IWU Accommodation Request

* indicates a required field

Student Information

Please enter your information below.

If you have previously submitted an accommodation request and are needing to update or submit a semester request, please log-in through your student portal to access the supplemental form or semester request. You can also access the page via this link: https://indwes-accommodate.symplicity.com/students

First Name

Last Name

Middle Name

Student ID

Please use your university issued email address

Phone Number

Specific Accommodation Information

My diagnosed disability falls into the following category

How does your disability affect you academically?

Category of Accommodation Request(s)

What specific accommodation(s) are you requesting?

Have you used accommodations at IWU in the past?

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

IWU Accommodation Request

Student Information

Specific Accommodation Information

Document Information