Forms

Accommodations Letter Request

Students MUST pick up accommodation letters at the Disability Resource Center (DRC). Allow two working days for processing. Call 815 753-1303 v/tty for assistance.

Your first name:
Your last name:
Your phone:
Semester: Year:
Your Coordinator:
Class 1 Instructor title and name:
Course name and number: (Ex. BIOS 103)
Course section: (Ex. Sec. 3)
 
Class 2 Instructor title and name:
Course name and number: (Ex. BIOS 103)
Course section: (Ex. Sec. 3)
 
Class 3 Instructor title and name:
Course name and number: (Ex. BIOS 103)
Course section: (Ex. Sec. 3)
 
Class 4 Instructor title and name:
Course name and number: (Ex. BIOS 103)
Course section: (Ex. Sec. 3)
 
Class 5 Instructor title and name:
Course name and number: (Ex. BIOS 103)
Course section: (Ex. Sec. 3)
 
Class 6 Instructor title and name:
Course name and number: (Ex. BIOS 103)
Course section: (Ex. Sec. 3)