Forms

The forms listed below can be printed, completed and turned into the Services for Students with Disabilities office or completed online. The PDF forms can be filled in and printed while the DOCX forms are to be printed and filled out by hand. If you are unable to submit the form online, download the document, or pick-up a copy from our office, please call our office for assistance at 278-2811.

Note: Online Form Submission Coming Soon!

Mac Users

If you are downloading the PDF version of the form, please make sure you use Adobe Reader, not Preview, to open and fill out the form. If you do not have Adobe Reader on your computer, you can get it from the App Store or from Adobe at http://get.adobe.com/reader/

If you have problems, please contact the Fresno State Tech Services Help Desk.

Note: Some forms are available here in both Word and PDF version for your use.

Apply for Services

Application for Services

Application for Services - Online FormOnline Form

Application for Services - PDF FormPDF Form

Application for Services - DOCX Form (Printable)DOCX Form (Printable)

Application for TRiO Services

   

Application for TRiO Services - DOCX Form (Printable)DOCX Form (Printable)

Application for Temporary Services for Early Start

Application for Temporary Services for Early Start - Online FormOnline Form

Application for Temporary Services for Early Start - PDF FormPDF Form

Application for Temporary Services for Early Start - DOCX Form (Printable)DOCX Form (Printable)

SSD Office

Disability Verification

Disability Verification Form - Online FormOnline Form

Disability Verification Form - PDF FormPDF Form

Disability Verification - DOCX (Printable)DOCX Form (Printable)

Information Exchange Authorization

Information Exchange Authorization - Online FormOnline Form

Information Exchange Authorization - PDF FormPDF Form

SInformation Exchange Authorization - DOCX Form (Printable)DOCX Form (Printable)

Schedule Form and Request for Professor Letters

Schedule & Request for Professor Letters Form - Online FormOnline Form

Schedule Form and Request for Professor Letters - PDF FormPDF Form

Semester Exam and Quiz Accommodations Request - DOCX Form (Printable)Schedule Form and Request for Professor LettersDOCX Form (Printable)

Testing Accommodation

Semester Exam and Quiz Accommodations Request

Semester Exam and Quiz Accommodations Request Form - Online FormOnline Form

Semester Exam and Quiz Accommodations Request - PDF FormPDF Form

Semester Exam and Quiz Accommodations Request - DOCX Form (Printable)DOCX Form (Printable)

Semester Final Exam Accommodations Request

Semester Final Exam Accommodations Request Form - Online FormOnline Form

Semester Final Exam Accommodations Request - PDF FormPDF Form

Semester Final Exam Accommodations Request - DOCX Form (Printable)DOCX Form (Printable)

Office of Testing Services - Request for Accommodations

  • (GRE / CBEST / CSET / MAT / PRAXIS / TEAS / TOEFL Exams)

Office of Testing Services - Request for Accommodations - Online FormOnline Form

Alternate Media Policies and Procedures - PDF FormOffice of Testing Services - Request for Accommodations - PDF FormPDF Form

Office of Testing Services - Request for Accommodations - DOCX Form (Printable)DOCX Form (Printable)

Alternative Media / Reading

Alternate Media Policies and Procedures

Alternate Media Policies and Procedures - Online FormOnline Form

Alternate Media Policies and Procedures - PDF FormPDF Form

Alternate Media Policies and Procedures - DOCX Form (Printable)DOCX Form (Printable)

Alternative Media Request

Alternative Media Request - Online FormOnline Form

Alternative Media Request - PDF FormPDF Form

Alternative Media Request - DOCX Form (Printable)DOCX Form (Printable)

Assistive Technology

Assistive Technology Student Computer Lab Agreement

Google Form Icon -Assistive Technology Student Computer Lab Agreement - Online FormOnline Form

Assistive Technology Student Computer Lab Agreement - PDF FormPDF Form

Assistive Technology Student Computer Lab Agreement - DOCX Form (Printable)DOCX Form (Printable)

Classroom Accommodation

Accessible Furniture - In-Class Equipment Request

Accessible Furniture - In-Class Equipment Request - Online FormOnline Form

Accessible Furniture - In-Class Equipment Request - PDF FormPDF Form

Letter to Volunteer NotetakerDOCX Form (Printable)

Letter to Volunteer Notetaker

 

Letter to Volunteer Notetaker - PDF FormPDF Form

Letter to Volunteer NotetakerDOCX Form (Printable)

Volunteer Notetaker Procedures

 

Volunteer Notetaker Procedures - PDF FormPDF Form

Volunteer Notetaker ProceduresDOCX Form (Printable)

Sign Language Interpreter

Student Request for Sign Language Interpreter or Captioner

Student Request for Sign Language Interpreter or Captioner - Online FormOnline Form

Student Request for Sign Language Interpreter or Captioner - PDF FormPDF Form

Student Request for Sign Language Interpreter or Captioner - DOCX Form (Printable)DOCX Form (Printable)

Campus Request for Sign Language Interpreter or Captioner

Campus Request for Sign Language Interpreter or Captioner - Online FormOnline Form

Campus Request for Sign Language Interpreter or Captioner - PDF FormPDF Form

Campus Request for Sign Language Interpreter or Captioner - DOCX Form (Printable)DOCX Form (Printable)

Student Guidelines for Interpreting Services

 

Student Guidelines for Interpreting Services - PDF FormPDF Form

Student Guidelines for Interpreting Services - DOCX Form (PrintableDOCX Form (Printable)

Real-Time Captionist

Student Request for Sign Language Interpreter or Captioner

Student Request for Sign Language Interpreter or Captioner - Online FormOnline Form

Student Request for Sign Language Interpreter or Captioner - PDF FormPDF Form

Student Request for Sign Language Interpreter or Captioner - DOCX Form (Printable)DOCX Form (Printable)

Campus Request for Sign Language Interpreter or Captioner

Campus Request for Sign Language Interpreter or Captioner - Online FormOnline Form

Campus Request for Sign Language Interpreter or Captioner - PDF FormPDF Form

Campus Request for Sign Language Interpreter or Captioner - DOCX Form (Printable)DOCX Form (Printable)

Student Guidelines for Captioning Services

 

Student Guidelines for Captioning Services - PDF FormPDF Form

Student Guidelines for Captioning Services - DOCX Form (Printable)DOCX Form (Printable)

SCOUT Campus Transportation

SCOUT Campus Transportation Service Policy & Procedures

SCOUT Campus Transportation Service Policy & Procedures Form - Online FormOnline Form

SCOUT Campus Transportation Service Policy & Procedures - PDF FormPDF Form

SCOUT Campus Transportation Service Policy & Procedures - DOCX Form (PrintableDOCX Form (Printable)

SCOUT Campus Transportation Service Request

SCOUT Transportation Request Form - Online FormOnline Form

SCOUT Campus Transportation Service Request - PDF FormPDF Form

SCOUT Campus Transportation Service Request - DOCX Form (Printable)DOCX Form (Printable)

Complaint Resolution

Complaint Resolution

Complaint Resolution - Online FormOnline Form

Complaint Resolution - PDF FormPDF Form

Complaint Resolution - DOCX Form (Printable)DOCX Form (Printable)