Registration Form The Office of Disability Support Services (DSS) The Catholic University of America
Office of Disability Support Services
620 Michigan Ave NE
127 Pryzbyla Center
Washington, DC 20064
Phone: 202-319-5211
Fax: 202-319-5126
Email: cua-dss@cua.edu

Updated August 2017

In order to establish eligibility for services and to enable staff to work more effectively with you in the provision of services, please complete the following registration form and provide documentation of disability as outlined by our Documentation Guidelines (Please see http://dss.cua.edu/gettingstarted.cfm for more information). All records will remain strictly confidential and are not a part of your academic record.

Once the Office of Disability Support Services receives your documentation and registration form, they will determine eligibility for services.

The aforementioned guidelines are provided so that Disability Support Services can respond appropriately to the individual needs of the student. We reserve the right to determine eligibility for services and modifications to programs based on the quality of the submitted documentation.

CONFIDENTIALITY
Student disability records are education records that contain confidential information, and are to be protected per the University’s Student Records Policy and Information Security and Assurance Policy (see http://policies.cua.edu/default.cfm). Accordingly, DSS will maintain a student’s disability information in a confidential file in the DSS Office. In order to balance student privacy with the need to provide services and accommodations, DSS will disclose student disability information only to those University personnel who have a need to know that information or with a student's consent, and in accordance with the foregoing policies.

Please submit documentation to:
The Office of Disability Support Services
The Catholic University of America
620 Michigan Ave NE
127 Pryzbyla Center
Washington, DS 20064
Phone: 202-319-5211
Fax: 202-319-5126
Email: cua-dss@cua.edu

IT IS STRONGLY RECOMMENDED THAT ALL FORMS AND DOCUMENTATION BE SUBMITTED BEFORE THE START OF THE SEMESTER IN ORDER TO ALLOW TIME FOR PROCESSING. ACCOMMODATIONS CANNOT BE UTILIZED RETROACTIVELY.

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