Housing Accommodation Request Form

Housing Accommodation Request Form

If you have a condition or disability that you feel warrants an accommodation related to your housing assignment, please follow the guidelines outlined herein. Documentation that meets our documentation criteria must be provided.

NOTE: This form is to be filled out, in its entirety, by the professional treating the student, who must be unrelated to the student. Forms with insufficient detail will prompt a request for more information. PLEASE TYPE AND SUBMIT THIS FORM ELECTRONICALLY, rather than handwriting or printing it out. You will be copied this information by email upon submission.