Disability Verification Forms

Process of Requesting Accommodations

1. Complete Intake Form.
2. Turn in supporting documentation.
   
   • Documentation requirements are at the bottom of this page.
   • Documentation may be mailed, faxed, hand-delivered, or emailed.*
     
     • _{*Email is not a secure method of delivery.}
3. Schedule an appointment to meet with our disability coordinator.
4. Complete an Accommodations Request Form.

Disability Verification Forms

These forms are used for documentation, which is the second step in the process of potentially receiving accommodations. Documentation alone will not approve or guarantee accommodations - all other steps must be completed, in addition to the disability coordinator's approval. Please go to Start the Process to understand all the required steps to potentially receiving accommodations.

Choose the appropriate verification form to be filled out by the appropriate licensed professional. The guidelines will provide information on how to fill out the verification forms.

Valid Documentation Requirements:

• On official letterhead from a licensed professional which includes their credentials and qualifications.
• Dated within three years.
• Contains a clear statement of diagnosis.
• Includes history and prognosis of the condition(s).
• Clearly indicates current impact and functional limitations on life.
• Discusses recommended accommodations and their connections to the limitations.
• If available, provide assessment reports used in making the diagnosis, including the psychoeducational or neuropsychological evaluations conducted.

OR

• Completed and signed Verification Form (above).