Campus-Wide Reasonable Accommodation Form
If you have a diagnosed disability or chronic health condition and wish to request housing or dining accommodations, please have a qualified provider complete the Reasonable Accommodation Form (Word Doc). This information will be used to determine eligibility for reasonable accommodations under the Americans with Disabilities Act and Section 504 of the Rehabilitation Act.
The information from your provider must establish a specific disability that substantially limits one or more major life activities and must support the request for accommodations. A diagnosis of a condition in and of itself does not automatically qualify an individual for accommodations. Complete all sections of this form thoroughly. Please attach additional information or documentation to this form as needed.
After this is submitted, the Accessibility Committee comprised of a representative of the Office of Student Accessibility Services (OSAS), Counseling and Student Development, Health Services, and Housing are collectively responsible for reviewing and making determinations on your request.
Once a determination has been made, you will be notified via your UMassD email.
The Committee meets monthly to review submissions.
ADA accommodations are approved for one academic year at a time. This means a new form must be completed by your provider and submitted yearly for consideration.
Accommodations are determined on a case-by-case.
Please submit your form via:
Email: accommodation.requests@umassd.edu
Phone: 508-910-6691
Accessibility Committee Appeals Process
What an Appeal Can Address
An appeal will be reviewed to determine whether:
- New or updated medical or clinical information has been provided that was not included in the original request; or
- A procedural error was made in the original review, such as an error in how the request was evaluated.
What an Appeal Does Not Do
An appeal does not reconsider decisions based only on disagreement with the outcome or personal preference.
How to Submit an Appeal
To submit an appeal, students must:
- Provide a written email explanation of the reason for the appeal; and
- Include any new or updated documentation, if applicable.
Appeal Decision
Appeals are reviewed based on ADA standards and the information provided. Students will be notified via email of the final decision.