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Xlv. Is there a water fountain reasonably accessible to disabled individuals. <br />Per Dept. of Rehab. Sect. 504 YES❑ NO❑ <br />Xv. Are auxiliary (supplementary) aides available when requested by the individual. <br />Per CFR Title 20,29,41 YES[:] NO❑ <br />Service Provider Information: <br />Print First & Last Name <br />Service Provider Signature <br />Business Address <br />Business Phone Number <br />Date <br />All information is subject to validation by SAWIB staff upon approval of award. <br />19D-37 33 <br />