Current/Returning Student Disability Accommodation Request Form

Instructions

Please complete this form if you have received disability accommodations before at OSU-Oklahoma City (OSU-OKC) and have officially enrolled in classes for the semester in which you are requesting accommodations.

This form should take approximately 5 to 10 minutes to complete.

We will reply to your okstate email address or call with any questions. Otherwise, we will prepare and send Accommodation Letters for your semester's classes within two (2) business days of approval if you are enrolled in classes that have already started.

If you are enrolled in classes that haven't started at the time of your accommodation request, we'll send out your Accommodation Letters approximately one (1) to two (2) weeks before their start date.

If you have any questions or need assistance, please contact the OSU-OKC Access & Community Impact Office at okc.accessibility@okstate.edu or 405-945-8624 and we will be happy to help!

Name and Contact Information

First Name

Preferred Name

Last Name

Personal Pronouns (Please check all that apply.)

he/him/his

she/her/hers

they/them/theirs

School Email Address

Student ID (CWID)

Birthdate

Phone Number

Are you deaf or hard-of-hearing?

Yes

Are you requesting any of the following accommodations?

Sign Language Interpreters
Media Captioning
Computer-Aided Real-Time Transcription (CART)
Assistive Listening Devices

Are you requesting any of the following accommodations?

Sign Language Interpreters
Media Captioning
Computer-Aided Real-Time Transcription (CART)
Assistive Listening Devices

Yes

Semester/Year of Accommodation Request

What semester and year are you requesting accommodations for? (Please select only one.)

Spring 2025

Are you in the Center for Social Innovation (CFSI) program?

Accommodations Requested

Are you requesting the same accommodations our office approved the last semester we worked together?

Yes - requesting the exact same accommodations

No - requesting completely different accommodations than last semester

Both - requesting a combination of the same accommodations as last semester plus new accommodation requests we haven't talked about before

***Please note if you requested equipment in the past, you will need to contact us by emailing okc.accessibility@okstate.edu to renew that same equipment for the next semester.***

What are your new accommodation requests this semester? (New accommodation requests are those which we haven't talked about before.)

Our team will review your new accommodation requests and reply to your okstate email address with approval status within two (2) business days.

What accommodations are you requesting this semester that are a combination of previously approved accommodations plus new accommodations we haven't talked about before?

Our team will review your new accommodation requests and reply to your okstate email address with approval status within two (2) business days.

Accommodation Letters

Our team confirms and approves the accommodations to be provided through Disability Accommodation Letters. These Accommodation Letters notify your instructors on what accommodations to provide and are sent directly to you and your instructors' okstate email addresses.

Once we agree on accommodations to be provided, we will prepare and send Accommodation Letters for your semester's classes within two (2) business days of approval if you are enrolled in classes that have already started.

If you are enrolled in classes that haven't started at the time of your accommodation request, we'll send out your Accommodation Letters approximately one (1) to two (2) weeks before their start date.

Do you need all of the accommodations you indicated above in all of your currently enrolled classes for the requested semester and year?

Yes

Please specify your accommodation needs for the requested semester and year's classes below.

For example:

I need the above indicated accommodations in ENGL 1113 (CRN 12345) only.
I need one specific accommodation for ENGL 1113 (CRN 12345).
I need all of the above indicated accommodations in all of my courses except ENGL 1113 (CRN 12345).

Rights and Responsibilities

I am aware that:

Accommodations are not retroactive and are in effect starting from the date on the Disability Accommodation Letter to the end of that listed semester.

It is my responsibility to submit proper disability documentation to the OSU-OKC Access & Community Impact Office. If I have not submitted proper disability documentation, I will not receive accommodations after my initial semester. I will contact the OSU-OKC Access & Community Impact Office if any issues arise that prevent me from obtaining that documentation.

It is my responsibility to contact OSU-OKC’s Access & Community Impact Office to request accommodations for each semester they are needed. For example, if you received accommodations for the Fall semester and want accommodations again for Spring, you will need to renew your accommodation request through this form after you have enrolled for that semester.

It is my responsibility to contact the OSU-OKC Access & Community Impact Office if I need new accommodation letters due to a class schedule change or instructor change.

I am expected to meet OSU-OKC's essential academic, technical, professional, and behavioral requirements and standards.

If there is a problem receiving approved disability accommodations in my courses, it's a good idea to contact the instructor first, and that I can reach out to the Access & Community Impact Office if talking to the instructor does not resolve the issue.
I can initiate an appeal of any decision regarding my disability accommodations in alignment with the University's established grievance policies outlined in the Disability Services Policies and Procedures document.

By clicking “submit,” I certify that the information I provided about my disability renewal is legitimate and that I have read my rights and responsibilities as a student receiving accommodations.