Disability Services Center University of California, Irvine

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Forms & Applications (PDF)


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DISABILITY DOCUMENTATION FORMS
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Documentation MUST be completed by a qualified medical professional. To save, right-click on the link and select "Save target as..." Then select the location on your computer where you want to save the file. The completed form(s) and documentation need to be faxed to 949-824-3083.

FORM
DISABILITY
UC GUIDELINES
Verification of Disability
  • Communication
  • Deaf/Hard of Hearing
  • Physical/Medical Disabilities (Permanent or Temporary)
  • Visual
NONE
Verification of Pscychological Disability
  • Psychological Disabilities

Psychoeducational Assessment

  • AD/HD
  • Learning Disability
  • Acquired Brain Injury
  • Autism/Asperger's

 

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REFERRAL/INFORMATION FORMS
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EMPLOYMENT
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  • DSC Employment Application - Employment application to apply for DSC notetaker, reader/e-text editor, interpreter student assistant, etc.

 

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REQUESTING OF ACCOMMODATIONS AND/OR SERVICES
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  • ONLINE Accommodations Request Form (ARF)- (available 10th Week Fall 2009) for requesting faculty letters, notetakers and/or captioners. Also view the accompanying policy.
  • ONLINE Notetaker Request Form (NRF) - for registered DSC students eligible to receive notetaking as an accommodation.
  • ONLINE Notetaker Application Form (NRF) - for applying to be a notetaker for students with disabilities.

 

 

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