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DISABILITY SERVICES Request for Accommodations, Auxiliary Aids, and/or Services This form is considered an official request for consideration of reasonable accommodations and should be submitted to

How to fill out disability services request for

How to fill out a disability services request form:

1. Start by providing your personal information. This includes your full name, contact information, and any identification numbers or student IDs associated with your disability services request.
2. Indicate the type of disability or impairment that you have. Be specific and provide any relevant medical documentation or diagnoses, if applicable.
3. Clearly state the accommodations or services you are requesting. These may include extended time on exams, assistive technology, accessible seating, note-taking services, or any other necessary accommodations.
4. Explain the reasons why you need these accommodations. Provide detailed information about how your disability affects your daily life or academic performance.
5. If you have any specific preferences or requirements for the accommodations, mention them in this section.
6. Include any relevant supporting documents or assessments from healthcare professionals, such as doctors, psychologists, or therapists. These documents can strengthen your case and support your request for accommodations.
7. State any previous accommodations or services you have received in the past, and discuss their effectiveness. If there were any challenges or issues with the previous accommodations, mention them as well.
8. Specify the semester or academic year for which you are making the request.
9. Sign and date the form to confirm that the information provided is accurate and complete.
10. Submit the completed form to the designated disability services office or department at your educational institution.

Who needs a disability services request form?

1. Students with physical disabilities such as mobility impairments, visual or hearing impairments, or chronic health conditions.
2. Students with cognitive disabilities or learning differences, including dyslexia, ADHD, autism spectrum disorders, or intellectual disabilities.
3. Individuals with mental health conditions such as anxiety disorders, depression, bipolar disorder, or schizophrenia.
4. Students with temporary disabilities resulting from accidents, injuries, or surgeries.
5. Individuals with other documented disabilities or conditions that significantly impact their ability to fully participate in educational activities.

Whether you are a student in grade school, college, or even a professional pursuing further education, if you require accommodations or support due to a disability, you may need to fill out a disability services request form.

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What is disability services request for?

Disability services request is for requesting accommodations or support services for individuals with disabilities to access services or programs.

Who is required to file disability services request for?

Individuals with disabilities who require accommodations or support services are required to file disability services request.

How to fill out disability services request for?

To fill out disability services request, individuals must provide information about their disability, the accommodations or support services needed, and any supporting documentation.

What is the purpose of disability services request for?

The purpose of disability services request is to ensure that individuals with disabilities have equal access to services and programs.

What information must be reported on disability services request for?

Information such as the nature of the disability, specific accommodations or support services needed, and any supporting documentation must be reported on disability services request.