Disabled Students Programs and Services (DSP&S)

Alternate Media Request Form

Please note that you will still need to bring in the textbook and proof of purchase in order for us to process your request. Please allow 2 to 4 weeks for delivery of alternative format.

Instructions: Complete a SEPARATE form for EACH REQUEST submitted. Please note that fields with an asterisk (*) are required.

Requestor Information
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Course Information
Material Information
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Format Requested