University of Puget Sound--Office of Student Accommodations and Accessibility--Disability Accommodation Request

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Instructions

  • This form cannot be saved and returned to, so please be sure that you're prepared to complete it when you begin to fill it in.

  • Links contained within this form will open in a new window so that you do not lose your progress here.

  • Options for submitting documentation can be found below in the section for uploading documents.

Unless you are requesting accommodations for a learning disability, the following medical documentation should be downloaded and completed: https://www.pugetsound.edu/files/resources/2020-medical-documentation-of-disability-form.pdf

If you are requesting accommodations for a learning disability, you will be prompted below to upload your psycho-educational evaluation.

COVID-19 Fall 2020

If you are at a higher risk for severe illness due to the COVID-19 virus, you may qualify for the following accommodations:

  • The opportunity to take classes remotely
  • Single residence hall room
  • Remote participation in campus meetings

To determine if you are at Higher Risk, click link: https://www.cdc.gov/coronavirus

Based on the CDC literature above, are you at higher risk for severe illness due to COVID-19 pandemic?(Required) *
About SAA

SAA is the designated office on campus that reviews documentation and students request for disability accommodations. Our mission is to remove obstacles to a liberal arts education, by providing support and accommodations to students with both visible & invisible disabilities while they embark on their pursuit of knowledge. We find when students attend classes, go to professor office hours, use their accommodations, and use the resources on campus, they are very successful.

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Please provide your University of Puget Sound Student ID
Please use your university issued email address
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Date of Birth(Required) *
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If you live out of the country, please choose "Non-U.S." and then add your country below.
Academic Level at UPS(Required) *






Are you transferring from another college or university?(Required) *
Please read and acknowledge before moving on.(Required) *

Specific Accommodation Information

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Are you requesting an Emotion Support Animal?(Required) *
Do you have any other medical conditions?(Required) *
Are you currently taking any medications?(Required) *
Please download and have your treating professional complete this medical documentation form

https://www.pugetsound.edu/files/resources/2020-medical-documentation-of-disability-form.pdf

  • This documentation can be uploaded below

or

  • You can complete this form and submit this documentation later.
  • If you have a psycho-educational evaluation for a Learning Disability, you can upload that here.
  • If you have your medical documentation completed, you can also upload that here.
  • Any documentation can be submitted later, but may be required before accommodations are applied.
  • More than one document can be uploaded at a time here. The "Add Item" button will continue to show below your added document so that you can click it again if needed.
I understand that:(Required) *

  • It is my responsibility to retain copies of all documentation that I submit to SAA. SAA will not forward documentation.
  • Registration with SAA is not part of my official academic record. It will not be on my transcript.
  •  Academic accommodations must be formally requested each semester, by submitting a semester request and meeting with my instructors to discuss my approved accommodations. 
  • I will schedule a meeting with the SAA Director if I have any concerns.