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Disability Services and Support

Accommodation Requests due to Disability for Residential Life & Housing Services and Dining Services

Please review the Guidelines for Accommodation Requests due to disability for Residential Life & Housing Services and Dining Services before submitting this form. An access coordinator will review your completed form and will notify you if additional information, including medical information, is required to fully evaluate your request. Medical documentation must be submitted in accordance with the guidelines for documenting a disability at the University of Rochester. The University Intercessor and Director of Disability Compliance in consultation with relevant medical professionals will review all requests for housing and dinning accommodations.

You may complete the online form below or download a printed form.


You may submit completed printed forms and required medical documentation to:

Fax: (585) 273-1116

Electronic: disability@rochester.edu

Mail:
Center of Excellence in Teaching and Learning
Box 270359
University of Rochester
Rochester, NY 14627

This request is for housing for the following housing year:2017-2018
Other:


Status:
College of Arts, Sciences, and Engineering
Eastman School of Music
Simon School of Business
Warner School of Education
School of Nursing
School of Medicine and Dentistry
Eastman Institute for Oral Health


General information:


Please describe your disability:


Please describe the housing or dining accommodation you are requesting:


Please explain why you are requesting the accommodation:


Contact Us

Office of Disability Resources 
Student Disability Services
1-154 Dewey Hall
585-275-9049
disability@rochester.edu

 

Lynnett Van Slyke
University Intercessor and Director of Disability Compliance
36 Wallis Hall
585-275-9125
l.vanslyke@rochester.edu