Get New Referral Intake & Request For Academic Accommodation - Agts

Filling out the New Referral Intake & Request For Academic Accommodation - Agts is an essential step for users seeking academic accommodations. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Fill in the date on which you are submitting the form under 'Today’s Date'. Include the semester and year for which services are requested.
3. Complete the biographical information section, including your name, social security number or ID number, address, phone number, alternate phone number, and email.
4. In the disability information section, provide the medical definition of your disability and the date of onset or diagnosis.
5. Document any assistance you might be receiving from agencies, such as the Department of Rehabilitation Services or Veterans Administration, and include the name and phone number of your agency counselor.
6. Attach a copy of your Academic Accommodation Plan, if applicable. If not, list the name and contact information of the person who coordinated your previous accommodations and the services provided.
7. List any assistive technology or mobility devices you currently use.
8. Outline the reasonable accommodations you would like to request, providing a few details for each.
9. Use the additional information section to add any notes that may assist Student Services in providing appropriate accommodations.
10. Sign the form to indicate your agreement and understanding of confidentiality, then return it to the Office of Student Services at AGTS via the specified address or fax.

Complete your New Referral Intake & Request For Academic Accommodation - Agts online today!