Accessible Furniture Request
Fill out one form for EACH course for which you are requesting accessible furniture.

We will notify you if additional information is needed.

NOTE: If your schedule changes, it is your responsibility to notify the OSDDS office.

Thank you
Student Name *
Your answer
Email *
Your answer
Student ID *
Your answer
Your OSDDS Specialist *
Semester *
Type of Furniture Desk *
Type of Furniture Chair *
Other Type of Furniture/ Equipment
Like CCTV or Large font keyboard
Your answer
Building and Room # *
Example: Don 148
Your answer
Course Number and Section *
Example: ENG 101-01
Your answer
Day(s) of the course *
Example: Mon, Wed, and Fri
Required
Time(s) of the course *
Example: 9:00 AM - 9:50 AM
Your answer
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