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 |
| Alternate Media Contract Form | Contract that describes alternate media services and corresponding obligations of the student |
| Alternate Media Request Form | Completed by student when requesting alternate media, submitted along with textbooks |
| Blue Test Form | Submitted by students to arrange each proctored test, quiz, etc. |
| 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 |
| Furniture Request Form | Request for disability-related adaptive furniture in classrooms |
| Housing Special Consideration Form | Request by student for housing accomodations due to disability-related needs |
| Learning Disabilities Documentation Form | Completed by a qualified professional to document a learning disability |
| Psy & Neuro Disabilities Documentation Form | Completed by a qualified professional to document a psychological/neurological disability |
| 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. |
