Banacos Academic Center

Disability Services

ds@westfield.ma.edu

 

Reasonable Accommodations Request

 

Disability Services

 

This form is to be filled out and submitted by the student only.

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* **If you select the first box you don#039;t need to select any other boxes. You can then skip to the next section. ***If you want to add a new accommodation, you may also select any additional boxes for new requests.
















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Which offices would you like notified and what should we tell them?
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