Request for Reasonable Accommodation
Request for Reasonable Accommodation
Name
Name
*
First
Last
Email
*
Phone
Phone
-
###
-
###
####
How would you like us to contact you?
*
Email
Phone
Please describe in your own words the reason you are requesting an accommodation.
(For instance, “I have a visual impairment and can’t read the computer screens”):
*
Please describe the accommodation you would like the library to provide
(For instance, additional time on the computers):
*
The Law Library will make every effort to provide reasonable accommodations as requested. In some cases, however, a specific accommodation may not be reasonably available or provided. In the event that this occurs, please describe any other accommodations that would work for you:
Signature of Person Requesting Accommodation
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Date
Date
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