Campus-Wide Reasonable Accommodation Form

The Accessibility Committee, comprised of representatives from Health Services, Counseling Center, Office of Student Accessibility
Services, Housing, and the Office of the Vice Chancellor for Student Affairs, meets monthly and is responsible for reviewing forms submitted for housing, dining, emotional support animal, and other accommodations for students with diagnosed disabilities and
accessibility needs.

Any inquiries to Accessibility Committee should be sent to accommodation.requests@umassd.edu.

Completing a Reasonable Accommodation Form Fillable (PDF):

• Ensure that all sections of the form are completed thoroughly, and attach any additional relevant documentation as needed.
  
  
• Documentation from your provider must establish a specific disability that substantially limits one or more major life activities and clearly supports the requested accommodations.
  
  
• Committee members and their respective offices, cannot advise students or providers on what specific information is needed to secure approval of accommodations. Providers should submit documentation that accurately reflects the student’s condition and supports the requested accommodations.
  
  
• There is no need to schedule a meeting with a department director following a nonapproved request in hopes of a different outcome, as individual meetings to discuss, supplement, or reconsider a request are not part of this process.
  
  
• Please hand-deliver the completed form to the Office of Accessibility Services (OSAS), located on the first floor of Pinedale Hall or submit it via FAX at 508-910-6691.
   ***For confidentiality reasons, we no longer accept forms or documentation via email and any materials received electronically will be deleted immediately.
  
  
• Once your submission is reviewed by the committee, you will be notified of their decision via your UMASSD email.
  
  
• IMPORTANT: Accommodations are determined on a case-by-case basis and are approved for one academic year at a time. A new form must be completed and submitted by your provider each year for continued consideration.

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 to accommodation.requests@umassd.edu; 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.