Forms

The forms listed below can be printed, completed and turned into the Services for Students with Disabilities office or completed online. The PDF forms can be filled in and printed while the DOCX forms are to be printed and filled out by hand. If you are unable to submit the form online, download the document, or pick-up a copy from our office, please call our office for assistance at 278-2811.

Note: Online Form Submission Coming Soon!

Mac Users

If you are downloading the PDF version of the form, please make sure you use Adobe Reader, not Preview, to open and fill out the form. If you do not have Adobe Reader on your computer, you can get it from the App Store or from Adobe at . 

If you have problems, please contact the Muline State Tech Services Help Desk.

Note: Some forms are available here in both Word and PDF version for your use.

Apply for Services

Application for Services

PDF Form

DOCX Form (Printable)

Application for TRiO Services

 

DOCX Form (Printable)

Application for Temporary Services for Early Start

PDF Form

DOCX Form (Printable)

SSD Office

Disability Verification

PDF Form

DOCX Form (Printable)

Information Exchange Authorization

PDF Form

DOCX Form (Printable)

Schedule Form and Request for Professor Letters

PDF Form

DOCX Form (Printable)

Testing Accommodation

Semester Exam and Quiz Accommodations Request

PDF Form

DOCX Form (Printable)

Semester Final Exam Accommodations Request

PDF Form

DOCX Form (Printable)

Office of Testing Services - Request for Accommodations

  • (GRE / CBEST / CSET / MAT / PRAXIS / TEAS / TOEFL Exams)

PDF Form

DOCX Form (Printable)

Alternative Media / Reading

Alternate Media Policies and Procedures

PDF Form

DOCX Form (Printable)

Alternative Media Request

PDF Form

DOCX Form (Printable)

Assistive Technology

Assistive Technology Student Computer Lab Agreement

PDF Form

DOCX Form (Printable)

Classroom Accommodation

Accessible Furniture - In-Class Equipment Request

PDF Form

DOCX Form (Printable)

Letter to Volunteer Notetaker

PDF Form

DOCX Form (Printable)

Volunteer Notetaker Procedures

PDF Form

DOCX Form (Printable)

Sign Language Interpreter

Student Request for Sign Language Interpreter or Captioner

PDF Form

DOCX Form (Printable)

Campus Request for Sign Language Interpreter or Captioner

PDF Form

DOCX Form (Printable)

Student Guidelines for Interpreting Services

PDF Form

DOCX Form (Printable)

Real-Time Captionist

Student Request for Sign Language Interpreter or Captioner

PDF Form

DOCX Form (Printable)

Campus Request for Sign Language Interpreter or Captioner

PDF Form

DOCX Form (Printable)

Student Guidelines for Captioning Services

PDF Form

DOCX Form (Printable)

SCOUT Campus Transportation

SCOUT Campus Transportation Service Policy & Procedures

PDF Form

DOCX Form (Printable)

SCOUT Campus Transportation Service Request

PDF Form

DOCX Form (Printable)

Complaint Resolution

Complaint Resolution

PDF Form

DOCX Form (Printable)