Initial Accommodation Request

* indicates a required field

Student Information

Please enter your information
Pronouns



Please use your university issued email address

Specific Accommodation Information

Have you received accommodations from Lock Haven University in the past?Required
Check the areas affected by your current disabilityRequired













Academic History

Did you have an IEP, 504 Plan or some other school-based support?Required
Please upload documentation of disability from an appropriate professional, or forward separately to ODSS. This could include a Psychological Evaluation, Psycho-educational Evaluation, Re-Evaluation Report, or other documentation. Please refer to ODSS Handbook at http://www.lockhaven.edu/adac/disabilityservices/ for more information about documentation requirements.