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Disabled Student Programs & Services Documents and Forms


Documents and Forms

The following documents and forms may be used by students and DSP&S to effectively provide services to students with disabilities. 


Forms for students New to DSP&S at American River College:

New Student Checklist (PDF/Word)

Application for DSPS Services (PDF)


Accommodation Forms and Information:

Student Request for Alternate Media (PDF)

Student Checklist for Alternate Media (PDF)

General Accommodation Information (PDF/Word)


Testing Services Forms:

Instructor Authorization Form (PDF/Word)

Exam Cover Sheet (PDF)

Testing Services Student Responsibilities(PDF/Word)


Other Forms:

Disability Documentation Form (PDF/Word)

Refer a Student to DSP&S/LD (PDF)

Informal Resolution Form (PDF)



DSP&S Program Information (PDF)

DSP&S Testing Services (PDF)

DSP&S Testing - How to be an Effective Test Taker (PDF)

Learning Disabilities Program (PDF)

Traumatic and Acquired Brain Injury Support - T.A.B.I.S. (PDF)


Request to Cancel Interpreter Services Form