Disability Services Forms

Academic Accommodation Verification Form (.PDF)
This form is used to notify faculty of a student's need for academic accommodations. It is the student’s responsibility to meet with their faculty, within the first 2 weeks of each semester, to discuss the accommodations as they might relate to course format and requirements, to obtain the faculty signatures on the Verification form and to return the form as indicated.

Disability Services Request Card (.PDF)
This card, sent with the registration packet to newly deposited students, begins the process to request support services for students with disabilities.

Release of Confidential Information Form (.PDF)
This form is sent to students after they have submitted the Disability Services Request Card. Students must complete and sign the “Release” form and return it with the documentation of disability to the Office of Academic Affairs at least 6 weeks prior to the start of classes.

Service Request Form (Sample .PDF)
This is a sample of the triplicate form that students must obtain from the Office of Academic Affairs that allows students to utilize test accommodations.