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Accommodation Request Form- Summer 2025

Thank you for taking time to submit this accommodation request form. This form must be submitted every semester you request accommodations. Please complete all form fields before submitting. This form is only for requesting your accommodation letters. Request forms for other services, such as Alternative Format textbooks, are available on our website: www.msudenver.edu/access/students/. If you have any questions or concerns regarding your accommodations please contact our office, 303-615-0200 or accesscenter@msudenver.edu.

Please note: If you add any additional classes please submit an additional Accommodation Request Form.

Best wishes for a successful semester!

Student Name (First-Last):

Student ID#:

MSU Denver Email Address:

Cell Phone Number:

Accessibility Coordinator

I am submitting this request:

for the first time this semester.
because I added more courses for which I need accommodations. Please list the courses you added below:

Are you registered for any Online Courses?

Do you give our office permission to email a copy of your accommodation letter to each of your course instructors? NOTE: You will still need to inform your instructors which specific accommodations you anticipate utilizing. If you request your accommodation letter prior to a professor being announced for a course or if you change courses, you are responsible for sending your accommodation letter to those professors.

Submitting this Accommodation Request indicates that I am in agreement with my approved accommodations, and will follow all necessary protocols related to my accommodations. I understand that it is my responsibility to contact my Accessibility Coordinator to discuss questions or changes to my accommodations.