Accommodation Request Form
If you are a student currently registered with the DLRC and have received accommodation letters for a prior semester and you are not requesting any changes, please complete the form below to request letters for the present semester.
Please note: this on-line submission form is not being sent via a secure server. If utmost confidentiality is a concern for you, please download the PDF version of the Accommodation Request Form which can be submitted in person, by mail, or by fax.
Please make sure you have completed all fields before submitting. You should see an acknowledgment of your submission. If you do not see an acknowledgment, contact the DLRC at: 312.499.4278 or TTY 312.499.4287, or email: email@example.com.
* denotes required information