Accommodation Request Form

* indicates a required field

Student Information

You MUST have your documentation ready to upload before completing this form.

First Name

Last Name

Middle Name

Student ID

University Cane ID example: C12345678

Student must use their UM email address to receive emails and notifications regarding the review process.

Phone Number

My diagnosed disability falls into the following category

How does your disability affect you academically?

How does your disability affect student life in general, like taking tests and studying?

Please list the specific accommodations you are requesting.

Only listed accommodations will be considered

Degree Enrollment Classification

What term is this request for

Upload supporting document(s)