SAMPLE SCHEDULE A LETTER DOCUMENTATION FOR LICENSED MEDICAL PRACTITIONERS

(Must be on medical professional’s letterhead and must include the medical professional’s signature)

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 can 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. You may contact me at (phone number/email).

Sincerely,

(Medical professional’s signature)

(Medical professional’s name, title, and signature block)