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

Student ID (CWID)

School Email Address

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.)

Summer 2025

Fall 2025

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

Accommodations Requested

Extended time on all timed tests, exams, and quizzes, to be taken in a reduced-distraction setting

Time-and-a-half (additional 50% more time)

Double-time (additional 100% more time)

Permission to audio record class lecture content for note-taking purposes only

Request Power Point slides in advance

Reasonable Flexibility in:

Attendance policies in order to manage medical episodes or to attend health care appointments related to your disability

Coursework due dates in order to manage medical episodes or to attend health care appointments related to your disability

Attendance policies and coursework due dates in order to manage medical episodes or to attend health care appointments related to your disability

You have the following responsibilities with this accommodation for reasonable flexibility:

Talk with your instructor early in the semester about expectations of the course and how much flexibility in attendance policies and/or coursework due dates will be allowed.
Notify your instructor before class/due date whenever possible.

Accommodations for Deaf or Hard-of-Hearing

Access to Captioned Media

Sign Language Interpreter

Computer-Aided Real-Time Transcription (CART)

Assistive Listening Device

Reader on Exams, Quizzes, or Inaccessible Coursework

Screen reader compatible with your device

C-Pen for printed materials

Other accommodations:

***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.***

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.