STUDENT ACCOMMODATION REQUEST FORM

Office of Disability Services Banner

STUDENT ACCOMMODATION REQUEST FORM

  • Requestor Information

  • SemesterYear
  • Important

    The provided accommodation(s) are prior approved through the application process and must be on file with the Student Accessibility Services Office (SASO).
  • EXAMPLE

    How to list course information
  • Course Title Section # Instructor Days Time
    Eng 232 04 Mc Elroy MWF 1:00pm - 1:50pm
  • Click the (+) sign to add rows for more courses up to 7
    Course TitleSection #InstructorDays (enter MWF orTR)Time 
  • Accepted file types: pdf, doc, docx, xsl, xslx
    Accepted file types: pdf, doc, docx, xsl, xslx.
  • Important Notices

  • The Student Accessibility Services Office (SASO) has a copy of my official class schedule for the indicated accommodation request. I understand accommodation requests are subject to approval and generation of letters may take up to 15 business days depending upon receipt of this form and official detailed class schedule.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
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OFFICE HOURS
MONDAY – FRIDAY
8:00AM – 5:00PM

LOCATION
Student Health Center, Room 140

PHONE
713-313-4210
713-313-7691

FAX
713-313-7817

EMAIL
AccessibilityServices@tsu.edu