Accessibility Resources Request for Accommodations Form

  • Complete and submit this form in its entirety.

    I have reviewed the Rights and Responsibilities. My submission of this form signifies I have read and agree to my Rights and Responsibilities.

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    All official University business will be conducted via MSUM email accounts. It is essential that you access, read and use your account.

    Diagnostic Information

    History of Accommodations

    Documentation from a qualified professional must be shared with Accessibility Resources.

    If you do not receive confirmation to your email that this form was submitted successfully, please contact the Accessibility Resources Office.