Get Self Disclosure Form

Completing the Self Disclosure Form is an essential step in requesting accommodations for disabilities. This guide will provide clear and comprehensive instructions to help you navigate the form effectively and understand its components.

Follow the steps to successfully complete the Self Disclosure Form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the date in the designated field, ensuring that it is accurate and current.
3. If you have an FDU ID number, type it into the corresponding section. If not, you can leave this field blank.
4. Indicate the semester for which you are requesting accommodations by checking the appropriate box for fall or spring and entering the year.
5. Provide your full name in the name field, followed by your complete home address, ensuring all details are clear and accurate.
6. If you have an on-campus address, fill it in as indicated. Otherwise, you may leave this section blank.
7. Input your home telephone number in the specified format, and if applicable, include your on-campus telephone number.
8. Enter your email address, ensuring that it follows the standard format of user@domain.com.
9. List the accommodations you are seeking in the provided section, along with any supporting documentation that you are including with your submission.
10. Compose your message to the Special Needs Committee, clearly stating your request for accommodations due to a disability, as defined by the Americans with Disabilities Act (ADA).
11. Ensure you attach relevant documentation and confirm that it is dated within three years, as specified.
12. Sign the document in the section provided, confirming your request and consent for the materials to be shared with the Special Needs Committee.
13. Once all sections are complete, save your changes, and you may choose to download, print, or share the completed form as needed.

Complete your Self Disclosure Form online today to ensure timely processing of your accommodation request.