The Henry and Lucy Moses Center for

Students with Disabilities at New York University

FORMS

Spring 2008 Accommodations Form

Accommodations Form

Summer 2008 Accommodations Form

Accommodations Form

Intake Package -All three parts must be filled out by the student and an appointment must be made with the appropriate coordinator.

• Intake Forms
  
  
• Accommodations Form
  
  
• Diagnostic Medical Release Form
  
  

Special Housing Application -You must also apply for regular housing to be eligible.

• Special Housing Packet
  
  
• Special Housing Appeal Procedure
  
  
• Link to Housing Web Site

Other Forms

• CSD Survey
  
  
• Certification of Disability
  
  
• Release of Information Form
  
  
• Disability Documentation Guidelines
  
  
• Sample Disability Verification Letter
  
  
• Temporary Disability Application
  
  
• Service Provider Timesheet
  
  
• Recordings for the Blind and Dyslexic Application
  
  
• Equipment Loan Contract
  
  
• Guidelines for Participation in Learning Strategies Sessions
  
  
• Request for Photocopy/Retrieval of Books from Stacks
  
  
• State Authorization Form for NYU Bursar/Bookstore
  
  
• Sample Authorized Agreement for Book Loan
  
  
• Exam Accommodations Form ***
  
  
• CSD Tuition Award Application ***
  

*** These forms can only be picked up at the CSD Office for Processing

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