ACCOMMODATION

ACCOMMODATION REQUEST

The information requested below and any documentation regarding your disability will be considered strictly confidential and will not be shared with any outside source without your express written permission.
If your disability is observable and your request does not involve modifying examination procedures, but is limited to wheelchair space, seating or equipment needs, it is not necessary to obtain professional verification.
If your disability is clearly not observable, you are required to submit documentation from the medical authority or learning institution that rendered a diagnosis. Verification must be submitted to RET on the letterhead stationery of the medical authority or specialist that includes the following:
• Description of the disability and testing needs
• Recommended accommodation/modification
• Name, title and telephone number of the medical authority or specialist
• Original signature of the medical authority or specialist
• Professional license or certification number of the medical authority or specialist
If you have previously been granted reasonable testing accommodations by an organization that required documentation to verify your disability, RET may accept a copy of the verification, provided you submit the name, address and telephone number of the medical authority, specialist or learning institution that prepared the documentation.

* Indicates required field

student Name *

First

Last

student Email *

medical authority / specialist Name *

First

Last

medical authority title *

professional license or certification # *

medical authority Phone Number *

License intended to obtain *

course in need of accommodation *

Check any reasonable accommodations you require (requests must concur with documentation submitted) *

If you chose "Other", please explain here *

additonal comments *

By clicking SUBMIT, I certify under penalty of perjury under the laws of California that the foregoing is true and correct.

Submit

ACCOMMODATION REQUEST

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ACCOMMODATION REQUEST

Resources

Corporate Office

​Subscribe to our Newsletter

Subscribe to our Newsletter