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UCLA Office for Students with Disabilities, A Department of Student Affairs
 
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Forms

We have several forms available for download: They are PDF files which uses Adobe Acrobat Reader software, which can be downloaded free. Follow this Adobe Acrobat Reader software link if you require this free software.

Please use Adobe Acrobat 7 or later for viewing and printing these files.

Forms for UCLA Students:
Adobe Acrobat IconDisabled Students Housing Appeals Forms
Adobe Acrobat IconVerification of Disability Form
Adobe Acrobat IconParking Disability Verification Form
Adobe Acrobat IconAD/HD - Psychological Disability Verification Form
Adobe Acrobat IconLearning Disability / Attention Deficit (Hyperactivity) Disorder Intake Form
Adobe Acrobat IconPsychological Disability Intake Form

Forms for Registered Students:
Adobe Acrobat IconRequest for a Classroom Notetaker
Adobe Acrobat IconRequest for Alternative Format
Adobe Acrobat IconRequest for Law School Notes. This is a new interactive form. Completed forms can be sent by email and an acknowledgement will be sent when received by the OSD. Please call the OSD office during business hours, (310) 825-1501, if you need assistance with this form.

Forms for Service Providers:
Adobe Acrobat IconApplication to be a Classroom Notetaker
Adobe Acrobat IconTime Sheets for Service Providers - (Reader/Scanner, Classroom Asst, Transcriber, Captionist, Interpreter, and Library/Research Asst.)
Adobe Acrobat IconTime Sheets for Service Providers - (Proctor, Driver and Office Assistant)

 

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