University of Maryland Counseling Center

ONLINE ACCOMMODATION REQUEST FORM

Request for current Accommodation Letters
Accommodation Letters should be presented to and discussed with each of your Instructors and/or Teaching Assistants during their office hours so both of you understand and agree how your accommodations will be facilitated during the semester.

*Kindly fill the form completely to facilitate processing of your request.

Student Name: *
Today's Date (mm/dd/yy): *
E-mail address: *
Student UID# (Not SS#): *
Semester & Year *
How many instructors (including TA's)? *
Comments (If any): (Optional)

NOTE:

* You Accommodation Letters will be guaranteed for pick up three (3) working days from the receipt of this emailed request.

* Remember you MUST bring a photo ID with you when you come to pick up your letters from the DSS reception desk (Room 4155 Susquehanna Hall).

* If you have any questions, please call the DSS Office directly at 301.314.7682.