MM/DD/YYYY

Current student status
What semester are you requesting academic accommodations start in? (If you're an incoming Freshman starting in Fall 2020 please select Fall 2020)
Are you a Distance Learner? (Example: All of your courses are online)
Are you seeking permanent or temporary accommodations? (Temporary accommodations would be for injuries, surgeries, temporary conditions etc.)
Are you transferring from a University of Cincinnati branch campus?
If yes, did you receive accommodations at that campus?
Did you receive special education services or accommodations in K-12 or at another post-secondary education institution? If so, check all that apply:
If deemed eligible for services, what accommodation(s) are you requesting from Accessibility Resources?
Medical Professional Disability Verification Form or Supporting Disability Documentation

This field is required

Please upload your Medical Professional Disability Verfication form or documentation supporting your request for accommodation that meets Accessibility Resource's documentation guidelines. Note: JPEG, PNG, or other image files containing photographs of documentation will not be accepted and may delay review of your documentation. Please provide scanned PDF or digital documents.

Additional Documents: Upload any additional documentation, assessments, etc. in support of your request for academic accommodations

This field is required

iFrame Code

Click the button below to caopy your embed snippet