Test Accommodations Request

Printable Form

Please complete all information and click once to submit:

Test Information
Student Information * indicates required
Accommodations Requested by Student

NOTE: Family members are not allowed to provide accomodation services.

I understand that I will receive testing/exam accommodations only if I meet the following conditions:

  1. I will submit a TEST ACCOMMODATION REQUEST FORM for each exam in person at the DRS office.
  2. Each Test Accommodation Request Form that I submit will be complete, signed, and dated.
  3. Each form completed must be submitted to the DRS office in a minimum of two (2) working days PRIOR to the test/exam date. The test/exam date and weekends DO NOT COUNT!
  4. In the event of a change in the test/exam date, I accept responsibility for notifying DRS office of the change by altering and initialing this form a minimum of two (2) working days prior to the test date needed.

By submitting this form, I acknowledge that I have read and understood the guidelines. I understand any changes to the Testing Accommodation request must be notified to the DRS office as indicated within the guidelines. I understand that the lack of information provided in this form may result no action until all information is filled out.