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Pepperdine University

Student Accessibility Forms

Students requesting accommodations must submit a Semester Request for each semester services are requested. As a confirmation that this form has been completed, students will receive an updated accommodation letter than they can share with their professors. 

Students requesting exam accommodations through Student Accessibility (e.g. proctors, alternate testing rooms, etc.) should consult Implementation Guides for instructions specific to their school and campus location. 

For your convenience, you may print out these forms by clicking on one of the corresponding links.  You may also obtain these forms at the OSA during office hours (8 AM-5 PM).

Note: To access these forms, you will need Adobe Acrobat Reader. You can download the Acrobat Reader software for free by clicking on the icon below.

Information Release Form

Disability Verification Form

Alternate Exam Form (School of Public Policy)

Audio Recording Agreement

Email completed forms directly to Student Accessibility. 

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