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Instructions, Forms & Policies

Instructions, Forms & Policies

Accessible Testing Requests    

Request for Accessible Testing for a Standardized Test (Examples: WST, TEAS)     

Request for Pre-Arranged Accommodations (For captioned media and conversion of in-class printed materials):

Kurzweil Quarterly Request     

Application for Employment

Diagnosis Intake Form     

Request to Share Confidential Information     

Request for Accessible Testing for a Classroom Test     

Request for Accessible Testing for a University Test (Examples: WST, TEAS, etc.)     


Summer Term 2019 & Fall Semester 2019 Accessible Media Requests

Requests start to be accepted beginning 4/15/19 at 8:30 a.m. Late requests will be fulfilled as resources allow and in the order that they are received. You are not required to submit any additional paperwork with your request.

Priority registration is on 4/15/19 at 8:30 a.m.

Requests must be received by 4/29/19 for priority consideration.

You can use the Textbook Lookup Tutorial to find the textbooks you are requesting to be made accessible.

You must be enrolled in courses to submit your request. If there are special circumstances preventing you from enrolling, please notify Accessible Media in the "Comments" portion of the form.

If textbook information is not available at the time of your request, please indicate in the request the exact language used in the "View Books" link in MyCSUEB:  

  • No book required
  • Course Materials are being finalized
  • No bookstore supplied materials. See Instructor.
  • Course materials have not been determined

Receipts may be submitted at a later date; however textbooks will not be released to until proof of purchase is verified.

Submit request online: - Summer & Fall requests must be submitted separately:


Request for Pre-Arranged Accommodations (Captioned media and printed in-class materials)

Kurzweil Quarterly Request     

Adaptive Equipment Loan Agreement     

How To Request Course Notes Using the Student Portal

How to Upload Recordings to Note Taking Express

  • iPhone:

  • Android:

How To Check The Status of Your Notes:

Accommodation Appeal Form and Policy     

How to Request Accessible Furniture in the Classroom

Report of On-Campus Inaccessibility

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