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Sample Schedule A Letter for Licensed Medical Practitioners
(The letter must be printed on Medical Professional’s letterhead and must
include a signature or it is invalid)
Date
To Whom It May Concern:
This letter serves as certification that (name of patient/applicant) is an individual with an
intellectual disability, severe physical disability or psychiatric disability, and is eligible to be
considered for employment under the Schedule A hiring authority 5 CFR 213.3102(u).
Thank you for your interest in considering this individual for employment. I may be contacted at
(phone number).
(Medical Professional’s printed name and title) (Medical Professional’s signature)
Note: Proof of disability is a requirement for noncompetitive consideration under the Schedule
A, 5 CFR § 213.3102(u), Excepted Service Authority. 5 CFR § 213.3102(u)(3) states: Proof of
disability. (i) An agency must require proof of an applicant’s intellectual disability, severe
physical disability, or psychiatric disability prior to making an appointment under this
section. (ii) An agency may accept, as proof of disability, appropriate documentation (e.g.,
records, statements, or other appropriate information) issued by a licensed medical professional
(e.g., a physician or other medical professional duly certified by a State, the District of
Columbia, or a U.S. territory, to practice medicine); a licensed vocational rehabilitation
specialist (Sates or private); or any Federal agency, State agency, or an agency of the District of
Columbia or a U.S. territory that issues or provides disability benefits.” According to the U.S.
Office of Personnel Management, the above sample language meets the requirements for
consideration under the Schedule A hiring authority.
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