Public Accommodation Request

* indicates a required field

Student Information

Please enter your information
Please use your college issued email address

(note: this is not your 8-digit NetID. The email is the first initial of your first name, followed by the first 4 letters of your last name, followed by 4 numbers @mail.ct.edu. Example: asmit0001@mail.ct.edu)

Specific Accommodation Information

Upload supporting document(s)

Diagnostic Testing (EG, Psych evaluation, psychoeducational evaluation,  neuro psychological, speech evaluation, etc) 504 plan, Medical summary from doctor/clinician

An IEP plan is helpful but not sufficient on its own