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SAMPLE SCHEDULE A DOCUMENTATION
(Must be on official letterhead and must include a signature)
DATE:
FROM:
To Whom it May Concern:
This letter serves as certification that (name of patient/applicant) is an individual with a
severe physical, intellectual, or psychiatric disability that qualifies him/her for
consideration under 5 CFR 213.3102 (u), Schedule A hiring authority, appointment for
Persons with Disabilities.
I may be contacted at (authorized representative):
(Printed Name) (Signature)
Organization Address, city, state/Phone
Note: Proof of a disability is required for excepted service appointments - noncompetitive
placement - under Schedule A, 5 CFR § 213.3102(u). Proof of disability is the term used
to define any number of documents which attest to the fact that the candidate does indeed
have a disability. A statement of job readiness, formerly a requirement under this statute,
is no longer needed. The above statements meet the requirements for placement under
Schedule A.