L E H M A N C O L L E G E _____________________________ The City University of New York Accommodation Letter Request Form Students registered with the Office of Student Disability Services notify their professors of their disability related accommodation needs when they present them with Accommodations Letters signed by the Director of Student Disability Services. Students with disabilities are advised to request and present theses letters during the first week of each new semester so that accommodations can be provided in a timely manner. When students present their Accommodation Letters to their professors, they should also discuss the provision of accommodations. Students are advised to make an appointment with their professors in order to discuss their accommodations. For example, students receiving testing accommodations must discuss where testing will occur and whether a test is needed in an alternate format. (i.e. large print, audio tape, etc.) If students have any concerns or difficulties with the provision of accommodations, they should contact the Office of Student Disability Services. Student Name: _________________________________________________________ Address: ______________________________________________________________ E-mail address _________________________________________________________ Please list classes, sections, and professor’s names: Semester _______________ 1. Class: ______________ Section: __________ Professor: __________________ 2. Class: ______________ Section: __________ Professor: __________________ 3. Class: ______________ Section: __________ Professor: __________________ 4. Class: ______________ Section: __________ Professor: __________________ 5. Class: ______________ Section: __________ Professor: __________________ Date Letters Requested: ________________________________________________ Dates Letters Received: _________________________________________________ Student’s Signature: ____________________________________________________ Office of Student Disability Services Phone 718-960-8441 Fax 718-960-7489 250 Bedford Park Boulevard West Bronx, N.Y. 10468-1589 Shuster Hall, Room 238 www.disability.services@lehman.cuny.edu