Public Accommodation Request

* indicates a required field

Student Information

Enrolled students may connect with the Disability Access and Inclusion Student Services (DAISS) office if they are interested in requesting accommodations, learning more about the accommodation process, or identifying as a student with a disability. 

To connect with DAISS and/or request accommodations, please complete the form below. If you are already registered with our office and wish to request additional accommodations, you must schedule a meeting with an Accessibility Counselor. 

Please note: Students requesting an Emotional Support Animal (ESA) or housing accommodations must meet with an Accessibility Counselor and follow the established ESA and Housing Request Processes. 

Please provide your name as it appears on your legal documents (e.g., birth certificate, passport, or government-issued ID.
Please provide your name as it appears on your legal documents (e.g., birth certificate, passport, or government-issued ID.
This is the name you would like us to use when addressing you (e.g., nicknames, shortened versions, or chosen names. This will be the name that appears on your accommodation letter.
A series of 9 numbers typically beginning with 001
Your SUNY Albany-issued email address will be used for confidential communication and to connect your information with university systems.
Please share your pronouns if you would like us to use them when communicating with you (e.g., she/her, he/him, they/them).
What is your living situation?Required
Class Status at Registration
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Enrollment Status at Registration
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If you are transferring or visiting from another institution, list it here.
What is your academic focus? (e.g., Sociology, Information Science, Psychology, Computer Science, etc.) Please put 'undecided' if you have not yet decided on a major.
If you have a minor, please list it here.
Are you affiliated with any of the following agencies/programs?




Are you an active member of the armed forces, a veteran, or the dependent of an active service member or veteran?
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Specific Disability Information

Please provide your diagnosed disability as documented by a healthcare provider. Examples include ADHD, autism, anxiety, or physical disabilities. If you are in the process of diagnosis or seeking resources, please share that as well
Describe the primary symptoms associated with your diagnosis. Examples may include difficulty concentrating or maintaining focus, challenges with organization and time management, or sensory sensitivities such as sensitivity to light, sound, or textures. If you experience mobility limitations, this could include difficulty walking long distances, navigating stairs, muscle weakness, joint pain, or the need for assistive devices like a cane, walker, or wheelchair.

Please describe how your symptoms affect your learning and ability to complete coursework. This may include difficulty concentrating in lectures, challenges with note-taking or retaining information, trouble meeting deadlines due to executive functioning difficulties, or needing extra time for exams. Mobility limitations might make it difficult to navigate campus or attend in-person classes, while sensory sensitivities could impact focus in noisy or bright environments. Chronic pain or fatigue may affect attendance and stamina for academic tasks. Providing specific challenges will help us better understand and support your needs.

Academic Accommodations

Students may submit an academic accommodation request at any time. Please note that requests may take approximately one week to process after submitting a Public Accommodation Request, and accommodations are not retroactive. 

If you have documentation, such as an IEP, 504 plan, and/or a letter from a healthcare or educational provider, please attach it to the Documentation section of this form. We understand that some students may not have access to documentation for various reasons. Students may still submit a request and meet with an Accessibility Counselor.

Are you requesting academic accommodations?Required

Housing Accommodations

Are you requesting housing accommodations?Required

Documentation

All medical documentation, diagnosis letters, and any IEP/504 plans or related information you wish to share are required to be uploaded to your Accommodate case file. This information will allow us to review your materials in preparation for your interactive registration process meeting. Thank you.

Please upload recent, clear, and official documentation. Examples include medical provider letters, IEPs/504s, or past accommodations. If you do not have documentation, we can still meet to explore options. Submit documentation later when available.
Drop files here to upload

Next Steps