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Student Forms

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Disability Verification Form

This form is used as documentation for a student requesting accommodations.

Download the Disability Verification Form

You can submit this form in any of the following ways:

  • Upload as a part of your registration form
  • Email to   dsservices@fullerton.edu
  • Fax to (657) 278-2408
  • Bring in-person at Gordon Hall 101 to be scanned

Family Education Rights & Privacy Act (FERPA) Release Form

This form is used as documentation for a student to share their records with the designated third-party.

Download the FERPA Form

You can submit this form in any of the following ways:

Disability Documentation Guidelines

Please review and refer to our these guidelines for Disability Documentation when obtaining your third party documentation.

Emotional Support Animal Forms

All students requesting ESA accommodations must submit a Request for Emotional Support Animal in Student Housing file and Request for Emotional Support Animal Information file (to be completed by a licensed provider)

Please review our steps for ESA approval our Housing Accommodations page for more information!

Department of Rehabilitation Application

The California Department of Rehabilitation (DOR) is here to work with people who have disabilities to help them get jobs, develop or promote in their current jobs, live on their own, and enjoy a life equal to others.

If you are ready to start this journey with DOR,  you will need to provide additional information about yourself to request services.

 

Accessible Short Document Request Form

This form is to request accessible format of a short document (syllabus, handout, PowerPoints, class notes, etc.) for students with the approved accommodation . If you do not have the accommodation or are unsure if you have this accommodations , please reach out to your specialist. .

Upon submission, you will receive an email of your Accessible Short Document Request.

Accessible Short Document Request Form

IMPORTANT INFORMATION:  This page use Google Drive function and may requires a google account to log into the request form. Please note the following:

  • If you receive a "Notice: CSUF Gmail is no longer available. All student email accounts have been migrated to Office 365 Outlook"  message, please disregard it. It's an automatically generated system message.
  • If you receive a "You need permission"  message, go to  gmail.com  and log out before going back to the request form.
  • If the form does not display properly, please close your browser and open this page using the  Safari,  Google Chrome, or  Microsoft Edge browser.

ACCESSIBLE MEDIA DELIVERY GUIDELINES

To ensure your requested materials are delivered to you before classes begin, please submit all requests immediately following your registration for classes. Students are provided the early registration date so that DSS has time to prepare the requested materials before the semester begins.

DSS will strive to provide students their requested accessible materials as soon as possible once the proof of purchase has been received. DSS cannot ensure course materials will be delivered by the first day of classes if the request is not submitted at least 4 weeks in advance.   

When Will I Receive My Accessible Media Materials?

Below is the general timeline for DSS to fulfill your accessible materials request. Your request may be delivered earlier than listed below, and on rare occasions, may take longer. The Accessible Technology Team will notify you of delays or if there are any questions regarding your requests.

Requests should be submitted as soon as possible prior to the start of the semester!

Short Document Requests (Syllabi, PowerPoints, Journal articles, Notes, Handouts, etc.)

The delivery time for short document requests will vary depending on the complexity of the document, the number of pages, and the requested format. DSS will attempt to deliver the materials within TEN business days. Some requests may arrive earlier, while others may need additional time or be sent off campus for completion. Course deadlines and syllabus requirements may be discussed to ensure the timely delivery of materials. Requests may be delayed if the Accessible Technology Team is waiting for documents or further clarification from the student or the instructor.  

Braille Requests

The delivery timeline for Braille materials varies with the type of request: traditional, tactile, or digital braille/BRF. Deadlines will be discussed and coordinated between the student and the Accessible Technology Team as requests are submitted.

If you have questions regarding the timeline above, please contact the Accessible Technology Team at    dssaccess@fullerton.edu    .

Support links:

Accessible Technology (See Instructions for Requesting and Downloading Accessible Format for a step by step)

If you have any questions, please email  dssaccess@fullerton.edu

Accessible Textbook Request Form

This form is to request accessible format of a textbook   for students with the approved accommodation . If you do not have the accommodation or are unsure if you have this accommodations , please reach out to your specialist.

Upon submission, you will receive an email of your Accessible Textbook Request.

Accessible Textbook Request Form

IMPORTANT INFORMATION:  This page use Google Drive function and may requires a google account to log into the request form. Please note the following:

  • If you receive a "Notice: CSUF Gmail is no longer available. All student email accounts have been migrated to Office 365 Outlook"  message, please disregard it. It's an automatically generated system message.
  • If you receive a "You need permission"  message, go to  gmail.com  and log out before going back to the request form.
  • If the form does not display properly, please close your browser and open this page using the  Safari,  Google Chrome, or  Microsoft Edge browser.

ACCESSIBLE MEDIA DELIVERY GUIDELINES

To ensure your requested materials are delivered to you before classes begin, please submit all requests immediately following your registration for classes. Students are provided the early registration date so that DSS has time to prepare the requested materials before the semester begins.

What if I cannot locate my textbook information?

Course instructors do not always identify their course materials early.  If your class textbook information has not been posted on the Titan campus bookstore website, please contact the Accessible Technology Team at       dssaccess@fullerton.edu     with specific course information including the Course Name, 5-digit Course Number, and Instructor if listed. DSS will assist in locating the textbook information.

DSS will strive to provide students their requested accessible materials as soon as possible once the proof of purchase has been received. DSS cannot ensure course materials will be delivered by the first day of classes if the request is not submitted at least 4 weeks in advance.   

When Will I Receive My Accessible Media Materials?

Below is the general timeline for DSS to fulfill your accessible materials request. Your request may be delivered earlier than listed below, and on rare occasions, may take longer. The Accessible Technology Team will notify you of delays or if there are any questions regarding your requests.

Textbook requests should be submitted as soon as possible prior to the start of the semester!

Textbook Request Timeline:

Request Submitted By PDF RTF Kurzweil 3000 Braille
1-4 Weeks   before   classes begin 2 weeks 4 weeks 4 weeks Varies with typeof request:- traditional,- tactile- digital braille/BRF)
1-4 Weeks   after  classes begin 4 weeks 6 weeks 6 weeks

The above dates reflect when you can expect partial fulfillment of your request

Proof of purchase must be submitted to DSS in order for materials to be provided to student.

Requests submitted 4 to 6 weeks prior to the end of the current semester may not be fulfilled due to the time it takes to process the requests.   

Braille Requests

The delivery timeline for Braille materials varies with the type of request: traditional, tactile, or digital braille/BRF. Deadlines will be discussed and coordinated between the student and the Accessible Technology Team as requests are submitted.

If you have questions regarding the timeline above, please contact the Accessible Technology Team at    dssaccess@fullerton.edu    .

Support links:

Accessible Technology (See Instructions for Requesting and Downloading Accessible Format for a step by step)

If you have any questions, please email  dssaccess@fullerton.edu

Audio Recording Agreement

For students who have received the audio recording accommodation, please fill out the Audio Recording Agreement.

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