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.
  • Unless you are requesting accommodations for a learning disability, the following medical document should be downloaded, completed, and uploaded (see options for submitting documentation below): Medical Documentation of Disability Form
  • If you are requesting accommodations for a learning disability, you will be prompted below to upload your psycho-educational evaluation.

  • SAA will contact you when we receive your online request and documentation that supports your disability.
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.

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






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

Specific Accommodation Information

Do you have any other medical conditions?Required
Are you currently taking any medications?Required
Are you requesting an Emotional Support Animal?Required
Upload supporting document(s)
  • 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.