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San Diego State University

Student Disability Services

Apply to the WorkAbility IV Program

When applying to the WorkAbility IV Program, all students must complete and submit the following forms:

  1. WorkAbility IV Referral (PDF)
  2. DOR Medical Release (MS Word)
  3. DOR Non-medical Release (MS Word)
  4. DOR Application for Services (PDF)
  5. DOR Employment Record (MS Word)
  6. DOR Health Questionnaire (MS Word)

Completed forms should be returned to:

Student Ability Success Center
3101 Calpulli Center
Attention: Shannon Williams-Morris

After your eligibility has been reviewed, you will be contacted to schedule a meeting with a DOR and WorkAbility Counselor.

Questions? Contact:

Shannon Williams-Morris
WAIV Program Assistant
(619) 594-1114

General email: