Public Accommodation Request

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Student Information

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If different from legal name

Please use your Purchase College issued ID number. Your ID number begins with P00... and can be located via your myHeliotrope account

Please use your Purchase College issued email address

Specific Accommodation Information

Choose all that apply. Please be as accurate as possible. Your answer will determine which ODR staff member you will be assigned to work with.

Please note: The Office of Disability Resources staff are mandated reporters, including in situations where a student expresses the intent of harm to self or others, and where a student discloses sexual harassment, sexual assault, gender-based harassment, stalking, and/or dating violence and domestic violence as outlined in Title IX. Students do not need to disclose any information related to a Title IX incident to request accommodations through ODR. 

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Upload supporting documentation

Students are not required to submit documentation at the time they submit this form. No student should delay submitting this form or meeting with ODR out of concern for not having appropriate documentation, though any documentation information students can share before or during the first meeting is helpful. The Office of Disability Resources' Documentation Guidelines webpage outlines different types of documentation that may be helpful.