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LIFE’S CHECKLISTS · FREE WORKSHEET

Prepare a request for captions or a transcript

Practice with a public video. Keep private class or work links out of shared copies.

First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.

Completed example

This is a fictional practice entry. Write your own details in the blank sections below.

Check
What would help
My entry
Fictional Taylor: written orientation transcript
What I confirmed
Captions unclear during the directions
Next action
Ask the orientation organizer for a written copy

Date: ____________________

Video and section

My entry

What I confirmed

Next action

What is hard to follow

My entry

What I confirmed

Next action

What would help

My entry

What I confirmed

Next action

Where to ask

My entry

What I confirmed

Next action

Notes:

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