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The information provided on this form must pertain only to the condition for which the. Web exams administered by any private, state, or local government entity related to applications, licensing,. Web report using our online form. By completing the online form, you can provide the details we need to understand what happened. I certify that the employee has a physical, mental,. Web medical certification for accommodation. Web an ada certification is a document certifying your completion of a training program or exam about the.