IWU Accommodation Request

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Student Information

Please enter your information below. 

This form is for students connecting with Disability Services for the first time. If you’re already connected and need additional accommodations, please log into your Accommodate Case File and submit a supplemental request.

 

Please use your university issued email address

Specific Accommodation Information

My diagnosed disability falls into the following categoryRequired
Category of Accommodation Request(s)Required
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Have you used accommodations at IWU in the past?
Would you like to opt in to text messaging? We’ll only text you to let you know there’s an important email to check.Required
Text Message Disclaimer By clicking yes, I agree that the text messaging capability is predicated upon my service provider delivering the text message to me in a timely manner. I agree not to hold Symplicity responsible for missed messages and any pursuant damages. I further understand that there may be charges associated with the text messages, and these charges are ENTIRELY my responsibility.
Upload supporting document(s)

Supporting documentation includes but is not limited to: 

The Verification of Disability Form, Individualized Education Plan (IEP), and/or 504 Plan.

All documentation must contain the following: a diagnosis, a description of limitations(s) and impact(s) of the condition(s), and recommendations for accommodations.

If your provider is requesting a verification form from IWU, please use this form: Verification of Disability Form