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Disabled Students Programs & Services Request for Alternate Media Format Year: Fall Winter Spring Summer: Student Name: Student ID#: Student Phone #: Student Email: Permission to Disassemble:YesNoDSP&S

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How to fill out alternate media format request

01

Begin by obtaining the alternate media format request form from the relevant organization or institution.

02

Carefully read through the instructions and requirements stated on the form.

03

Fill out the necessary personal information on the form, including your name, contact details, and any specific identification numbers provided.

04

Specify the type of alternate media format you require, such as Braille, large print, audio, or electronic format. Clearly indicate your preference.

05

Provide details about the material or document for which you need the alternate media format. Include the title, author, publication date, and any relevant edition or version information.

06

If there are any specific accessibility requirements you have, such as font size or format specifications, clearly state them on the form.

07

Attach any supporting documentation or medical certification if required. This might be necessary to demonstrate your need for alternate media due to visual impairment or other disabilities.

08

Double-check all the information you have entered on the form to ensure accuracy.

09

Sign and date the form.

10

Submit the completed form to the designated office or individual according to the instructions provided.

11

Keep a copy of the filled-out form for your own records.

12

Await confirmation from the organization or institution regarding the processing of your alternate media format request.

Who needs alternate media format request?

01

Alternate media format requests are typically needed by individuals with visual impairments or other disabilities that affect their ability to access standard print materials easily. This includes people who are blind, have low vision, or have difficulties reading printed text due to learning disabilities or physical impairments. Alternate media formats can include Braille, large print, audio recordings, or electronic formats that are more accessible for such individuals. These requests ensure equal access to information and resources for people with disabilities.

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What is alternate media format request?

Alternate media format request is a request made for materials to be provided in a different format such as Braille, audio, or large print for individuals with disabilities.

Who is required to file alternate media format request?

Any individual with a disability who requires materials in a different format is required to file an alternate media format request.

How to fill out alternate media format request?

Alternate media format requests can be filled out by providing information about the requested format and the specific materials needed.

What is the purpose of alternate media format request?

The purpose of an alternate media format request is to ensure individuals with disabilities have equal access to information and materials.

What information must be reported on alternate media format request?

Information such as the requested format, specific materials needed, and contact information must be reported on an alternate media format request.

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