CART Services Request

Printable Form


Lisa Hitzler

Supervisor of Access Service for Deaf / Hard of Hearing
Phone: 480-461-7327
Mobile: 480-206-0134

Claudine Smithson

Deaf and Hard of Hearing Student Support Technician
Phone: 480-461-7447

Important to Note:

  • Students:
    • Notify the Supervisor if you will miss a class at least 48 hours in advance.
    • Notification between 48 hours and 1 hour before the class is considered a LATE NOTICE.
    • Missing class without notification is considered a NO SHOW.
    • Interpreters and Captionists will wait 5 minutes per half-hour of class time with a minimum of 15 minutes and a maximum of 45 minutes.
    • The Supervisor has the right to suspend/cancel services if no communication occurs.
  • Other Requests:
    • Submit request four (4) business days in advance. Requests received after three (3) business days cannot be guaranteed to be fulfilled.

Requester's Information
Assignment Information

Service Information

The requester agrees to the following guidelines:

  1. I will submit a Closed Caption (CC) Request Form for each time that I need to have a captionist for special assignments.
  2. Each Closed Caption (CC) Request Form that I submit shall be completed, signed, and dated.
  3. Each form shall be completed and submitted to the DRS office a minimum of four (4) business days prior to the day services are needed.
  4. In the event of a change in the date or time, I accept responsibility for notifying the DRS office of the change via contacting the contacts at the start of this form.
  5. If adaptive equipment is needed, student is responsible for setting an appointment to check out the equipment and return it at a later date.

By submitting this form, I acknowledge that I have read and understood the guidelines. I understand any changes to the CART 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 in no action until all information is filled out.