Accessibility Resources Office Accommodation Request Form

* indicates a required field

Student Information

Please enter your information.
Begins with 701.
DOB
Please use your university issued email address.
Are you enrolled at the branch campus (Queensbury)?Required
Are you enrolled in a fully online program of study?Required
Are you enrolled in another Access & Opportunity Program? If yes, please select from the following options:
This two (2) credit course will provide you with a roadmap to success in academics, resources executive functioning skills, diversity and advocacy, the Americans with Disabilities Act (ADA), and various forms of disabilities.

Specific Accommodation Information

We will review these during the initial intake meeting.
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Have you utilized any accommodations in the past?

Upload Supporting Documentation

Supporting Documentation Guidelines

Documentation Guidelines for ARO-

Documentation should provide proof of diagnosis that meets the Americans with Disabilities Act (ADA) guidelines. Where applicable, documentation should also include information related to any prior accommodations that you have received. It is important, but not required, that the support documentation includes information that can assist us in determining the best accommodations and support services that you may need. Some helpful information includes:

  • Information about the impact that disability may have on one or more major life activities
  • The impact of the disability in the academic setting
  • What accommodations that the provider recommends to best support you in the academic setting
  • Treatment that is currently being provided

Examples of support documentation include, but are not limited to:

  • IEP/504 Plan
  • Accessibility document from previously attended institution
  • Psycho-educational or neuropsychological evaluation
  • Letter from a healthcare provider, on office letterhead, that indicates diagnosis(es)
  • Patient diagnostic summary

*If you do not have access to documentation, have never received accommodations, or you are seeking a referral for an evaluation, contact us at ARO@plattsburgh.edu for support and guidance.

Documentation Guidelines for Title IX-

Verification of referral from the Title IX Office is required for accommodations related to pregnancy, parenting, related conditions, and/or other general Title IX supports. No further documentation is required.

Release of Information

ARO: Release of Information

I give the Accessibility Resources Office (ARO) and its representatives permission to discuss relevant aspects of my accommodations and academic needs with faculty as necessary to implement my accommodations. ARO does not share diagnosis-specific information with faculty. I understand that I will be notified every time an inquiry is made on my behalf.

Authorized Access to My Accessibility Records

I give the Accessibility Resources Office permission to discuss relevant aspects of my accessibility records with the individuals listed below. If I check "no", only I may discuss matters related to my accessibility records with ARO staff.

Title IX: Release of Information (if applicable)

For accommodation requests related to pregnancy, parenting, or related conditions, or supportive measures related to covered sexual harassment, I give the Title IX Coordinator permission to discuss relevant aspects of my request with faculty/staff as it impacts access to my education program or activities. I understand that I will be notified every time an outreach is made to faculty/staff on my behalf.