Compliance and Disability Services

Accommodation Letter Request Form

Requests received by 12:00 noon will be electronically delivered to the student and listed professors that same day. Requests sent after 12:00 noon will be delivered the following business day.

How many courses do you need Accommodation Letters for?
(Max.: 10 Courses)
 


Fields marked with * are required.

Student Information:

Title*
First Name*
Last Name*
Student ID*
Phone Number
HU Email Address*

Courses Requesting Accommodation Letters:

1. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
2. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
3. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
4. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
5. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
6. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
7. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
8. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
9. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
10. Title*
Instructor's Name* (First & Last)
FULL Course Name* (Example: University 101)
Please Type the Characters Above: *