First-Time UW-Superior Disability Accommodation Request

Please complete this form to the best of your knowledge.
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Student Information

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Your Disability Information

Please share as much information as possible with us so we can best support you!

Please select only ONE diagnosed disability. If you have multiple diagnosed disabilities, please enter those in the following question about secondary disabilities. 

Leave blank if you do not have a secondary disability
Please indicate the accommodations you have received in the past or would like to request at this time.Required

Upload disability-related documentation here.

Examples: IEP, 504 Plan, Medical Diagnostic Document, Psychoeducational Report, etc.