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Alternate Media Request & Agreement Form Fall Winter Spring DRC Alternate Media Services Phone (909) 8694109 Fax (909) 8693271 Email drcaltmedia CPP.edu 1st 5Week 2nd 5Week 10 Week Today's Date Requested
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How to fill out alternate media request and

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How to fill out an alternate media request:

01
Start by obtaining the necessary form from the appropriate institution or organization. This form is typically available online or can be requested from the institution's accessibility office.
02
Begin by providing your personal information, including your name, contact information, and any relevant identification numbers or student IDs.
03
Include a detailed description of the media format you require as an alternative. This could include Braille, large print, audio recordings, or electronic text formats.
04
Specify the specific materials or documents for which you are requesting alternate media. If possible, provide clear details such as titles, authors, and publication dates.
05
Indicate the reason for your request. Whether it is due to a visual impairment, learning disability, or any other applicable reason, it's important to provide a clear explanation to justify your need for alternate media.
06
If any additional documentation or supporting evidence is required, ensure that you include it with your request. This may include medical records, disability verification, or any other relevant documentation.
07
Review your completed form to ensure that all information is accurate and complete. Make sure your contact information is legible and that you have signed the form if required.
08
Submit the form as instructed by the institution or organization. This may involve mailing it, emailing it, or submitting it through an online portal. Note any deadlines for submission and ensure that you comply with them.

Who needs an alternate media request:

01
Students with visual impairments who require Braille or large print materials to access educational content.
02
Individuals with learning disabilities who benefit from audio recordings or electronic text formats that can assist with reading comprehension.
03
People with print disabilities, such as dyslexia, who may require alternative formats for improved accessibility.
04
Employees or professionals who require alternate media to perform their job duties effectively.
05
Individuals with physical disabilities that may prevent them from handling traditional printed materials.
Note: The need for an alternate media request may vary depending on the specific situation and the accessibility policies of each institution or organization.
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Alternate media request is a formal request made to provide information in a format that is accessible to individuals with disabilities, such as braille, large print, or audio.
Individuals with disabilities who require accessible formats to access information are required to file alternate media requests.
To fill out an alternate media request, individuals can typically download a form from the relevant organization's website, fill out their personal information, specify the format they require, and submit the completed form according to the instructions provided.
The purpose of alternate media request is to ensure that individuals with disabilities have equal access to information and materials that are available to the general public.
Information such as the individual's name, contact information, specific needs for accessible formats, and any relevant details required by the organization providing the information.
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