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Continuing UHCL Students Request for Accommodations << Disability Services Home

Accommodation Renewal Form

If you are a returning student who has previously registered with Disability Services, you must complete this form each semester to receive accommodations.

If you are a returning students with changes to your previous accommodations, you are required to schedule an appointment with Disability Services prior to receiving services. You can schedule an appointment by either coming to the office or by calling 281-283-2648.

Accommodation letters should be available within a week and are implemented as soon as reasonably possible.


All fields required, unless otherwise stated.

Personal Information






Disability Information
Special Services

Will you require Alternative Text Formats?

Will you require interpreting or CART services?

Accommodations

Do you require changes to your previous accommodations?

Academic Information
Semester


Class Locations

Check all that apply.

Types of Classes:

Student Responsibilities Agreement

Student Services Agreement (pdf)

I acknowledge my responsibilities as a student to the faculty and Disability Services. To implement effective accommodation, I recognize I must engage in a collaborative process with my instructor and Disability Services

Submitting This Form
  1. A Thank You web page is displayed when your form is sent successfully. If you do not see a Thank You page, your form was not sent.
  2. You can expect an email confirmation from Disability Services within 1-2 business days.
  3. If you have any questions, comments, or problems with this form, call us at 281-283-2648.

State Law Notice

State law requires that you be informed of the following:
  1. With few exceptions, you are entitled on request to be informed about the information the University collects about you by use of this form.
  2. Under sections 552.021 and 552.023 of the Government Code, you are entitled to receive and review the information.
  3. Under section 559.004 of the Government Code, you are entitled to have the University correct information about you that is incorrect.
 
 Date Updated: 30-OCT-2013
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