Forms
| Title of Form | Additional Information | Link to Form |
|---|---|---|
| Request for records or release of confidential information |
Forms used to request copies of disability records or to authorize DASS to exchange information with a third party. Email form to accommodations@csuci.edu |
Request for Documents and Release of Information Forms |
| Disability Verification Form | Form used to document disabilities, limitations and provide supporting evidence for requested accommodations. This form must be completed and signed by a licensed/certified professional qualified to diagnose and treat the condition. | Disability Verification Form (PDF, 598KB) |
| Self-Report Form | Form used to self-report disability and how the disability impacts your learning experience. | Self-Report Form (PDF, 681KB) |
| Request for Waiver of Campus Parking Fees | Campus parking fee waiver for students with disabilities who meet the eligibility standards based on the form. | |
|
Housing Accommodations Request Addendum |
To be completed when a student requests housing accommodations. |
Addendum: Housing Accommodations Request (PDF, 222KB). |
| Emotional Support Animal Addendum | To be completed when a student requests an accommodation for an emotional support animal in housing. |
Addendum: Request for Emotional Support Animal in Housing (PDF, 161KB) |
| Materials Permission Form | To be signed when student uses materials during an alternative test at DASS office. Students consent to any possible consequences if this was not allowed during the exam. |