authorized special services provided by the Disabled Students Programs and Services.   The Definitions here per the State of California Administration Code, Title 5, Section 56032 to 56044

Community College Definition* Qualified
Important Notes
Physical Disability Visual, mobility or orthopedic impairment Medical Doctor, O.D.  

Visual Impairment

Total or partial loss of sight:  in best eye, with best correction, 20/200=legal blindness or
20/70 =partial sight
M.D, Opthalmologist, Optometrist  
Mobility, Orthopedic Impairment Serious limitation in locomotion or motor function M.D, O.D., see Comments D.C.accepted for disabilities related to the back
Hearing impairment Loss of hearing which impedes the communication process essential to language, educational, social and/or cultural interactions. Audiologist, M.D. Submit: De Anza Disability Verification form and audiogram within last 3 years.
  • Deaf
Requires use of communication mode other than oral, including sign language Audiologist , M.D. Submit: De Anza Disability  Verification form and audiogram within last 3 years.
  • Hard of Hearing
  1. Severe=avg. loss in better ear, 55 db.
  2. Mild-Moderate=avg. unaided loss in better ear 35-54db.; aided, 20- 54 db. or greater
  3. Speech discrimination less than 50%
  4. Documentation of rapid l
Audiologist, M.D. Submit: De Anza Disability Verification form and audiogram within last 3 years.
Speech and language impairment Speech/language disorders of voice, articulation, rhythm and/or the receptive and expressive language processes Licensed Speech Professional NOT caused by acquired brain injury, physical, psychological or hearing impair- ments.
Learning Disabilities

Cognitive ability test standard scores (usually WAIS III or WJ III),

Achievement test standard scores (usually the WJ III or the WIAT II)

PhD Psychologsist,

College LD Specialist, Other appropriate professional

Acquired Brain Impairment Deficit in brain functioning caused by external or internal trauma, resulting in loss of cognitive, communicative, motor, psychosocial and/or sensory-perceptual abilities.

M.D. Neurologist,


Submit recent Neuropsych Report, if available


Not applicable:

conditions induced or present at birth, or progressive and/or degenerative in nature.

Developmentally Delayed Learner A DDL student is one who exhibits the following:
a) below average intellectual functioning; and
b) potential for measurable achievement in the instructional setting.
Submit test results or Regional Center certification. For more information on specific tests/ 
scores, contact DSS at 408. 864.8753
Psychological Disability
  • persistent psychological or psychiatric disorder, or emotional or mental illness
  • moderate or severe on Axis I or II in the DSM
  • interferes with a major life function
  • poses an educational limitation.
Psychiatrist; PhD. Psychologist, LMFT or LCSW (indicate license #) Not qualified: DSM V Codes, developmental        disorders,
sexual behavior disorders; compulsive gambling,         
kleptomania, or pyromania and psychoactive substance abuse disorders resulting from current illegal use
ADD/ADHD Meets DSM diagnostic criteria and poses an educational limitation Psychiatrist; PhD. Psychologist, LMFT or LCSW (indicate license #)  
Other Disabilities Health conditions that
  • limit a major life activity
  • present an educational limitation and
  • require support services or instruction
Licensed Certified Professional who is legally qualified to diagnose the disability in question Examples include, but are not limited to: heart conditions, renal failure, tuberculosis, AIDS, diabetes

For further information on qualifying disabilities and/or signature and documentation requirements, call Disability Support Programs and Services Division at 408.864.8407.

Personal information recorded on this form will be kept confidential in order to protect against unauthorized disclosure. Portions may be shared with the Chancellor’s Office of
the Calif. Community Colleges or other state or federal agencies, in such a manner as to comply with applicable statues regarding confidentiality, including the Family Educational Rights & Privacy Act (20 U.S.C. 1232(g). Pursuant to Sect. 7 of the Federal Privacy Act (P.L. 93-578, 5 U.S.C. 552a, note), providing your social security number is voluntary. The information is being collected pursuant to Calif. Ed. Code Sect. 67310-67312, and 84850; and Calif. Code of Regs., Title 5, Sect. 56000 et seq

Disabiity Support Services Building: RSS-141
Contact: Patricia Whelan
Phone: 408.864.8753
TTY: 408.864.8748

Last Updated: 1/12/12