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Disability Accessibility for Students

  1. CCRI
  2. Disability Accessibility for Students
  3. Forms
  4. Request For Alternative Format Textbook

Request For Alternative Format Textbook

Please complete this form and submit it to the DAS Office for approval.  Bring a copy of textbook receipt when you pick up your book.

To be filled out by the student:
Please provide the following information
Please provide the following book information
Legal agreement for obtaining alternative text:
I have read and understand the above statements, and I assume full responsibility for this text and agree to the aforementioned terms.
Please enter your name as your electronic signature.