Title of FormAdditional InformationLink to Form
Disability Verification FormForm 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, 151KB)
Self-Report FormForm used to self-report disability and how the disability impacts your learning experience.Self-Report Form (PDF, 681KB)
Request for Release of Confidential RecordsForm used to request confidential disability records from DASS. Requested records will only be released to the student.Request for Release of Confidential Records (PDF, 85.4KB)
Authorization for Release of Confidential InformationForm used to authorize DASS to share and exchange confidential disability information. Authorization for Release of Confidential Information (PDF, 213KB)
Note Taker Invoice FormForm required to be completed by Note Takers for payment eligibility.Note Taker Invoice Form (PDF, 80.9KB)
Note Taker W204 FormForm required to be completed by Note Takers for payment eligibility.Note Taker W204 Form (PDF, 776KB)
Note Taker Direct Deposit FormOptional form used to set-up direct deposit of stipend payments for Note Takers.Note Taker Direct Deposit Form (PDF, 134KB)