Public Accommodation Request

In as much detail as possible, please describe how your disability currently impacts and substantially limits your ability in the academic/employment or campus setting.

In as much detail as possible, please describe how your disability has affected your life in the past.

If you have medical documentation that supports your request, please upload it here. If you do not, go ahead and submit your request, and then have your medical provider send it to the office via email, fax, or mail. Our website has the office contact information. Documentation MUST be submitted to proceed in our process.

I understand that it is my responsibility to provide pertinent documentation from my healthcare provider(s) regarding my medical condition(s) that must include: 1) documentation that demonstrates that your medical condition is substantially limiting of a major life activity (such as doctor visit notes); 2) a link between the requested accommodation and the health condition; 3) the anticipated duration/length of time of the health condition; 4) whether the requested accommodation is medically necessary or for comfort.