Disabilities Services

A A

Forms

---

Intake Questionnaire
Alternate Media Request
Reduced Course Load Request
Anti-Discrimination Grievance Form
Emergency Evacuation Request Form

---

Don't want to fill them out online?
Download the forms in pdf format.

1. Fill out the form online.
2. Save to your computer by going to <File <Save Page As...>.
3. Send the form as an e-mail attachment or print the form and return it to the Disability Services Office.
4. All forms are pdf format and require Adobe Reader.

Intake Questionnaire [pdf]
Alternate Media Request [pdf]
Reduced Course Load Request [pdf]
Anti-Discrimination Grievance Form [pdf]
Emergency Evacuation Request Form [pdf]

Helpful links

Intake Questionnaire
Accessible Route Map [pdf]
Notice Under the ADA
Disability Services Video

Disability Services Student Handbook
Transition Workshop

---

Any student who believes he/she has been denied any service or benefit or otherwise discriminated against due to a disability may follow the steps outlined in NIACC’s
Grievance Procedure.