Public Accommodation Request

Welcome

Register for Accommodations

CU Denver | Anschutz Medical Campus has partnered with Symplicity to provide university students and faculty a streamlined and modernized accommodation request process with a fully ADA-compliant interface that allows for the submission of any and all accommodation requests. The interface is called Accommodate and is currently being utilized by students and faculty at CU Boulder, CU Colorado Springs and more than 1,300 Higher Education Institutes. The interface allows students to submit accommodation requests including:

Request Faculty Accommodation Letters
Upload Documentation
Request a Peer Notetaker
Book Testing Services for the Testing Center and Individual Testing Rooms

If you are a student who does not currently have accommodations, please complete the following form (items marked with a '*' are required fields) and a Disability Resources & Services staff member will be in contact with you to review your registration.

If you have already completed an intake interview and currently have accommodations, please visit this link to login to the Accommodate system: Accommodate Login - Current Students

First Name

Last Name

Middle Name

Preferred Pronouns

Student ID

Email

Please use your university issued email address

Cell Phone Number

Address

Please include City State and Zip code

Date of birth

Veteran Status

Are you a client of:

Emergency Contact Phone Number

Primary/Preferred Language

If you were referred to DRS, who referred you?

Academic History

Major:

Class Standing

Expected Graduation Term

Expected Graduation Year

Are you a full time or part time student?

Do you have an IEP, 504 Plan and/or another form of documented academic-based support?

IF yes please upload the document below under "Upload supporting documentation"

If you have used accommodations in the past, what were they and were they effective?

Specific Accommodation Information

Describe the disability/condition for which you are seeking accommodation(s).

Describe how this condition(s) impacts you in the university environment (classes, student activities, etc.).

What accommodations are you requesting at CU Denver?

Upload supporting documentation

Documentation must come from a licensed professional such a physician, psychologist, psychiatrist, etc. and include specific diagnosis, current symptoms, functional limitations and a statement regarding the educational impact of the disability

Terms and Conditions

I understand that I am requesting accommodations from Disability Resources and Services (DRS)

To receive accommodations, I must complete an intake interview and provide acceptable professional documentation of a disability(s). If the disability changes, it is my responsibility to provide updated documentation to the DRS staff for a review and/or change in accommodations.

Campus Personnel

I understand that if I request the DRS staff to facilitate accommodations, on my behalf, they may need to consult with other campus personnel. I give my permission to have disability-related information shared with appropriate campus personnel to facilitate such requests. Examples of personnel would include: ADA Coordinator, Academic or Financial Aid Advisor, Tutoring Center Staff, Campus Accessible Shuttle Staff and Faculty Member.

Public Accommodation Request

Welcome

Academic History

Specific Accommodation Information

Terms and Conditions

Document Information