Disability Declaration and Request for Accommodation

All students with disabilities requesting services or accommodations from the office must complete the Disability Declaration and Request for Accommodations Form upon their first contact with the office. 

Complete and submit this form once, with first contact with the office. The form is available in both Word and PDF format.

• Disability Declaration and Request for Accommodations Form (file 41kB)
• Disability Declaration and Request for Accommodations Form (PDF 151kB)

Note: You do not need to have Word installed on your computer to view Word documents. A Word Viewer is available as a free download from Microsoft. (This link opens in a separate window.) PDF files can be opened and read with Adobe Acrobat Reader. If Acrobat Reader is not installed on your computer, you can download it for free from Adobe. (This link opens in a separate window.)

If you are unable to access the forms on this page and would like to request a printed copy, please contact your local disability representative.