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Disability Support Services Office Forms

  • Please download the appropriate form and return it to the Advising and Testing Center, 216 Pratt Hall. If you have questions or need assistance, please contact our office at 724-357-4067 or advising-testing@iup.edu.

  • Declaration of Disability
    Please be aware that IUP does not discriminate on the basis of race, gender, age, national origin, religion, sexual preference or disability in any of its educational programs or activities. We provide services commensurate with Section 504 of the Rehabilitation Act and the Americans with Disabilities Act. You should register with this office even if the Blind and Visual Services (BVS) or the Office of Vocational Rehabilitation (OVR) is servicing you, as we will work together to provide you with support services.
    Declaration of Disability Spanish
    Por favor esté conciente de que IUP no discrimina a nadie por su raza, género, edad, origen o nacionalidad, religión, preferencia sexual o discapacidad en ninguno de sus programas educativos o actividades. Nosotros ofrecemos servicios los cuales son proporcionados por la sección 504 de actos de rehabilitación para los estadounidenses con discapacidades. Usted debe inscribirse en esta oficina aunque ya reciba servicios de la oficina para ciegos y de servicios visuales (CSV) o de la oficina vocacional de rehabilitación (OVR). De este modo trabajaremos juntos con el fin de brindarle los servicios de apoyo.
    Documentation of Disability Form
    This is a form for students wishing to verify a diagnosis of Attention Deficit Hyperactivity Disorder, Psychological/Emotional Disorder, Health/Physical Disorder, or Mobility Disability. The form must be completed by a doctor, psychologist, or other appropriate professional. This form is optional; a letter from the professional may be sufficient, as long as it includes what is on this form. This form cannot be used to document Specific Learning Disabilities, Traumatic Brain Injuries, Vision Impairments, or Hearing Impairments.
    Alternate Text Request Form
    Please submit this form after it has been determined that your textbook(s) must be locally recorded. If you are unsure if your textbook must be locally recorded, please contact Chelshea Thompson at 724-357-4067 or c.z.thompson@iup.edu.
    DSS Test Request Form (PDF)
    Use this form to request a test within Disability Support Services. Form must be downloaded, completed and returned to Disability Support Services, 216 Pratt Hall, at least three business days in advance, and five business days before finals week.
    DSS Test Request Form (Word)
    Use this form to request a test within Disability Support Services. Form must be downloaded, completed and returned to Disability Support Services, 216 Pratt Hall, at least three business days in advance, and five business days before finals week.
    DSS Scheduling Form (Green Sheet) Spring 2017 (PDF)
    This is the Green Sheet for the Spring 2017 session. Please download, print and return the form to the Advising and Testing Center ASAP.
    DSS Scheduling Form (Green Sheet) Summer 2017 (PDF)
    This is the Green Sheet for the Summer 2017 session. Please download, print and return the form to the Advising and Testing Center ASAP
    DSS Scheduling Form (Green Sheet) Fall 2017 (PDF)
    This is the Green Sheet for the Fall 2017 session. Please download, print and return the form to the Advising and Testing Center ASAP