Student Accommodation Request Form

This is a request to notify instructor(s) of eligibility for reasonable course accommodations under state and federal laws.
1. Complete and submit the form below. Your request will be sent to the Student Disability Services.
2. Your student accommodation letter will be emailed to your CCSU email address in a pdf format.
3. Present your letter to your professor(s). You need to meet and discuss your accommodations with your professor(s).


Based on supported documentation on file with CCSU Disability Services, I request the following accommodations:

Please provide an email address where we can send a link to your current form.

Email Address :