Testing Accommodations Center (TAC) Request
Please complete the answers below to create a cover page for the student taking the test.  This will be completed by the student (with the help of the case manager).   Please complete at least 2 days prior to the assessment.
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Email *
Name *
Student Name: (Please write first and last name)
Course Name *
Test/Quiz Name *
IF signing up for a FINAL EXAM write FINAL EXAM
Teacher(s) *
Please click on your teacher's email.
PAWS
If you are a student in PAWS, please check your PAWS teacher.
Case Manager *
Please click on your Case Manager (choose your Counselor if you have a 504):
Date *
Date student will TAKE the test: Please make sure if it is not the same day that you select the correct date.
MM
/
DD
/
YYYY
Location *
Location student will TAKE the test:
Period *
Period student will TAKE the test:
Accommodations *
Accommodation(s) to be used (please mark only accommodations that are a part of your IEP or 504):
Required
Audio *
Select YES if you are requesting an Audio Recording of your Test. If you are requesting audio, are you completing this form at least 2 days before the test? If not then an audio version may not be available or delayed for your test. 
Special
Special Instructions:
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