Alternate Format Text Form
You can now upload your book list from either PeopleSoft or the bookstore. Please be advised that this form still needs to be completed with a minimum of one alternate format text request.
Email *
In order for any request to be submitted, you must have read and agreed to the Alternate Format Text information page at https://sds.umbc.edu/alternate-format-text/ *
Today's Date *
MM
/
DD
/
YYYY
Semester for which request is being submitted *
First Name *
Last Name *
UMBC ID *
Email *
What technology (software and/or devices) do you use with Alternate Format Text? *
e.g. JAWS, Kurzweil, iPAD, Kindle, Mac, Windows, etc.
What format do you prefer for Alternate Format Text? *
How would you like your Alternative Format Text delivered to you?
Clear selection

If you are requesting course content remediation, complete only this section and skip the remaining questions. If not, write N/A and proceed to the rest of the form.

Please include the course name, instructor’s name, and course code.

If any required information is missing, you will be contacted and asked to resubmit the form.Thank you.

 *
Request Book1 - Title
ISBN (13 digit preferred)
Author
Publisher/ Edition/ Copyright date
Course Code/ Course Name
Course Instructor Name and Email

Please list the book, PDF, or article that needs remediation. If you have the file, please email it to disability@umbc.edu and include “Items for Remediation” in the subject line.

Any Questions or Comments
A copy of your responses will be emailed to .
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