Forms
PLEASE NOTE: If you would like any of these forms in an alternate format, please contact DSS by phone (707) 664-2677 or by email.
| Form Name | Form Description |
|---|---|
| ADD/ADHD Documentation Form | Completed by a qualified professional to document ADD/ADHD UPDATED |
| Alternate Media Contract Form | Contract that describes alternate media services and corresponding obligations of the student |
ONLINE |
|
| Accommodated Test Instruction (Blue Test Form) | ONLINE Completed and submitted online by faculty to the DSS office with each student exam |
| Consent Release Form | Authorizes the exchange of information between student and another institution/entity |
| Disability Verification Form | Completed by a qualified professional to document non-LD/ADD disabilities (i.e. medical conditions) UPDATED |
| Furniture Request Form | ONLINE Completed and submitted online by student to request for disability-related adaptive furniture in classrooms (Also available in PDF) |
| Housing Special Consideration Form | Request by student for housing accomodations due to disability-related needs |
| Learning Disabilities Documentation Guidelines | Guidelines for how a qualified professional can document a learning disability |
| Note Taker Job Expectations | Information on notetaking services and guidelines for DSS student and note taker |
| Psy & Neuro Disabilities Documentation Form | Completed by a qualified professional to document a psychological/neurological disability UPDATED |
| Student Intake Form | Completed/submitted by all students requesting DSS services |
| Temporary Disability Parking Application | Application to receive 30-day temporary disability parking permit |
| Temporary Disability Parking Guidelines | Guidelines about requesting 30-day temporary disability parking permit |
| Test Room Guidelines | Student agreement form for DSS-proctored tests, quizes, etc. |
